Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study

McCowan, C. et al. (2019) Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study. British Journal of Cancer, 121(8), pp. 710-714. (doi: 10.1038/s41416-019-0564-9) (PMID:31481732) (PMCID:PMC6889480)

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Abstract

Background We investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening. Methods Data linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit. Results 72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening. Conclusion Participation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.

Item Type:Articles
Additional Information:The work was funded by CRUK through its National Awareness & Early Diagnosis Initiative C9227/A17676.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wyke, Professor Sally and McConnachie, Professor Alex and Mccowan, Professor Colin and Papworth, Dr Richard and Mcskimming, Mrs Paula and Robb, Dr Katie and Kotzur, Dr Marie and Macdonald, Dr Sara
Authors: McCowan, C., McSkimming, P., Papworth, R., Kotzur, M., McConnachie, A., Macdonald, S., Wyke, S., Crighton, E., Campbell, C., Weller, D., Steele, R. J.C., and Robb, K. A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
Journal Name:British Journal of Cancer
Publisher:Springer Nature
ISSN:0007-0920
ISSN (Online):1532-1827
Published Online:04 September 2019
Copyright Holders:Copyright © 2019 The Authors
First Published:First published in British Journal of Cancer 121(8): 710-714
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
648952What can we learn about how to improve uptake of bowel cancer screening from higher rates of uptake in breast and cervical screening programmes?Kathryn RobbCancer Research UK (CRUK)C9227/A17676IHW - GENERAL PRACTICE & PRIMARY CARE