dc.date.accessioned | 2023-01-20T17:30:39Z | |
dc.date.available | 2023-01-20T17:30:39Z | |
dc.date.created | 2022-09-13T14:28:35Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Berthelsen, Mona Berstad, Paula Randel, Kristin Ranheim Hoff, Geir Natvig, Erik Holme, Øyvind Botteri, Edoardo . The impact of driving time on participation in colorectal cancer screening with sigmoidoscopy and faecal immunochemical blood test. Cancer Epidemiology. 2022, 80 | |
dc.identifier.uri | http://hdl.handle.net/10852/98985 | |
dc.description.abstract | Background: High participation rates are important for a colorectal cancer (CRC) screening programme to be effective. Having a long travelling distance to screening centres may impede participation. Methods: We analysed the association between driving time from home address to screening centre and participation among individuals invited to screening with faecal immunochemical test (FIT) (n = 68,624) or sigmoidoscopy (n = 46,076) in a randomized trial in Norway in 2012-17. Two screening centres were involved. We fitted multiple logistic regression models, adjusted for demographic, socioeconomic and health characteristics, and reported odds ratios (OR) with 95% confidence intervals (CI). Results: Participation rates were 58.9 % (n = 40,445) for FIT and 51.9 % (n = 23,911) for sigmoidoscopy. In sigmoidoscopy, participation was 56.9 % and 47.9 % in those living < 20 and > 60 min by car from the screening centres, respectively. For each 10 min driving time increase, OR for participating in sigmoidoscopy screening was 0.93 (95 % CI 0.91-0.95). There was a significant difference between the two screening centres (p-value for heterogeneity <0.001). Participation in FIT screening were 61.2 % and 57.1 % in those with < 20 and > 60 min driving time, respectively, and the OR was 0.98 (95 % CI 0.96-0.99) for each 10 min increase (heterogeneity between screening methods, P-value <0.001). Among those with a positive FIT, compliance to colonoscopy was higher in those living < 20 compared to > 60 min from the centres (95.1 % vs. 92.9 %, respectively, OR 0.86; 95 % CI 0.77-0.93 for each 10 min increase). Conclusions: Driving time to screening centre was a significant predictor of participation, mainly in sigmoidoscopy. There were local differences in the impact of driving time on participation. Driving time also affected compliance to colonoscopy after a positive FIT. When planning a CRC screening programme, one should consider offering people living far from screening sites special assistance to facilitate their participation. | |
dc.description.abstract | The impact of driving time on participation in colorectal cancer screening with sigmoidoscopy and faecal immunochemical blood test | |
dc.language | EN | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | The impact of driving time on participation in colorectal cancer screening with sigmoidoscopy and faecal immunochemical blood test | |
dc.title.alternative | ENEngelskEnglishThe impact of driving time on participation in colorectal cancer screening with sigmoidoscopy and faecal immunochemical blood test | |
dc.type | Journal article | |
dc.creator.author | Berthelsen, Mona | |
dc.creator.author | Berstad, Paula | |
dc.creator.author | Randel, Kristin Ranheim | |
dc.creator.author | Hoff, Geir | |
dc.creator.author | Natvig, Erik | |
dc.creator.author | Holme, Øyvind | |
dc.creator.author | Botteri, Edoardo | |
cristin.unitcode | 185,53,49,0 | |
cristin.unitname | Kreftklinikken | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2051256 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Cancer Epidemiology&rft.volume=80&rft.spage=&rft.date=2022 | |
dc.identifier.jtitle | Cancer Epidemiology | |
dc.identifier.volume | 80 | |
dc.identifier.doi | https://doi.org/10.1016/j.canep.2022.102244 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1877-7821 | |
dc.type.version | PublishedVersion | |
cristin.articleid | 102244 | |