Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review
Abstract Background Colorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation. Methods A systematic revi...
Gespeichert in:
| Veröffentlicht in: | European journal of public health 2021-04, Vol.31 (2), p.346-355 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 355 |
|---|---|
| container_issue | 2 |
| container_start_page | 346 |
| container_title | European journal of public health |
| container_volume | 31 |
| creator | Unanue-Arza, Saloa Solís-Ibinagagoitia, Maite Díaz-Seoane, Marta Mosquera-Metcalfe, Isabel Idigoras, Isabel Bilbao, Isabel Portillo, Isabel |
| description | Abstract
Background
Colorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation.
Methods
A systematic review was conducted between June and September of 2019 in six databases: CINHAL, Medline, Scopus, Social Sciences Citation Index, Embase and PsycINFO. Studies assessing the relationship between health risk factors, participation in preventive activities and participation in CRC screening were included. Methodological assessment was carried out according to the Quality Assessment Tools of the National Heart, Lung and Blood Institute.
Results
A total of nine studies that analyze participation in both organized and opportunistic screening programmes using any type of screening method were finally selected. Data were mainly self-reported although in two studies medical records were also studied. We identified several variables: gender, body mass index, consultation with a doctor or a specialist, educational level, employment, health insurance, residence, ethnicity, age, marital status, income, other preventive activities, obesity, physical activity, smoking, family history of CRC and general health status.
Conclusion
The scarcity of studies linking risk factors, social inequalities and participation in preventive activities for participation in screening in the same study makes it difficult to reach definitive patterns related to non-participation in CRC screening programmes. Nevertheless, being under 60, obese, smoker and sedentary have shown an association with non-participation as well as not visiting a doctor. |
| doi_str_mv | 10.1093/eurpub/ckaa203 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8071594</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A775149778</galeid><oup_id>10.1093/eurpub/ckaa203</oup_id><sourcerecordid>A775149778</sourcerecordid><originalsourceid>FETCH-LOGICAL-c519t-41a42031f46d388ddb5cf6bfa6584b64e3b431e692623b288a2e9bef348f6efd3</originalsourceid><addsrcrecordid>eNqFks1rFTEUxQdRbK1uXUrAjS6mzddkZlwIpfhRKLhRcBfuZG6eaWeSaZKpvP_elPd8qBQki4Tkd044l1NVLxk9ZbQXZ7jGZR3OzA0Ap-JRdcykkrVQ9PvjcmaU1YwrflQ9S-maUtq0HX9aHQkhmFBNe1xtLz3erjC57DAR8COJLt0QCyaHmEjECTKOJAfig68XiNkZt0B2wRPniQlTiGgyTMSANxhJMhHRO78hSwybCPOM6R0BkrYp41yEppjeOfz5vHpiYUr4Yr-fVN8-fvh68bm--vLp8uL8qjYN63MtGciSjFmpRtF14zg0xqrBgmo6OSiJYpCCoepLTDHwrgOO_YBWyM4qtKM4qd7vfMucZhwN-hxh0kt0M8StDuD03y_e_dCbcKc72rKml8Xgzd4ghtsVU9azSwanCTyGNWkuW0q56CQt6Ot_0OuwRl_iad70LZecF_JAbWBC7bwN5V9zb6rP27Zhsm_brlCnD1BljTg7EzxaV-4fEpgYUopoDxkZ1fdl0buy6H1ZiuDVn5M54L_bUYC3OyCsy__MfgFNd81k</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2597242202</pqid></control><display><type>article</type><title>Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review</title><source>PAIS Index</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Oxford Journals Open Access Collection</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Unanue-Arza, Saloa ; Solís-Ibinagagoitia, Maite ; Díaz-Seoane, Marta ; Mosquera-Metcalfe, Isabel ; Idigoras, Isabel ; Bilbao, Isabel ; Portillo, Isabel</creator><creatorcontrib>Unanue-Arza, Saloa ; Solís-Ibinagagoitia, Maite ; Díaz-Seoane, Marta ; Mosquera-Metcalfe, Isabel ; Idigoras, Isabel ; Bilbao, Isabel ; Portillo, Isabel</creatorcontrib><description>Abstract
Background
Colorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation.
