TITLE

Breast and bowel cancer screening uptake patterns over 15 years for UK south Asian ethnic minority populations, corrected for differences in socio-demographic characteristics

AUTHOR(S)
Szczepura, Ala; Price, Charlotte; Gumber, Anil
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: A number of studies have reported low uptake of cancer screening programmes by South Asian populations in the UK. However, studies to date have not adjusted findings for differences in demographics and socio-economic status of these populations. Methods: Subjects: All residents in Coventry and Warwickshire, UK, eligible for screening. Uptakes compared for round 1 (2000-02) and round 2 (2003-05) of a national bowel cancer screening pilot, and for rounds 1, 2 and 5 of the established NHS breast cancer screening programme (commenced 1989). Data: Bowel screening data were analysed for 123,367 invitees in round 1 and 116,773 in round 2 (total 240,140 cases). Breast screening data were analysed for 61,934, 62,829 and 86,749 invitees in rounds 1, 2 and 5 respectively (total 211,512 cases). Analysis: Screening uptake was compared for two broad meta-categories (South Asian and non-Asian) and for five Asian subgroups (Hindu-Gujarati; Hindu-Other; Muslim; Sikh; South Asian Other). Univariate and multivariate analyses examined screening uptake and various demographic attributes of invitees, including age, gender, deprivation and ethnic group. Results: South Asians demonstrated significantly lower (p < 0.001) unadjusted bowel screening uptake; 32.8% vs. 61.3% for non-Asians (round 1). Rates were particularly low for the Muslim subgroup: 26.1% (round 1), 21.5% (round 2). For breast screening, a smaller difference was observed between South Asians and non-Asians; initially 60.8% vs. 75.4% (round 1) and later 66.8% vs. 77.7% (round 5). Thus, the disparity reduced gradually over time, alongside an overall trend of increased uptake. However, figures remained consistently low for Muslims (51% in rounds 1 and 5). After adjusting for age, deprivation (and gender), bowel screening uptake remained significantly lower for all South Asian subgroups. After similar adjustments, breast screening uptake remained lower for all subgroups except Hindu-Gujaratis. For Muslims registered with an Asian (vs. non-Asian) GP, bowel screening uptake was significantly lower (p < 0.001). However, breast screening uptake for Muslims with an Asian (vs. non-Asian) GP showed no difference (p = 0.12) in the same period. Colonoscopy and breast assessment uptakes were similar for both meta-categories, but Asian response time appeared slower for colonoscopy. The percentage of abnormal FOBT results was significantly higher for South Asian invitees. A slight increase in abnormal mammograms was observed for Muslims over time (2.7% to 4.2% in rounds 1 and 5 respectively). Conclusion: The lower cancer screening uptakes observed for the South Asian population cannot be attributed to socioeconomic, age or gender population differences. Although breast screening disparities have reduced over time, significant differences remain. We conclude that both programmes need to implement and assess interventions to reduce such differences.
ACCESSION #
53073208

 

Related Articles

  • FPs have vital role in ensuring success of breast cancer screening programs. Cohen, Lynne // CMAJ: Canadian Medical Association Journal;08/15/97, Vol. 157 Issue 4, p442 

    Presents contents of a workshop on breast cancer screening programs which emphasized the crucial role of family physicians in the success of such programs through their referrals. Workshop organized by the National Committee for the Canadian Breast Cancer Screening Initiative; Goals of screening...

  • Evaluation of proposed breast cancer screening regimen. Knox, E.G. // BMJ: British Medical Journal (International Edition);9/10/88, Vol. 297 Issue 6649, p650 

    Examines the proposed breast cancer screening routine mammography for women recommended by the Forrest working group in Great Britain. Issues in using an interactive computer modelling process; Estimation of the cost of each death saved from breast cancer; Problems in applying the predictions...

  • Carry on screening. MacKenzie, Debora // New Scientist;01/15/2000, Vol. 165 Issue 2221, p18 

    Reports that several epidemiologists have contradicted the findings of Copenhagen, Denmark-based researchers who studied several surveys on the effectiveness of medical screenings in prevention of breast cancer deaths. Researchers' assertion that medical screenings can not reduce the number of...

  • Nurse input improves breast cancer screening uptake.  // Nursing Standard;5/26/2010, Vol. 24 Issue 38, p17 

    The article discusses research which found that nurses have a positive effect on patient compliance with breast cancer screening.

  • Mammography screening among women aged 40-49 years shows no benefit. Hoey, John // CMAJ: Canadian Medical Association Journal;10/15/2002, Vol. 167 Issue 8, p898 

    Presents a study on mammography and breast cancer. Question of whether combined screening of women aged 40-49 years with annual mammography and clinical breast examination lead to a reduction in breast cancer mortality compared with a single breast examination and usual care thereafter;...

  • Risk of subsequent invasive breast carcinoma after in situ breast carcinoma in a population covered by national mammographic screening. Rawal, R.; Bermejo, J. Lorenzo; Hemminki, K. // British Journal of Cancer;1/17/2005, Vol. 92 Issue 1, p162 

    Sweden was the first country to establish a nationwide breast cancer screening service. We used the Swedish Family-Cancer Database to evaluate the risk of invasive carcinoma after in situ carcinoma of the breast. Risk estimates for contralateral and ipsilateral invasive malignancies following...

  • Rates and Sociodemographic Correlates of Cancer Screening Among South Asians. Glenn, Beth A.; Chawla, Neetu; Surani, Zul; Bastani, Roshan // Journal of Community Health;Apr2009, Vol. 34 Issue 2, p113 

    Although the third largest Asian subgroup in the U.S., South Asians have rarely been included in cancer research. The purpose of this study was to assess rates and correlates of cancer screening in a community sample of South Asians. This study was a collaboration between the UCLA School of...

  • What is the point: will screening mammography save my life? Keen, John D.; Keen, James E. // BMC Medical Informatics & Decision Making;2009, Vol. 9 Issue 1, Special section p1 

    Background: We analyzed the claim "mammography saves lives" by calculating the life-saving absolute benefit of screening mammography in reducing breast cancer mortality in women ages 40 to 65. Methods: To calculate the absolute benefit, we first estimated the screen-free absolute death risk from...

  • October is Breast Cancer Awareness Month. Schlosser, Karin // La Prensa San Diego;10/10/2014, Vol. 38 Issue 41, p4 

    No abstract available.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics