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首页> 外文期刊>Journal of public health >Do geodemographic typologies explain variations in uptake in colorectal cancer screening? An assessment using routine screening data in the south of England.
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Do geodemographic typologies explain variations in uptake in colorectal cancer screening? An assessment using routine screening data in the south of England.

机译：地理人口学类型是否解释大肠癌筛查中摄取的变化？使用英格兰南部常规筛查数据进行的评估。

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Uptake of colorectal cancer (CRC) screening in UK is less than 60%. Geodemographic typologies are useful in describing patterns of individual preventive health behaviour but little is known of their value in assessing uptake of CRC screening, or how this compares to traditional measures of area deprivation.We used data on CRC screening uptake in the South Central, South-East Coast and South-West England National Health Service regions in multilevel logistic regression to describe the effects of individual composition and contextual factors (area deprivation and geodemographic segments) on non-response to screening invitation. The relative impact of geodemographic segmentation and the index of multiple deprivation (IMD) 2007 was compared. The potential population impact of a targeted increase in uptake in specific geodemographic segments was examined.About 88 891 eligible adults were invited to be screened from 2006 to 2008. Uptake rate was 57.3% (CI: 57.0-57.7) and was lower amongst younger persons, men, residents of more deprived areas and people in specific geodemographic segments. Age and gender were significant determinants of uptake and contextual factors explained an additional 3% of the variation. Geodemographic segmentation reduced this residual contextual variation in uptake more than the IMD 2007 (72% vs. 53% reduction). The three geodemographic types that best predicted non-response were characterized by both ethnic mix and a higher than average proportion of single pensioner households renting council properties. Achieving average uptake in the 2.3% of the study population in these geodemographic segments would only increase the total population uptake rate by 0.5% (57.3-57.8%).Variation in the CRC screening uptake in Southern England is principally explained by characteristics of individuals but contextual factors also have a small but significant effect. This effect is captured in greater detail by geodemographic segmentation than by IMD 2007. This information could be used to inform the design of interventions aiming to improve uptake.
机译：在英国，大肠癌（CRC）筛查的摄取率不到60％。地理人口学类型学可用于描述个体预防性健康行为的模式，但人们对它们在评估CRC筛查摄取或与传统的区域剥夺措施相比时的价值了解甚少。 -东海岸和英格兰西南部国家卫生服务区域采用多级逻辑回归分析，以描述个体构成和背景因素（区域剥夺和地理人口细分）对未响应筛查邀请的影响。比较了地理人口细分的相对影响和多重剥夺指数（IMD）2007。研究了在特定地理区域内目标吸收的有针对性的潜在人口影响。从2006年到2008年，邀请了88,891名合格成年人进行筛查。吸收率为57.3％（CI：57.0-57.7），在年轻人中较低，男性，贫困地区的居民以及特定地理人口细分的人群。年龄和性别是摄取的重要决定因素，而背景因素则解释了另外3％的差异。与IMD 2007相比，地理人口细分减少了这种残留的上下文差异，其减少幅度更大（分别为72％和53％）。三种最能预测无响应的地理人口类型具有种族混合特征，而且租用理事会财产的养老金领取者家庭的比例高于平均水平。在这些地理区域内达到研究人群的2.3％的平均摄入量只会使总人口摄入率增加0.5％（57.3-57.8％）。英格兰南部CRC筛查摄入量的变化主要由个体特征来解释，但情境因素也有很小但重要的影响。与IMD 2007相比，地理人口细分可以更详细地捕获这种效果。此信息可用于指导旨在提高吸收率的干预措施的设计。

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