Methods
A systematic review was conducted between June and September of 2019 in six databases: CINHAL, Medline, Scopus, Social Sciences Citation Index, Embase and PsycINFO. Studies assessing the relationship between health risk factors, participation in preventive activities and participation in CRC screening were included. Methodological assessment was carried out according to the Quality Assessment Tools of the National Heart, Lung and Blood Institute.
Results
A total of nine studies that analyze participation in both organized and opportunistic screening programmes using any type of screening method were finally selected. Data were mainly self-reported although in two studies medical records were also studied. We identified several variables: gender, body mass index, consultation with a doctor or a specialist, educational level, employment, health insurance, residence, ethnicity, age, marital status, income, other preventive activities, obesity, physical activity, smoking, family history of CRC and general health status.
Conclusion
The scarcity of studies linking risk factors, social inequalities and participation in preventive activities for participation in screening in the same study makes it difficult to reach definitive patterns related to non-participation in CRC screening programmes. Nevertheless, being under 60, obese, smoker and sedentary have shown an association with non-participation as well as not visiting a doctor.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckaa203</identifier><identifier>PMID: 33313657</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Analysis ; Body mass index ; Body size ; Cancer ; Cancer Prevention ; Cancer screening ; Care and treatment ; Citation analysis ; Colorectal cancer ; Colorectal carcinoma ; Demographic aspects ; Diagnosis ; Employment ; Ethnicity ; Genetics ; Health care disparities ; Health care industry ; Health insurance ; Health risk assessment ; Health risks ; Indexes ; Marital status ; Medical records ; Medical screening ; Obesity ; Physical activity ; Physical fitness ; Public health ; Quality assessment ; Quality control ; Risk analysis ; Risk factors ; Scarcity ; Smoking ; Social aspects ; Social inequality ; Social participation ; Social sciences ; Systematic review</subject><ispartof>European journal of public health, 2021-04, Vol.31 (2), p.346-355</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-41a42031f46d388ddb5cf6bfa6584b64e3b431e692623b288a2e9bef348f6efd3</citedby><cites>FETCH-LOGICAL-c519t-41a42031f46d388ddb5cf6bfa6584b64e3b431e692623b288a2e9bef348f6efd3</cites><orcidid>0000-0003-0918-5980</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071594/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071594/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,1601,27849,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33313657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Unanue-Arza, Saloa</creatorcontrib><creatorcontrib>Solís-Ibinagagoitia, Maite</creatorcontrib><creatorcontrib>Díaz-Seoane, Marta</creatorcontrib><creatorcontrib>Mosquera-Metcalfe, Isabel</creatorcontrib><creatorcontrib>Idigoras, Isabel</creatorcontrib><creatorcontrib>Bilbao, Isabel</creatorcontrib><creatorcontrib>Portillo, Isabel</creatorcontrib><title>Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Abstract
Background
Colorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation.
Methods
A systematic review was conducted between June and September of 2019 in six databases: CINHAL, Medline, Scopus, Social Sciences Citation Index, Embase and PsycINFO. Studies assessing the relationship between health risk factors, participation in preventive activities and participation in CRC screening were included. Methodological assessment was carried out according to the Quality Assessment Tools of the National Heart, Lung and Blood Institute.
Results
A total of nine studies that analyze participation in both organized and opportunistic screening programmes using any type of screening method were finally selected. Data were mainly self-reported although in two studies medical records were also studied. We identified several variables: gender, body mass index, consultation with a doctor or a specialist, educational level, employment, health insurance, residence, ethnicity, age, marital status, income, other preventive activities, obesity, physical activity, smoking, family history of CRC and general health status.
