Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Differences and Similarities in Breast and Colorectal Cancer Screening Uptake among Municipalities in Flanders, Belgium

Version 1 : Received: 2 March 2022 / Approved: 14 March 2022 / Online: 14 March 2022 (08:48:50 CET)
Version 2 : Received: 19 May 2022 / Approved: 20 May 2022 / Online: 20 May 2022 (12:03:16 CEST)

A peer-reviewed article of this Preprint also exists.

Ferrari, A.; Tran, T.N.; Hoeck, S.; Peeters, M.; Goossens, M.; Van Hal, G. Differences and Similarities in Breast and Colorectal Cancer Screening Uptake among Municipalities in Flanders, Belgium. Gastrointest. Disord. 2022, 4, 84-96. Ferrari, A.; Tran, T.N.; Hoeck, S.; Peeters, M.; Goossens, M.; Van Hal, G. Differences and Similarities in Breast and Colorectal Cancer Screening Uptake among Municipalities in Flanders, Belgium. Gastrointest. Disord. 2022, 4, 84-96.

Journal reference: Gastrointest. Disord. 2022, 4, 10
DOI: 10.3390/gidisord4020010

Abstract

Despite the recognized benefits of fecal occult blood test (FOBT) and mammography screenings, participation in breast (BC) and colorectal cancer (CRC) screening programs is still suboptimal. This study investigates municipal characteristics associated with their BC/CRC screening uptake profiles among women aged 55–69 years. Using data from 308 municipalities of Flanders from 2014 to 2017, a profile for each municipality based on its BC/CRC screening uptake compared with the median screening uptake was created. Logistic regression with generalized estimating equations was used to assess the associations between municipal characteristics and BC/CRC screening uptake profiles. The overall median uptake of cancer screening was higher for CRC (57.4%) than for BC (54.6%). The following municipal characteristics were associated with worse performance in terms of only CRC, only BC, or both CRC and BC screening uptake, respectively: foreign nationality, self-employment rate, (early) retirement rate, diabetes, disabilities; (early) retirement rate; age group 65–69, foreign nationality, self-employment rate, (early) retirement rate, wage-earners, diabetes. The following municipal characteristics were associated with better performance in terms of only CRC, only BC, or both CRC and BC screening uptake respectively: residential stability, having a partner, having children, jobseeker rate, GP visits, preventive dental visits; having children, GP visits; age group 55–59, residential stability, having a partner, having children, jobseeker rate, higher education, GP visits, preventive dental visits. This study’s results regarding the interrelation between the BC and CRC screening could be used to tailor interventions to improve the participation of the target population in both programs.

Keywords

colorectal cancer screening; breast cancer screening; BC; CRC; cancer prevention; cancer screen-ing; FOBT; mammography; Flanders

Subject

BEHAVIORAL SCIENCES, Other

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