Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis

Sun, J; March, S; Ireland, MJ; Crawford-Williams, F; Goodwin, B; Hyde, MK; Chambers, SK; Aitken, JF; Dunn, J

Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis

Sun, J March, S Ireland, MJ Crawford-Williams, F Goodwin, B Hyde, MK Chambers, SK

Aitken, JF Dunn, J

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Publication Type:: Journal Article
Citation:: Australian and New Zealand Journal of Public Health, 2018, 42 (1), pp. 92 - 97
Issue Date:: 2018-02-01

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Field	Value	Language
dc.contributor.author	Sun, J	en_US
dc.contributor.author	March, S	en_US
dc.contributor.author	Ireland, MJ	en_US
dc.contributor.author	Crawford-Williams, F	en_US
dc.contributor.author	Goodwin, B	en_US
dc.contributor.author	Hyde, MK	en_US
dc.contributor.author	Chambers, SK https://orcid.org/0000-0003-2369-6111	en_US
dc.contributor.author	Aitken, JF	en_US
dc.contributor.author	Dunn, J	en_US
dc.date.available	2017-07-01	en_US
dc.date.issued	2018-02-01	en_US
dc.identifier.citation	Australian and New Zealand Journal of Public Health, 2018, 42 (1), pp. 92 - 97	en_US
dc.identifier.issn	1326-0200	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129563
dc.description.abstract	© 2017 The Authors Objective: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics. Methods: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables. Results: Compared to the participation rate for major cities (33.4%), participation was significantly higher in inner regional areas (36.5%, OR=1.15), but was much lower in remote (27.9%, OR=0.77) or very remote areas (25.0%, OR=0.65). When controlling for study period, gender, proportion of persons aged 65 years and older, Indigenous status, cultural background and socioeconomic status, significantly higher rates were observed in all non-metropolitan areas than in major cities. Indigenous status was strongly related to the poorer participation in remote areas. Conclusions: Socio-demographic characteristics, particularly Indigenous status, cultural background and population ageing, seem to be more important drivers of regional disparities in NBCSP participation than geographic remoteness. Implications for public health: This study provides important evidence to understand the regional disparities in participating in the national screening program.	en_US
dc.relation.ispartof	Australian and New Zealand Journal of Public Health	en_US
dc.relation.isbasedon	10.1111/1753-6405.12722	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Colorectal Neoplasms	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Residence Characteristics	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	National Health Programs	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Healthcare Disparities	en_US
dc.subject.mesh	Early Detection of Cancer	en_US
dc.title	Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	42	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1402 Applied Economics	en_US
utslib.for	1605 Policy and Administration	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	42	en_US

Abstract:

© 2017 The Authors Objective: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics. Methods: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables. Results: Compared to the participation rate for major cities (33.4%), participation was significantly higher in inner regional areas (36.5%, OR=1.15), but was much lower in remote (27.9%, OR=0.77) or very remote areas (25.0%, OR=0.65). When controlling for study period, gender, proportion of persons aged 65 years and older, Indigenous status, cultural background and socioeconomic status, significantly higher rates were observed in all non-metropolitan areas than in major cities. Indigenous status was strongly related to the poorer participation in remote areas. Conclusions: Socio-demographic characteristics, particularly Indigenous status, cultural background and population ageing, seem to be more important drivers of regional disparities in NBCSP participation than geographic remoteness. Implications for public health: This study provides important evidence to understand the regional disparities in participating in the national screening program.

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http://hdl.handle.net/10453/129563