Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index

Background/Objectives: An individual socioeconomic status index (ISESI) was used to analyse inequalities in participation and colonoscopy acceptance in the Valencia Region Colorectal Cancer Screening Programme (VR-CRCSP). Methods: This is a cross-sectional study of men and women aged 50-69 who had b...

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Autores: Romeo-Cervera, P, Martín-Pozuelo, J, Vanaclocha-Espí, M, Pinto-Carbó, M, Castán-Cameo, S, Salas, D, Molina-Barceló, A
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p18253
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/18253
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85211800884&doi=10.3390%2fcancers16233940&partnerID=40&md5=c769474268613795800be40bfc0c8993
Access Level:acceso abierto
Palabra clave:social inequalities
cancer screening
colorectal cancer
individual socioeconomic status index
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spelling Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status IndexRomeo-Cervera, PMartín-Pozuelo, JVanaclocha-Espí, MPinto-Carbó, MCastán-Cameo, SSalas, DMolina-Barceló, Asocial inequalitiescancer screeningcolorectal cancerindividual socioeconomic status indexBackground/Objectives: An individual socioeconomic status index (ISESI) was used to analyse inequalities in participation and colonoscopy acceptance in the Valencia Region Colorectal Cancer Screening Programme (VR-CRCSP). Methods: This is a cross-sectional study of men and women aged 50-69 who had been invited to participate in the VR-CRCSP as of February 2020 (N = 1,066,763). The variables included in the ISESI were nationality, employment status, disability, healthcare coverage, risk of vulnerability, and family size. The ISESI was categorised into quartiles (Qs), with Q4 corresponding to the lowest socioeconomic status (SES). Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using mixed logistic regression models. Results: The results showed that Q2 (OR = 1.30, CI = 1.28-1.33) and Q3 (OR = 1.07, CI = 1.05-1.09) are more likely to participate in the CRCSP than Q1 (the highest SES), and that Q4 (OR = 0.77, CI = 0.76-0.78) is less likely to participate than Q1. In addition, Q2 (OR = 2.03, CI = 1.78-2.32), Q3 (OR = 1.90, CI = 1.67-2.16), and Q4 (OR = 1.55, CI = 1.36-1.76) are more likely to accept a colonoscopy than Q1. The following socioeconomic characteristics were related to both non-participation and colonoscopy refusal: not Spanish, disabled, no family unit, at risk of social vulnerability, and private mutual health insurance. Conclusions: Inequalities were observed in VR-CRCSP participation and colonoscopy acceptance.MDPI2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/18253https://www.scopus.com/inward/record.uri?eid=2-s2.0-85211800884&doi=10.3390%2fcancers16233940&partnerID=40&md5=c769474268613795800be40bfc0c8993CancersISSN: 20726694reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p182532026-06-11T12:45:17Z
dc.title.none.fl_str_mv Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
title Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
spellingShingle Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
Romeo-Cervera, P
social inequalities
cancer screening
colorectal cancer
individual socioeconomic status index
title_short Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
title_full Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
title_fullStr Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
title_full_unstemmed Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
title_sort Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index
dc.creator.none.fl_str_mv Romeo-Cervera, P
Martín-Pozuelo, J
Vanaclocha-Espí, M
Pinto-Carbó, M
Castán-Cameo, S
Salas, D
Molina-Barceló, A
author Romeo-Cervera, P
author_facet Romeo-Cervera, P
Martín-Pozuelo, J
Vanaclocha-Espí, M
Pinto-Carbó, M
Castán-Cameo, S
Salas, D
Molina-Barceló, A
author_role author
author2 Martín-Pozuelo, J
Vanaclocha-Espí, M
Pinto-Carbó, M
Castán-Cameo, S
Salas, D
Molina-Barceló, A
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv social inequalities
cancer screening
colorectal cancer
individual socioeconomic status index
topic social inequalities
cancer screening
colorectal cancer
individual socioeconomic status index
description Background/Objectives: An individual socioeconomic status index (ISESI) was used to analyse inequalities in participation and colonoscopy acceptance in the Valencia Region Colorectal Cancer Screening Programme (VR-CRCSP). Methods: This is a cross-sectional study of men and women aged 50-69 who had been invited to participate in the VR-CRCSP as of February 2020 (N = 1,066,763). The variables included in the ISESI were nationality, employment status, disability, healthcare coverage, risk of vulnerability, and family size. The ISESI was categorised into quartiles (Qs), with Q4 corresponding to the lowest socioeconomic status (SES). Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using mixed logistic regression models. Results: The results showed that Q2 (OR = 1.30, CI = 1.28-1.33) and Q3 (OR = 1.07, CI = 1.05-1.09) are more likely to participate in the CRCSP than Q1 (the highest SES), and that Q4 (OR = 0.77, CI = 0.76-0.78) is less likely to participate than Q1. In addition, Q2 (OR = 2.03, CI = 1.78-2.32), Q3 (OR = 1.90, CI = 1.67-2.16), and Q4 (OR = 1.55, CI = 1.36-1.76) are more likely to accept a colonoscopy than Q1. The following socioeconomic characteristics were related to both non-participation and colonoscopy refusal: not Spanish, disabled, no family unit, at risk of social vulnerability, and private mutual health insurance. Conclusions: Inequalities were observed in VR-CRCSP participation and colonoscopy acceptance.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/18253
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85211800884&doi=10.3390%2fcancers16233940&partnerID=40&md5=c769474268613795800be40bfc0c8993
url https://fisabio.portalinvestigacion.com/publicaciones/18253
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85211800884&doi=10.3390%2fcancers16233940&partnerID=40&md5=c769474268613795800be40bfc0c8993
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Cancers
ISSN: 20726694
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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