OBJECTIVE: The aim of this study was is to examine uptake of population-based, flexible sigmoidoscopy (FS) screening delivered by nurses in a socioeconomically and ethnically diverse area of London, England. METHODS: All adults aged 58 and 59 years registered at 34 general practices in North London (n = 2260) were mailed an invitation to attend FS screening at the local hospital. RESULTS: In total, 45% (1024/2260) accepted the invitation and attended, 5% (114/2260) accepted the invitation but failed to attend, 5% (111/2260) accepted the invitation but were unable to attend within the time-frame of the pilot study, 7% (165/2260) declined the offer, 27% (602/2260) did not respond, and 11% (244/2260) were ineligible or did not receive the invitation. Among those eligible to be screened, the uptake rate was 51% (1024/2016). Uptake did not differ by gender, but people living in the most affluent quintile of areas had a substantially higher uptake rate (63%) than those living in the most deprived quintile (38%). CONCLUSION: Uptake of FS screening delivered as a population-based programme was over 50% among the eligible population in a socioeconomically and ethnically diverse area of London. Disparities in uptake should be addressed to avoid exacerbating health inequalities.
OBJECTIVE: The aim of this study was is to examine uptake of population-based, flexible sigmoidoscopy (FS) screening delivered by nurses in a socioeconomically and ethnically diverse area of London, England. METHODS: All adults aged 58 and 59 years registered at 34 general practices in North London (n = 2260) were mailed an invitation to attend FS screening at the local hospital. RESULTS: In total, 45% (1024/2260) accepted the invitation and attended, 5% (114/2260) accepted the invitation but failed to attend, 5% (111/2260) accepted the invitation but were unable to attend within the time-frame of the pilot study, 7% (165/2260) declined the offer, 27% (602/2260) did not respond, and 11% (244/2260) were ineligible or did not receive the invitation. Among those eligible to be screened, the uptake rate was 51% (1024/2016). Uptake did not differ by gender, but people living in the most affluent quintile of areas had a substantially higher uptake rate (63%) than those living in the most deprived quintile (38%). CONCLUSION: Uptake of FS screening delivered as a population-based programme was over 50% among the eligible population in a socioeconomically and ethnically diverse area of London. Disparities in uptake should be addressed to avoid exacerbating health inequalities.
Authors: Miroslav Zavoral; Stepan Suchanek; Ondrej Majek; Premysl Fric; Petra Minarikova; Marek Minarik; Bohumil Seifert; Ladislav Dusek Journal: World J Gastroenterol Date: 2014-04-14 Impact factor: 5.742
Authors: Gill Livingston; Gianluca Baio; Andrew Sommerlad; Simon de Lusignan; Spyridon Poulimenos; Steve Morris; Greta Rait; Juanita Hoe Journal: PLoS Med Date: 2017-03-14 Impact factor: 11.069
Authors: D S Thomas; E-O Fourkala; S Apostolidou; R Gunu; A Ryan; I Jacobs; U Menon; W Alderton; A Gentry-Maharaj; J F Timms Journal: Br J Cancer Date: 2015-06-02 Impact factor: 7.640
Authors: Ola H Negm; Mohamed R Hamed; Robert E Schoen; Richard L Whelan; Robert J Steele; John Scholefield; Elizabeth M Dilnot; H M C Shantha Kumara; John F R Robertson; Herbert F Sewell Journal: PLoS One Date: 2016-07-06 Impact factor: 3.240
Authors: Robert S Kerrison; Lesley M McGregor; Sarah Marshall; John Isitt; Nicholas Counsell; Jane Wardle; Christian von Wagner Journal: Br J Cancer Date: 2016-03-15 Impact factor: 7.640