The association between immigration status and ineligible stool samples for colorectal cancer screening

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Resumé

Background: Barriers such as language and literacy might complicate the participation procedure for immigrants in screening programs. We investigated the delivery of a suitable stool sample for participation in the Danish colorectal cancer screening by immigration background. Methods: National administrative registers were used to link results of faecal blood screening with immigrant status, age, sex, education, income, and marital status. Univariate and multivariate logistic regression models were used to estimate the odds of submitting an ineligible sample. Results: 558,104 individuals submitted a sample during 2014 and 2015. A total of 2,164 (0.4%) samples were ineligible for faecal analysis. The lowest proportions of ineligible samples were found in the highest educational level (0.2%) and highest income level (0.2%). The highest proportion of ineligible samples was seen in non-Western immigrants (1.6%). After adjustment for age, gender, educational level, income and marital status non-Western immigrants had an increased odds ratio (OR 3.64 CI95% 2.86;4.64) of submitting an ineligible sample, compared to native Danes. Western immigrants did not have an increased odds ratio. Conclusion: Non-Western immigrants have more than three times the risk of submitting an ineligible faeces sample for colorectal cancer screening than native Danes. Translation of invitation, information leaflet, and manual into other languages or targeted information for subgroups may help decrease the risk.

OriginalsprogEngelsk
TidsskriftCancer Epidemiology
Vol/bind57
Sider (fra-til)74-79
ISSN1877-7821
DOI
StatusUdgivet - 2018

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Emigration and Immigration
Early Detection of Cancer
Colorectal Neoplasms
Marital Status
Language
Logistic Models
Odds Ratio
Educational Status
Sex Education
Feces

Citer dette

@article{f423bebd7aa741c287c8cf505c37073b,
title = "The association between immigration status and ineligible stool samples for colorectal cancer screening",
abstract = "Background: Barriers such as language and literacy might complicate the participation procedure for immigrants in screening programs. We investigated the delivery of a suitable stool sample for participation in the Danish colorectal cancer screening by immigration background. Methods: National administrative registers were used to link results of faecal blood screening with immigrant status, age, sex, education, income, and marital status. Univariate and multivariate logistic regression models were used to estimate the odds of submitting an ineligible sample. Results: 558,104 individuals submitted a sample during 2014 and 2015. A total of 2,164 (0.4{\%}) samples were ineligible for faecal analysis. The lowest proportions of ineligible samples were found in the highest educational level (0.2{\%}) and highest income level (0.2{\%}). The highest proportion of ineligible samples was seen in non-Western immigrants (1.6{\%}). After adjustment for age, gender, educational level, income and marital status non-Western immigrants had an increased odds ratio (OR 3.64 CI95{\%} 2.86;4.64) of submitting an ineligible sample, compared to native Danes. Western immigrants did not have an increased odds ratio. Conclusion: Non-Western immigrants have more than three times the risk of submitting an ineligible faeces sample for colorectal cancer screening than native Danes. Translation of invitation, information leaflet, and manual into other languages or targeted information for subgroups may help decrease the risk.",
author = "Ulrik Deding and Christian Torp-Pedersen and Henrik B{\o}ggild",
year = "2018",
doi = "10.1016/j.canep.2018.10.005",
language = "English",
volume = "57",
pages = "74--79",
journal = "Cancer Epidemiology",
issn = "1877-7821",
publisher = "Elsevier",

}

The association between immigration status and ineligible stool samples for colorectal cancer screening. / Deding, Ulrik; Torp-Pedersen, Christian; Bøggild, Henrik.

I: Cancer Epidemiology, Bind 57, 2018, s. 74-79.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - The association between immigration status and ineligible stool samples for colorectal cancer screening

AU - Deding, Ulrik

AU - Torp-Pedersen, Christian

AU - Bøggild, Henrik

PY - 2018

Y1 - 2018

N2 - Background: Barriers such as language and literacy might complicate the participation procedure for immigrants in screening programs. We investigated the delivery of a suitable stool sample for participation in the Danish colorectal cancer screening by immigration background. Methods: National administrative registers were used to link results of faecal blood screening with immigrant status, age, sex, education, income, and marital status. Univariate and multivariate logistic regression models were used to estimate the odds of submitting an ineligible sample. Results: 558,104 individuals submitted a sample during 2014 and 2015. A total of 2,164 (0.4%) samples were ineligible for faecal analysis. The lowest proportions of ineligible samples were found in the highest educational level (0.2%) and highest income level (0.2%). The highest proportion of ineligible samples was seen in non-Western immigrants (1.6%). After adjustment for age, gender, educational level, income and marital status non-Western immigrants had an increased odds ratio (OR 3.64 CI95% 2.86;4.64) of submitting an ineligible sample, compared to native Danes. Western immigrants did not have an increased odds ratio. Conclusion: Non-Western immigrants have more than three times the risk of submitting an ineligible faeces sample for colorectal cancer screening than native Danes. Translation of invitation, information leaflet, and manual into other languages or targeted information for subgroups may help decrease the risk.

AB - Background: Barriers such as language and literacy might complicate the participation procedure for immigrants in screening programs. We investigated the delivery of a suitable stool sample for participation in the Danish colorectal cancer screening by immigration background. Methods: National administrative registers were used to link results of faecal blood screening with immigrant status, age, sex, education, income, and marital status. Univariate and multivariate logistic regression models were used to estimate the odds of submitting an ineligible sample. Results: 558,104 individuals submitted a sample during 2014 and 2015. A total of 2,164 (0.4%) samples were ineligible for faecal analysis. The lowest proportions of ineligible samples were found in the highest educational level (0.2%) and highest income level (0.2%). The highest proportion of ineligible samples was seen in non-Western immigrants (1.6%). After adjustment for age, gender, educational level, income and marital status non-Western immigrants had an increased odds ratio (OR 3.64 CI95% 2.86;4.64) of submitting an ineligible sample, compared to native Danes. Western immigrants did not have an increased odds ratio. Conclusion: Non-Western immigrants have more than three times the risk of submitting an ineligible faeces sample for colorectal cancer screening than native Danes. Translation of invitation, information leaflet, and manual into other languages or targeted information for subgroups may help decrease the risk.

U2 - 10.1016/j.canep.2018.10.005

DO - 10.1016/j.canep.2018.10.005

M3 - Journal article

VL - 57

SP - 74

EP - 79

JO - Cancer Epidemiology

JF - Cancer Epidemiology

SN - 1877-7821

ER -