Evidence map›Paper›PMID 28721099›Full record

ArticleClinical epidemiology2017

Sociodemographic characteristics of nonparticipants in the Danish colorectal cancer screening program: a nationwide cross-sectional study.

Mette Bach Larsen, Ellen M Mikkelsen, Morten Rasmussen, Lennart Friis-Hansen, Anders U Ovesen, Hans Bjarke Rahr, Berit Andersen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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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 at 6 institutions in 1 country.

Mette Bach LarsenDepartment of Public Health Programmes, Randers Regional Hospital, Central Denmark Region, Randers NO.
Ellen M MikkelsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Central Denmark Region, Aarhus N.
Morten RasmussenDigestive Disease Center K, Bispebjerg Hospital, The Capital Region of Denmark, Copenhagen NV.
Lennart Friis-HansenDepartment of Clinical Biochemistry, Nordsjællands Hospital, The Capital Region of Denmark, Hillerød.
Anders U OvesenDepartment of Surgical Gastroenterology, Aalborg University Hospital, North Denmark Region, Aalborg.
Hans Bjarke RahrDepartment of Surgery, Vejle Hospital, Region of Southern Denmark, Vejle, Denmark.
Berit AndersenDepartment of Public Health Programmes, Randers Regional Hospital, Central Denmark Region, Randers NO.
Central Denmark Region · DKAalborg University Hospital · DKAarhus University Hospital · DKBispebjerg Hospital · DKNordsjællands Hospital · DKVejle Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFecal occult blood tests are recommended for colorectal cancer (CRC) screening in Europe. Recently, the fecal immunochemical test (FIT) has come into use. Sociodemographic differences between participants and nonparticipants may be less pronounced when using FIT as there are no preceding dietary restrictions and only one specimen is required. The aim of this study was to examine the associations between sociodemographic characteristics and nonparticipation for both genders, with special emphasis on those who actively unsubscribe from the program.

methodsThe study was a national, register-based, cross-sectional study among men and women randomized to be invited to participate in the prevalence round of the Danish CRC screening program between March 1 and December 31, 2014. Prevalence ratios (PRs) were used to quantify the association between sociodemographic characteristics and nonparticipation (including active nonparticipation). PRs were assessed using Poisson regression with robust error variance.

resultsThe likelihood of being a nonparticipant was highest in the younger part of the population; however, for women, the association across age groups was U-shaped. Female immigrants were more likely to be nonparticipants. Living alone, being on social welfare, and having lower income were factors that were associated with nonparticipation among both men and women. For both men and women, there was a U-shaped association between education and nonparticipation. For both men and women, the likelihood of active nonparticipation rose with age; it was lowest among non-western immigrants and highest among social welfare recipients.

conclusionSocial inequality in screening uptake was evident among both men and women in the Danish CRC screening program, even though the program is free of charge and the screening kit is based on FIT and mailed directly to the individuals. Interventions are needed to bridge this gap if CRC screening is to avoid aggravating existing inequalities in CRC-related morbidity and mortality.

Indexed as

colorectal neoplasmsdemographyearly detection of cancermass screeningsocioeconomic factors

Identifiers

PMID28721099
PMCPMC5500541
OpenAlexW2728381662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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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.