Evidence map›Paper›PMID 24044467›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2013

Disparities in receipt of screening tests for cancer, diabetes and high cholesterol in Ontario, Canada: a population-based study using area-based methods.

Cornelia M Borkhoff, Refik Saskin, Linda Rabeneck, Nancy N Baxter, Ying Liu, Jill Tinmouth, Lawrence F Paszat

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Cornelia M BorkhoffWomen's College Research Institute, Women's College Hospital Room 728 - 790 Bay Street, Toronto, Ontario, Canada M5G 1N8. cory.borkhoff@wchospital.ca.
Refik Saskin
Linda Rabeneck
Nancy N Baxter
Ying Liu
Jill Tinmouth
Lawrence F Paszat

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFew have compared socio-economic disparities in screening tests for cancer with recommended tests for other chronic diseases. We examined whether receipt of testing for colorectal, cervical and breast cancer, as well as diabetes and high cholesterol, differs by neighbourhood-level socio-economic and recent immigrant status.

methodsWe conducted a population-based retrospective cohort study of patients identified as screen-eligible in 2009 living in Ontario, Canada. Postal codes were used to assign residents to a dissemination area (DA). Using Canadian census data, DAs were stratified by income quintile and proportion of recent immigrants. Prevalence of screening for cancer (colorectal, cervical, breast), diabetes, and high cholesterol, using administrative data, and prevalence ratios (least/most advantaged) were calculated.

resultsThe cohort comprised 7,652,592 people. Receipt of screening for colorectal cancer (women 61.6%; men 55.1%) and breast cancer (59.9%) were the lowest and diabetes (women 72.9%; men 61.4%) and high cholesterol (women 82.4%; men 70.3%) were the highest. We found disparities in the receipt of all tests, with the lowest uptake and largest disparities for cancer screening among those living in both low-income and high-immigration DAs: colorectal - women 48.6%; RR 0.77; 95% CI (0.74-0.79) and men 40.6%; RR 0.71 (0.68-0.74); cervical - 52.0%; RR 0.80 (0.78-0.81) and breast - 45.7%; RR 0.74 (0.72-0.77).

conclusionPeople living in low-income and high-immigration DAs had the lowest screening participation for all tests, although disparities were highest for cancer. An organized integrated chronic disease screening strategy leveraging the higher diabetes and high cholesterol screening participation may increase screening for cancer and other chronic diseases in never- and underscreened populations.

Indexed as

AdultAgedDatabases, FactualDiabetes MellitusEarly Detection of CancerEmigrants and ImmigrantsFemaleHealthcare DisparitiesHumansHypercholesterolemiaMaleMass ScreeningMiddle AgedNeoplasmsOntarioResidence Characteristicsdiabetesdyslipidemiaearly detection of cancerHealth care disparities

Identifiers

PMID24044467
PMCPMC6973949

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.