Predictors of adherence to repeat fecal occult blood test in a population-based colorectal cancer screening program
Menée à partir des données d'un programme local de dépistage du cancer colorectal portant sur 118 905 personnes (âge : de 50 à 74 ans), cette étude française identifie les facteurs prédictifs associés à l'utilisation biennale d'un test de recherche de sang occulte dans les selles
Background : Socio-economic, environmental factors and general practitioner (GP) involvement may influence adherence to repeat faecal occult blood testing (FOBT) of organised colorectal cancer (CRC) screening. The aim of the study was to identify predictors of adherence to repeat testing.
Methods : The populationcomprised people eligible for the third round of a CRC screening programme in a French district (n=118 905). Multilevel logistic regression analysis was performed to identify individual and area-level characteristics associated with ‘compliant participants’ participating in the all three rounds vs ‘occasional participants’ participating in one or two rounds.
Results : Compared to ‘occasional participants’, ‘compliant participants’ were more likely to participate after receiving a FOBT kit from their GP (odds ratio (OR), 10.7; 95% CI, 10.01–11.5) vs FOBT received at home, and were less likely to live in socio-economically deprived areas (OR, 0.75; 0.70–0.80) and urban areas (OR, 0.94; 0.88–1.00).
Conclusions : As for a screening round participation, strategies aimed at improving the participation to a screening programme should target GPs and people living in socially deprived areas.
British Journal of Cancer , résumé, 2013