Conclusion
The scarcity of studies linking risk factors, social inequalities and participation in preventive activities for participation in screening in the same study makes it difficult to reach definitive patterns related to non-participation in CRC screening programmes. Nevertheless, being under 60, obese, smoker and sedentary have shown an association with non-participation as well as not visiting a doctor.</description><subject>Analysis</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cancer</subject><subject>Cancer Prevention</subject><subject>Cancer screening</subject><subject>Care and treatment</subject><subject>Citation analysis</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Demographic aspects</subject><subject>Diagnosis</subject><subject>Employment</subject><subject>Ethnicity</subject><subject>Genetics</subject><subject>Health care disparities</subject><subject>Health care industry</subject><subject>Health insurance</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Indexes</subject><subject>Marital status</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Obesity</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Public health</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Scarcity</subject><subject>Smoking</subject><subject>Social aspects</subject><subject>Social inequality</subject><subject>Social participation</subject><subject>Social sciences</subject><subject>Systematic review</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>7TQ</sourceid><recordid>eNqFks1rFTEUxQdRbK1uXUrAjS6mzddkZlwIpfhRKLhRcBfuZG6eaWeSaZKpvP_elPd8qBQki4Tkd044l1NVLxk9ZbQXZ7jGZR3OzA0Ap-JRdcykkrVQ9PvjcmaU1YwrflQ9S-maUtq0HX9aHQkhmFBNe1xtLz3erjC57DAR8COJLt0QCyaHmEjECTKOJAfig68XiNkZt0B2wRPniQlTiGgyTMSANxhJMhHRO78hSwybCPOM6R0BkrYp41yEppjeOfz5vHpiYUr4Yr-fVN8-fvh68bm--vLp8uL8qjYN63MtGciSjFmpRtF14zg0xqrBgmo6OSiJYpCCoepLTDHwrgOO_YBWyM4qtKM4qd7vfMucZhwN-hxh0kt0M8StDuD03y_e_dCbcKc72rKml8Xgzd4ghtsVU9azSwanCTyGNWkuW0q56CQt6Ot_0OuwRl_iad70LZecF_JAbWBC7bwN5V9zb6rP27Zhsm_brlCnD1BljTg7EzxaV-4fEpgYUopoDxkZ1fdl0buy6H1ZiuDVn5M54L_bUYC3OyCsy__MfgFNd81k</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Unanue-Arza, Saloa</creator><creator>Solís-Ibinagagoitia, Maite</creator><creator>Díaz-Seoane, Marta</creator><creator>Mosquera-Metcalfe, Isabel</creator><creator>Idigoras, Isabel</creator><creator>Bilbao, Isabel</creator><creator>Portillo, Isabel</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0918-5980</orcidid></search><sort><creationdate>20210401</creationdate><title>Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review</title><author>Unanue-Arza, Saloa ; Solís-Ibinagagoitia, Maite ; Díaz-Seoane, Marta ; Mosquera-Metcalfe, Isabel ; Idigoras, Isabel ; Bilbao, Isabel ; Portillo, Isabel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-41a42031f46d388ddb5cf6bfa6584b64e3b431e692623b288a2e9bef348f6efd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Cancer</topic><topic>Cancer Prevention</topic><topic>Cancer screening</topic><topic>Care and treatment</topic><topic>Citation analysis</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Demographic aspects</topic><topic>Diagnosis</topic><topic>Employment</topic><topic>Ethnicity</topic><topic>Genetics</topic><topic>Health care disparities</topic><topic>Health care industry</topic><topic>Health insurance</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Indexes</topic><topic>Marital status</topic><topic>Medical records</topic><topic>Medical screening</topic><topic>Obesity</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Public health</topic><topic>Quality assessment</topic><topic>Quality control</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Scarcity</topic><topic>Smoking</topic><topic>Social aspects</topic><topic>Social inequality</topic><topic>Social participation</topic><topic>Social sciences</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Unanue-Arza, Saloa</creatorcontrib><creatorcontrib>Solís-Ibinagagoitia, Maite</creatorcontrib><creatorcontrib>Díaz-Seoane, Marta</creatorcontrib><creatorcontrib>Mosquera-Metcalfe, Isabel</creatorcontrib><creatorcontrib>Idigoras, Isabel</creatorcontrib><creatorcontrib>Bilbao, Isabel</creatorcontrib><creatorcontrib>Portillo, Isabel</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Unanue-Arza, Saloa</au><au>Solís-Ibinagagoitia, Maite</au><au>Díaz-Seoane, Marta</au><au>Mosquera-Metcalfe, Isabel</au><au>Idigoras, Isabel</au><au>Bilbao, Isabel</au><au>Portillo, Isabel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>31</volume><issue>2</issue><spage>346</spage><epage>355</epage><pages>346-355</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract
Background
Colorectal cancer (CRC) screening programmes require high levels of participation in order to reduce mortality. To improve participation rates, it is necessary to identify the health risk factors and social inequalities associated with non-participation.
