دورية أكاديمية
أعرض في EDS

Socioeconomic factors affecting colorectal, breast and cervical cancer screening in an Asian urban low-income setting at baseline and post-intervention.

التفاصيل البيبلوغرافية
العنوان: Socioeconomic factors affecting colorectal, breast and cervical cancer screening in an Asian urban low-income setting at baseline and post-intervention.
المؤلفون: Wee LE; Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore., Koh GC, Chin RT, Yeo WX, Seow B, Chua D
المصدر: Preventive medicine [Prev Med] 2012 Jul; Vol. 55 (1), pp. 61-7. Date of Electronic Publication: 2012 Apr 26.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Academic Press Country of Publication: United States NLM ID: 0322116 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-0260 (Electronic) Linking ISSN: 00917435 NLM ISO Abbreviation: Prev Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, Academic Press.
مواضيع طبية MeSH: Breast Neoplasms/*diagnosis , Colorectal Neoplasms/*diagnosis , Health Services Accessibility/*economics , Mass Screening/*economics , Poverty/*psychology , Urban Population/*statistics & numerical data , Uterine Cervical Neoplasms/*diagnosis, Adult ; Asia ; Breast Neoplasms/prevention & control ; Colorectal Neoplasms/prevention & control ; Community Health Services/standards ; Female ; Financing, Government/statistics & numerical data ; Health Services Accessibility/standards ; Humans ; Logistic Models ; Male ; Mass Screening/statistics & numerical data ; Middle Aged ; Patient Participation/statistics & numerical data ; Poverty/statistics & numerical data ; Public Housing ; Residence Characteristics/statistics & numerical data ; Sex Distribution ; Singapore ; Socioeconomic Factors ; Uterine Cervical Neoplasms/prevention & control
مستخلص: Background: Inequalities in cancer screening are little studied in Asian societies. We determined whether area and individual measures of socio-economic status (SES) affected cancer screening participation in Singapore and prospectively evaluated an access-enhancing community-based intervention.
Methods: The study population involved all residents aged >40 years in two housing estates comprising of owner-occupied (high-SES area) and rental (low-SES area) flats. From 2009 to 2011, non-adherents to regular screening for colorectal/breast/cervical cancer were offered free convenient screening over six months. Pre- and post-intervention screening rates were compared with McNemar's test. Multi-level logistic regression identified factors of regular screening at baseline; Cox regression analysis identified predictors of screening post-intervention.
Results: Participation was 78.2% (1081/1383). In the low-SES area, 7.7% (33/427), 20.4% (44/216), and 14.3% (46/321) had regular colorectal, cervical and breast cancer screening respectively. Post-intervention, screening rates in the low-SES area rose significantly to 19.0% (81/427), 25.4% (55/216), and 34.3% (74/216) respectively (p<0.001). Area SES was more consistently associated with screening than individual SES at baseline. Post-intervention, for colorectal cancer screening, those with higher education were more likely to attend (p=0.004); for female cancer screening, the higher-income were less likely to attend (p=0.032).
Conclusions: Access-enhancing community-based interventions improve participation among disadvantaged strata of Asian societies.
(Copyright © 2012 Elsevier Inc. All rights reserved.)
تواريخ الأحداث: Date Created: 20120508 Date Completed: 20121113 Latest Revision: 20220321
رمز التحديث: 20231215
DOI: 10.1016/j.ypmed.2012.04.011
PMID: 22561028
قاعدة البيانات: MEDLINE
الوصف
تدمد:1096-0260
DOI:10.1016/j.ypmed.2012.04.011