The impact of driving time on participation in colorectal cancer screening with sigmoidoscopy and faecal immunochemical blood test |
| |
| Affiliation: | 1. Section for Colorectal Cancer Screening, Cancer Registry of Norway, P.O. Box 5313 Majorstuen, 0304 Oslo, Norway;2. Department of Research and Development, Telemark Hospital Trust, Ulefossvegen 55, 3710 Skien, Norway;3. Institute of Clinical Medicine, University of Oslo, P.O. Box 1171 Blindern, 0318 Oslo, Norway;4. Department of Medicine, Sørlandet Hospital, P.O. Box 416 Lundsiden, 4604 Kristiansand, Norway;5. Institute for Health and Society, University of Oslo, P.O. Box 1130 Blindern, 0318 Oslo, Norway;6. Department of Research, Cancer Registry of Norway, P.O. Box 5313 Majorstuen, 0304 Oslo, Norway |
| |
| Abstract: | BackgroundHigh participation rates are important for a colorectal cancer (CRC) screening programme to be effective. Having a long travelling distance to screening centres may impede participation.MethodsWe analysed the association between driving time from home address to screening centre and participation among individuals invited to screening with faecal immunochemical test (FIT) (n = 68,624) or sigmoidoscopy (n = 46,076) in a randomized trial in Norway in 2012–17. Two screening centres were involved. We fitted multiple logistic regression models, adjusted for demographic, socioeconomic and health characteristics, and reported odds ratios (OR) with 95% confidence intervals (CI).ResultsParticipation rates were 58.9 % (n = 40,445) for FIT and 51.9 % (n = 23,911) for sigmoidoscopy. In sigmoidoscopy, participation was 56.9 % and 47.9 % in those living < 20 and > 60 min by car from the screening centres, respectively. For each 10 min driving time increase, OR for participating in sigmoidoscopy screening was 0.93 (95 % CI 0.91–0.95). There was a significant difference between the two screening centres (p-value for heterogeneity <0.001). Participation in FIT screening were 61.2 % and 57.1 % in those with < 20 and > 60 min driving time, respectively, and the OR was 0.98 (95 % CI 0.96–0.99) for each 10 min increase (heterogeneity between screening methods, P-value <0.001). Among those with a positive FIT, compliance to colonoscopy was higher in those living < 20 compared to > 60 min from the centres (95.1 % vs. 92.9 %, respectively, OR 0.86; 95 % CI 0.77–0.93 for each 10 min increase).ConclusionsDriving time to screening centre was a significant predictor of participation, mainly in sigmoidoscopy. There were local differences in the impact of driving time on participation. Driving time also affected compliance to colonoscopy after a positive FIT. When planning a CRC screening programme, one should consider offering people living far from screening sites special assistance to facilitate their participation. |
| |
| Keywords: | Colorectal cancer screening Driving time Faecal immunochemical test Participation Sigmoidoscopy |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
