ArticleBMC public health2015
Social inequalities in a population based colorectal cancer screening programme in the Basque Country.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Inequalities and risk factors related to non-participation in colorectal cancer screening programmes: a systematic review.European journal of public health · 2021Pooled it
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- Factors related to participation in colorectal cancer screening in a Southern European region: a prevalence survey.European journal of public health · 2026Article
- Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index.Cancers · 2024Article
- Improving uptake of colorectal cancer screening by complex patients at an academic primary care practice: a feasibility study.BMJ open quality · 2024Article
- Socioeconomic Inequalities as a Cause of Health Inequities in Spain: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study.Healthcare (Basel, Switzerland) · 2023Article
- [Actitudes e imágenes sociales sobre el cribado de cáncer colorrectal. Una aproximación exploratoria mediante grupos de discusión.]Revista espanola de salud publica · 2023Article
- Inequalities in colorectal cancer screening uptake in Wales: an examination of the impact of the temporary suspension of the screening programme during the COVID-19 pandemic.BMC public health · 2023Article
- Socioeconomic inequality in organized and opportunistic screening for colorectal cancer: results from the Korean National Cancer Screening Survey, 2009-2021.Epidemiology and health · 2023Article
- Influence of social isolation and loneliness on the prognosis of advanced lung cancer patients: a prospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey.International journal of environmental research and public health · 2022Article
- Socio-economic inequality of utilization of cancer testing in Europe: A cross-sectional study.Preventive medicine reports · 2022Article
- Construction of an individual socioeconomic status index for analysing inequalities in colorectal cancer screening.PloS one · 2022Article
- Article
- Analysis of Post-Colonoscopy Colorectal Cancer and Its Subtypes in a Screening Programme.Cancers · 2021Article
- Colorectal Cancer Survival in 50- to 69-Year-Olds after Introducing the Faecal Immunochemical Test.Cancers · 2020Article
- Level and Factors Associated with Participation in Population-Based Cancer Screening in Safranbolu District of Karabuk, Turkey.Iranian journal of public health · 2020Article
- Factors Related to Non-participation in the Basque Country Colorectal Cancer Screening Programme.Frontiers in public health · 2020Article
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile it is known that a variety of factors (biological, behavioural and interventional) play a major role in the health of individuals and populations, the importance of the role of social determinants is less clear. The effect of social inequality on population-based screening for colorectal cancer (CRC) could limit the value of such programmes. The present study aims to determine whether such inequalities exist.
methodsData was obtained from the population-based screening programme administered in the Autonomous Community of the Basque Country, Spain, with a target population aged 50 to 69, first invited to participate between 2009 and 2011. The magnitude of inequality was analysed using the odds ratio (taking the least disadvantaged socioeconomic quintile as the reference population), the population attributable risk and the relative index of inequality, based on the regression, which is the ratio of the rates in the most and least disadvantaged socioeconomic groups.
resultsThe target population comprised 242,394 people, with the test kit successfully sent to 95.1 % (230,510). The overall response rate was 64.3 % (67.1 in women and 61.4 % men). Among women, the highest participation was in the third quintile (71.5 %) and the lowest in the first - the least disadvantaged (65.7 %). The lowest and highest rates of people with identified lesions were in the second and fourth quintiles (14.7/1000 and 17.0/1000 respectively). Among men, the response rate was lowest in the fifth - most disadvantaged - quintile (60.2 %). The highest rate of identified lesions was in the fifth quintile; 38 % higher than the first (55.7/1000 compared to 41.0/1000).
conclusionsSex and socioeconomic group influence the rate of participation in the CRC programme and the rate of lesions found in the participants. Any public health programme is morally and ethically obliged to strive for equity and effectiveness. Improving participation of men and socially disadvantaged groups should be taken in account.
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