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Sylvie Arlotto, Stéphanie Gentile, Yves Rinaldi

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary

    Colorectal cancer screening participation is low in France, especially in poorer areas. Higher poverty rates correlate with lower screening response rates, suggesting socioeconomic factors impact public health outreach.

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    Area of Science:

    • Public Health
    • Health Services Research
    • Socioeconomic Determinants of Health

    Background:

    • Participation in organized colorectal cancer screening (DOCCR) in France is suboptimal and varies significantly across regions.
    • Disparities in screening uptake highlight the need to understand contributing factors.

    Purpose of the Study:

    • To investigate the association between colorectal cancer screening response rates and socioeconomic factors, specifically poverty levels, in the Bouches-du-Rhône (BdR) department and Marseille boroughs.
    • To examine the correlation of screening response rates with the density and accessibility of general practitioners (GPs).

    Main Methods:

    • The study analyzed data from the 2017-2018 colorectal cancer screening campaign in the BdR department and Marseille.
    • Pearson correlation coefficients were calculated to assess relationships between screening response rates and poverty levels, GP density, and Potential Localized Accessibility (PLA) to GPs.

    Main Results:

    • The overall response rate for colorectal cancer screening was 29.7% (±4.7%), with significant variations observed across communes and boroughs.
    • A strong inverse correlation was found between screening response rates and poverty levels in both the department (r=-0.795) and Marseille boroughs (r=-0.910).
    • Screening response rates were also inversely correlated with GP density (r=-0.430) and weakly positively correlated with GP accessibility (r=0.193) and participant age (r=0.476).

    Conclusions:

    • Higher poverty rates in the BdR department, exceeding the national average, likely contribute to the low colorectal cancer screening response rates.
    • The density and accessibility of general practitioners may also play a role in influencing screening participation.
    • Addressing socioeconomic disparities is crucial for improving public health screening program uptake.

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