Methods
A systematic review was conducted between June and September of 2019 in six databases: CINHAL, Medline, Scopus, Social Sciences Citation Index, Embase and PsycINFO. Studies assessing the relationship between health risk factors, participation in preventive activities and participation in CRC screening were included. Methodological assessment was carried out according to the Quality Assessment Tools of the National Heart, Lung and Blood Institute.
Results
A total of nine studies that analyze participation in both organized and opportunistic screening programmes using any type of screening method were finally selected. Data were mainly self-reported although in two studies medical records were also studied. We identified several variables: gender, body mass index, consultation with a doctor or a specialist, educational level, employment, health insurance, residence, ethnicity, age, marital status, income, other preventive activities, obesity, physical activity, smoking, family history of CRC and general health status.
Conclusion
The scarcity of studies linking risk factors, social inequalities and participation in preventive activities for participation in screening in the same study makes it difficult to reach definitive patterns related to non-participation in CRC screening programmes. Nevertheless, being under 60, obese, smoker and sedentary have shown an association with non-participation as well as not visiting a doctor.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33313657</pmid><doi>10.1093/eurpub/ckaa203</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0918-5980</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1101-1262 |
| ispartof | European journal of public health, 2021-04, Vol.31 (2), p.346-355 |
| issn | 1101-1262 1464-360X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8071594 |
| source | PAIS Index; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford Journals Open Access Collection; PubMed Central; Alma/SFX Local Collection |
| subjects | Analysis Body mass index Body size Cancer Cancer Prevention Cancer screening Care and treatment Citation analysis Colorectal cancer Colorectal carcinoma Demographic aspects Diagnosis Employment Ethnicity Genetics Health care disparities Health care industry Health insurance Health risk assessment Health risks Indexes Marital status Medical records Medical screening Obesity Physical activity Physical fitness Public health Quality assessment Quality control Risk analysis Risk factors Scarcity Smoking Social aspects Social inequality Social participation Social sciences Systematic review |
| title | Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T19%3A10%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Inequalities%20and%20risk%20factors%20related%20to%20non-participation%20in%20colorectal%20cancer%20screening%20programmes:%20a%20systematic%20review&rft.jtitle=European%20journal%20of%20public%20health&rft.au=Unanue-Arza,%20Saloa&rft.date=2021-04-01&rft.volume=31&rft.issue=2&rft.spage=346&rft.epage=355&rft.pages=346-355&rft.issn=1101-1262&rft.eissn=1464-360X&rft_id=info:doi/10.1093/eurpub/ckaa203&rft_dat=%3Cgale_pubme%3EA775149778%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2597242202&rft_id=info:pmid/33313657&rft_galeid=A775149778&rft_oup_id=10.1093/eurpub/ckaa203&rfr_iscdi=true |