dc.contributor
[Buron A, Sala M, Román M, Macià F, Comas M, Castells X] Departament d’Epidemiologia i Avaluació, Hospital del Mar, Barcelona, Spain. Institut Hospital de Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain. REDISSEC (Health Services Research on Chronic Patients Network), Madrid, Spain. [Auge JM] Servei de Bioquímica i Genètica Molecular, Hospital Clinic, Barcelona, Spain. IDIBAPS (Institut d’Investigacions Biomèdiques August Pi i Sunyer), Barcelona, Spain. [Castells A] IDIBAPS (Institut d’Investigacions Biomèdiques August Pi i Sunyer), Barcelona, Spain. Departament de Gastroenterologia, Hospital Clínic, Barcelona, Spain. Universitat de Barcelona, Spain. CIBERehd (CIBER for Digestive and Liver Diseases), Madrid, Spain. [Guiriguet C] Centre d’Atenció Primària (CAP) Gòtic, Institut Català de la Salut, Barcelona, Spain. Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain. [Bessa X] Departament de Gastroenterologia, Hospital del Mar, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
dc.contributor
IDIAP Jordi Gol
dc.contributor.author
Buron, Andrea
dc.contributor.author
Auge, Josep M.
dc.contributor.author
Sala, Maria
dc.contributor.author
Román, Marta
dc.contributor.author
Castells, Antoni
dc.contributor.author
Macià, Francesc
dc.contributor.author
Comas, Mercè
dc.contributor.author
Guiriguet, Carolina
dc.contributor.author
Bessa, Xavier
dc.contributor.author
Castells Cervelló, Xavier
dc.contributor.author
PROCOLON research group
dc.date.accessioned
2025-10-24T10:58:14Z
dc.date.available
2025-10-24T10:58:14Z
dc.date.issued
2018-06-18T09:36:38Z
dc.date.issued
2018-06-18T09:36:38Z
dc.date.issued
2017-06-16
dc.identifier
Buron A, Auge JM, Sala M, Román M, Castells A, Macià F, et al. Association between socioeconomic deprivation and colorectal cancer screening outcomes: low uptake rates among the most and least deprived people. PLoS One. 2017Jun 16;12(6):e0179864.doi:10.1371/journal.pone.0179864
dc.identifier
https://hdl.handle.net/11351/3517
dc.identifier
10.1371/journal.pone.0179864
dc.identifier.uri
https://hdl.handle.net/11351/3517
dc.description.abstract
Càncer colorectal; Cribratge; Factors socioeconòmics
dc.description.abstract
Neoplasias colorrectales; Cribado; Factores socioeconómicos
dc.description.abstract
Colorectal Neoplasms; Screening; Socioeconomic Factors
dc.description.abstract
BACKGROUND
Screening with faecal occult blood tests reduces colorectal cancer-related mortality; however, age, sex and socioeconomic factors affect screening outcomes and could lead to unequal mortality benefits. The aim of this study was to describe the main outcomes of the population-based Barcelona colorectal cancer screening programme (BCRCSP) by deprivation.
METHODS:
Retrospective study of the eligible population of the first round of the BCRCSP. Participants' postal addresses were linked with the MEDEA database to obtain the deprivation quintiles (Dq). Chi-squared tests were used to compare proportions across variables and logistic regression was used to estimate the adjusted effects of age, sex and deprivation on uptake, FIT positivity, colonoscopy adherence and advanced neoplasia detection rate.
RESULTS:
Overall uptake was 44.7%, higher in Dq2, 3 and 4 (OR 1.251, 1.250 and 1.276, respectively) than in the least deprived quintile (Dq 1), and lowest in Dq5 (OR 0.84). Faecal immunochemical test (FIT) positivity and the percentage of people with detectable faecal haemoglobin below the positivity threshold increased with deprivation. The advanced neoplasia detection rate was highest in Dq4.
CONCLUSION:
Unlike most regions where inequalities are graded along the socioeconomic continuum, inequalities in the uptake of colorectal cancer screening in Spain seem to be concentrated first in the most disadvantaged group and second in the least deprived group. The correlation of deprivation with FIT-positivity and faecal haemoglobin below the positivity threshold is worrying due to its association with colorectal cancer and overall mortality.
dc.format
application/pdf
dc.publisher
Public Library of Science
dc.relation
PLoS ONE;12(6)
dc.relation
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179864
dc.rights
Atribución-NoComercial-SinDerivadas 3.0 España
dc.rights
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Còlon - Càncer
dc.subject
Cribatge (Medicina)
dc.subject
Pacients - Condicions econòmiques
dc.subject
DISEASES::Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires::Health Surveys::Mass Screening
dc.subject
ANTHROPOLOGY, EDUCATION, SOCIOLOGY AND SOCIAL PHENOMENA::Social Sciences::Sociology::Sociological Factors::Socioeconomic Factors
dc.subject
ENFERMEDADES::neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::cribado sistemático
dc.subject
ANTROPOLOGÍA, EDUCACIÓN, SOCIOLOGÍA Y FENÓMENOS SOCIALES::ciencias sociales::sociología::factores sociológicos::factores socioeconómicos
dc.title
Association between socioeconomic deprivation and colorectal cancer screening outcomes: low uptake rates among the most and least deprived people
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
