scholarly journals Are there ethnic and religious variations in uptake of bowel cancer screening? A retrospective cohort study among 1.7 million people in Scotland

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037011
Author(s):  
Christine Campbell ◽  
Anne Douglas ◽  
Linda Williams ◽  
Geneviève Cezard ◽  
David H Brewster ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Ethnic Group ◽  
Colorectal Cancer Screening ◽  
South Asian ◽  
Bowel Cancer ◽  
Index Number ◽  
Adjusted Risk ◽  
Targeted Interventions ◽  
Bowel Cancer Screening

ObjectiveCancer screening should be equitably accessed by all populations. Uptake of colorectal cancer screening was examined using the Scottish Health and Ethnicity Linkage Study that links the Scottish Census 2001 to health data by individual-level self-reported ethnicity and religion.SettingData on 1.7 million individuals in two rounds of the Scottish Bowel Cancer Screening Programme (2007–2013) were linked to the 2001 Census using the Scottish Community Health Index number.Main outcome measureUptake of colorectal cancer screening, reported as age-adjusted risk ratios (RRs) by ethnic group and religion were calculated for men and women with 95% CI.ResultsIn the first, incidence screening round, compared with white Scottish men, Other White British (RR 109.6, 95% CI 108.8 to 110.3) and Chinese (107.2, 95% CI 102.8 to 111.8) men had higher uptake. In contrast, men of all South Asian groups had lower uptake (Indian RR 80.5, 95% CI 76.1 to 85.1; Pakistani RR 65.9, 95% CI 62.7 to 69.3; Bangladeshi RR 76.6, 95% CI 63.9 to 91.9; Other South Asian RR 88.6, 95% CI 81.8 to 96.1). Comparable patterns were seen among women in all ethnic groups, for example, Pakistani (RR 55.5, 95% CI 52.5 to 58.8). Variation in uptake was also observed by religion, with lower rates among Hindu (RR (95%CI): 78.4 (71.8 to 85.6)), Muslim (69.5 (66.7 to 72.3)) and Sikh (73.4 (67.1 to 80.3)) men compared with the reference population (Church of Scotland), with similar variation among women: lower rates were also seen among those who reported being Jewish, Roman Catholic or with no religion.ConclusionsThere are important variations in uptake of bowel cancer screening by ethnic group and religion in Scotland, for both sexes, that require further research and targeted interventions.

scholarly journals Colorectal cancer screening uptake over three biennial invitation rounds in the English bowel cancer screening programme

Gut ◽  
2014 ◽  
Vol 64 (2) ◽  
pp. 282-291 ◽  
Author(s):  
Siu Hing Lo ◽  
Stephen Halloran ◽  
Julia Snowball ◽  
Helen Seaman ◽  
Jane Wardle ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Programme ◽  
Bowel Cancer ◽  
Screening Uptake ◽  
Cancer Screening Programme ◽  
Bowel Cancer Screening

scholarly journals Colorectal cancer screening characteristics of patients presenting with symptoms of colorectal cancer and effect on clinical outcomes

2015 ◽  
Vol 97 (5) ◽  
pp. 369-374 ◽  
Author(s):  
A Saratzis ◽  
J Winter-Beatty ◽  
C El-Sayed ◽  
R Pande ◽  
C Harmston
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Colorectal Neoplasia ◽  
Statistical Significance ◽  
Occult Blood ◽  
Bowel Cancer ◽  
Colorectal Malignancy ◽  
Bowel Cancer Screening ◽  
Related Mortality

Introduction National colorectal cancer screening, utilising a faecal occult blood test (FOBT), is now well established in the UK. The aim of this study was to define the screening characteristics of patients presenting to secondary care with symptoms of colorectal cancer and to assess the effect of screening outcome on subsequent symptomatic presentation. Methods This was a retrospective analysis of all patients of screening age presenting within one calendar year in a tertiary trust via a two-week wait (2WW) pathway owing to suspicion of colorectal cancer. Colorectal cancer related outcomes were compared between patients in the cohort who had previously accepted bowel cancer screening and patients who had previously declined bowel cancer screening. The primary endpoint was overall incidence of colorectal neoplasia. Secondary endpoints included incidence of colorectal malignancy, cancer related mortality, cancer related outcomes and polyp related outcomes. Results Overall, 2,227 patients presented via the 2WW pathway; 955 were aged 60–75 years. Among the latter, 411 (43%) had been screened previously and had a negative FOBT, and 544 (57%) had declined screening. Incidence of colorectal neoplasia did not differ between the two groups (113 [27%] vs 143 [26%], p=0.7). Of those with a negative FOBT and subsequent symptomatic presentation, 16 (3.9%) were diagnosed with a colorectal malignancy compared with 36 (6.6%) of those who declined screening and had subsequent symptomatic presentation (relative risk: 1.7, 95% confidence interval: 0.96–3.02, p=0.08). There were no differences between the two groups with regard to TNM (tumour, lymph nodes, metastasis) stage, Dukes’ stage, metastases, number of polyps or cancer related mortality (median follow-up duration: 20 months). Conclusions The incidence of colorectal neoplasia was similar among patients who previously had a negative FOBT and those who declined screening. There was a higher incidence of colorectal cancer detected among those who declined screening but it did not reach statistical significance. All other cancer and polyp outcomes were similar between the groups.

scholarly journals Ethnic inequalities in older adults bowel cancer awareness: findings from a community survey conducted in an ethnically diverse region in England

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Robert S. Kerrison ◽  
Andrew Prentice ◽  
Sarah Marshall ◽  
Sameer Choglay ◽  
Michael Levitan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cancer Screening ◽  
Ethnically Diverse ◽  
Bowel Cancer ◽  
Minority Ethnic Group ◽  
Cancer Awareness ◽  
Cancer Symptoms ◽  
Targeted Interventions ◽  
Bowel Cancer Screening

Abstract Background To date, research exploring the public’s awareness of bowel cancer has taken place with predominantly white populations. To enhance our understanding of how bowel cancer awareness varies between ethnic groups, and inform the development of targeted interventions, we conducted a questionnaire study across three ethnically diverse regions in Greater London, England. Methods Data were collected using an adapted version of the bowel cancer awareness measure. Eligible adults were individuals, aged 60+ years, who were eligible for screening. Participants were recruited and surveyed, verbally, by staff working at 40 community pharmacies in Northwest London, the Harrow Somali association, and St. Mark’s Bowel Cancer Screening Centre. Associations between risk factor, symptom and screening awareness scores and ethnicity were assessed using multivariate regression. Results 1013 adults, aged 60+ years, completed the questionnaire; half were of a Black, Asian or Minority ethnic group background (n = 507; 50.0%). Participants recognised a mean average of 4.27 of 9 symptoms and 3.99 of 10 risk factors. Symptom awareness was significantly lower among all ethnic minority groups (all p’s < 0.05), while risk factor awareness was lower for Afro-Caribbean and Somali adults, specifically (both p’s < 0.05). One in three adults (n = 722; 29.7%) did not know there is a Bowel Cancer Screening Programme. Bowel screening awareness was particularly low among Afro-Caribbean and Somali adults (both p’s < 0.05). Conclusion Awareness of bowel cancer symptoms, risk factors and screening varies by ethnicity. Interventions should be targeted towards specific groups for whom awareness of screening and risk factors is low.

Promoting Colorectal Cancer Screening in South Asian Muslims Living in the USA

2020 ◽  
Author(s):  
Eiman Kazi ◽  
Sadaf Sareshwala ◽  
Zahra Ansari ◽  
Dilpreet Sahota ◽  
Toshali Katyal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
South Asian ◽  
The Usa
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