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How equitable are colorectal cancer screening programs which include FOBTs? A review of qualitative and quantitative studies

Journal Article


Abstract


  • Objective

    To review published literature on the equity of participation in colorectal cancer screening amongst different population subgroups, in addition to identifying factors identified as barriers and facilitators to equitable screening. Studies were included in the review if they included FOBT as at least one of the screening tests.

    Method

    Relevant published articles were identified through systematic electronic searches of selected databases and the examination of the bibliographies of retrieved articles. Studies of the association with colorectal cancer screening test participation, barriers to equitable participation in screening, and studies examining interventional actions to facilitate screening test participation were included. Data extraction and analysis was undertaken using an approach to the synthesis of qualitative and quantitative studies called Realist Review.

    Results

    Sixty-three articles were identified that met the inclusion criteria. SES status, ethnicity, age and gender have been found as predictors of colorectal cancer screening test participation. This review also found that the potential for equitable cancer screening test participation may be hindered by access barriers which vary amongst population sub-groups.

    Conclusion

    This review provides evidence of horizontal inequity in colorectal cancer screening test participation, but limited understanding of the mechanism by which it is sustained, and few evidence-based solutions.

UOW Authors


  •   Javanparast, Sara (external author)
  •   Ward, Paul (external author)
  •   Young, Graeme P. (external author)
  •   Wilson, Carlene (external author)
  •   Carter, Stacy
  •   Misan, Gary M. (external author)
  •   Cole, Stephen (external author)
  •   Jiwa, Moyez (external author)
  •   Tsourtos, George (external author)
  •   Martini, Angelita (external author)
  •   Gill, Tiffany (external author)
  •   Baratiny, Genevieve (external author)
  •   Ah Matt, Michelle (external author)

Publication Date


  • 2010

Citation


  • Javanparast, S., Ward, P., Young, G., Wilson, C., Carter, S., Misan, G., Cole, S., Jiwa, M., Tsourtos, G., Martini, A., Gill, T., Baratiny, G. & Ah Matt, M. (2010). How equitable are colorectal cancer screening programs which include FOBTs? A review of qualitative and quantitative studies. Preventive Medicine, 50 (4), 165-172.

Scopus Eid


  • 2-s2.0-77649323264

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/3429

Has Global Citation Frequency


Number Of Pages


  • 7

Start Page


  • 165

End Page


  • 172

Volume


  • 50

Issue


  • 4

Place Of Publication


  • Netherlands

Abstract


  • Objective

    To review published literature on the equity of participation in colorectal cancer screening amongst different population subgroups, in addition to identifying factors identified as barriers and facilitators to equitable screening. Studies were included in the review if they included FOBT as at least one of the screening tests.

    Method

    Relevant published articles were identified through systematic electronic searches of selected databases and the examination of the bibliographies of retrieved articles. Studies of the association with colorectal cancer screening test participation, barriers to equitable participation in screening, and studies examining interventional actions to facilitate screening test participation were included. Data extraction and analysis was undertaken using an approach to the synthesis of qualitative and quantitative studies called Realist Review.

    Results

    Sixty-three articles were identified that met the inclusion criteria. SES status, ethnicity, age and gender have been found as predictors of colorectal cancer screening test participation. This review also found that the potential for equitable cancer screening test participation may be hindered by access barriers which vary amongst population sub-groups.

    Conclusion

    This review provides evidence of horizontal inequity in colorectal cancer screening test participation, but limited understanding of the mechanism by which it is sustained, and few evidence-based solutions.

UOW Authors


  •   Javanparast, Sara (external author)
  •   Ward, Paul (external author)
  •   Young, Graeme P. (external author)
  •   Wilson, Carlene (external author)
  •   Carter, Stacy
  •   Misan, Gary M. (external author)
  •   Cole, Stephen (external author)
  •   Jiwa, Moyez (external author)
  •   Tsourtos, George (external author)
  •   Martini, Angelita (external author)
  •   Gill, Tiffany (external author)
  •   Baratiny, Genevieve (external author)
  •   Ah Matt, Michelle (external author)

Publication Date


  • 2010

Citation


  • Javanparast, S., Ward, P., Young, G., Wilson, C., Carter, S., Misan, G., Cole, S., Jiwa, M., Tsourtos, G., Martini, A., Gill, T., Baratiny, G. & Ah Matt, M. (2010). How equitable are colorectal cancer screening programs which include FOBTs? A review of qualitative and quantitative studies. Preventive Medicine, 50 (4), 165-172.

Scopus Eid


  • 2-s2.0-77649323264

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/3429

Has Global Citation Frequency


Number Of Pages


  • 7

Start Page


  • 165

End Page


  • 172

Volume


  • 50

Issue


  • 4

Place Of Publication


  • Netherlands