ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2004
Association of socioeconomic status and receipt of colorectal cancer investigations: a population-based retrospective cohort study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Breast, cervical and colorectal cancer screening in adults with diabetes: a systematic review and meta-analysis.Diabetologia · 2020Pooled it
- Trial
- Article
- The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador.Healthcare (Basel, Switzerland) · 2022Article
- Surgical wait times and socioeconomic status in a public healthcare system: a retrospective analysis.BMC health services research · 2022Article
- Socioeconomic inequalities in colorectal cancer incidence in Canada: trends over two decades.Cancer causes & control : CCC · 2022Article
- Overall Health Care Cost During the Year Following Diagnosis of Colorectal Cancer Stratified by History of Colorectal Evaluative Procedures.Journal of the Canadian Association of Gastroenterology · 2021Article
- Decreased Colorectal Cancer Incidence and Incidence-Based Mortality in the Screening-Age Population of Ontario.Journal of the Canadian Association of Gastroenterology · 2021Article
- Directly Mailing gFOBT Kits to Previous Responders Being Recalled for Colorectal Cancer Screening Increases Participation.Journal of the Canadian Association of Gastroenterology · 2020Article
- Fecal occult blood test screening uptake among immigrants from Muslim majority countries: A retrospective cohort study in Ontario, Canada.Cancer medicine · 2019Article
- Utilization of Census Tract-Based Neighborhood Poverty Rates to Predict Non-adherence to Screening Colonoscopy.Digestive diseases and sciences · 2019Observational
- Area-level income disparities in colorectal screening in Canada: evidence to inform future surveillance.Current oncology (Toronto, Ont.) · 2019Article
- Cancer screening inequities in a time of primary care reform: a population-based longitudinal study in Ontario, Canada.BMC family practice · 2018Article
- Patterns of follow up and survivorship care for people with colorectal cancer in new South Wales, Australia: a population-based survey.BMC cancer · 2018Article
- Observational
- Thinking Style as a Predictor of Men's Participation in Cancer Screening.American journal of men's health · 2017Article
- Equity and practice issues in colorectal cancer screening: Mixed-methods study.Canadian family physician Medecin de famille canadien · 2016Article
- Association Between Socioeconomic Status and Participation in Colonoscopy Screening Program in First Degree Relatives of Colorectal Cancer Patients.Iranian journal of cancer prevention · 2016Article
- A population-based study of the extent of colorectal cancer screening in men with HIV.BMC health services research · 2015Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough the Canadian health care system was designed to ensure equal access, inequities persist. It is not known if inequities exist for receipt of investigations used to screen for colorectal cancer (CRC). We examined the association between socioeconomic status and receipt of colorectal investigation in Ontario.
methodsPeople aged 50 to 70 years living in Ontario on Jan. 1, 1997, who did not have a history of CRC, inflammatory bowel disease or colorectal investigation within the previous 5 years were followed until death or Dec. 31, 2001. Receipt of any colorectal investigation between 1997 and 2001 inclusive was determined by means of linked administrative databases. Income was imputed as the mean household income of the person's census enumeration area. Multivariate analysis was performed to evaluate the relationship between the receipt of any colorectal investigation and income.
resultsOf the study cohort of 1,664,188 people, 21.2% received a colorectal investigation in 1997-2001. Multivariate analysis demonstrated a significant association between receipt of any colorectal investigation and income (p < 0.001); people in the highest-income quintile had higher odds of receiving any colorectal investigation (adjusted odds ratio [OR] 1.38; 95% confidence interval [CI] 1.36-1.40) and of receiving colonoscopy (adjusted OR 1.50; 95% CI 1.48-1.53).
interpretationSocioeconomic status is associated with receipt of colorectal investigations in Ontario. Only one-fifth of people in the screening-eligible age group received any colorectal investigation. Further work is needed to determine the reason for this low rate and to explore whether it affects CRC mortality.
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