Geographical and spatial variations in bowel cancer screening participation, Australia, 2015–2020

Article


Dasgupta, Paramita, Cameron, Jessica K., Goodwin, Belinda, Cramb, Susanna M., Mengersen, Kerrie, Aitken, Joanne F. and Baade, Peter D.. 2023. "Geographical and spatial variations in bowel cancer screening participation, Australia, 2015–2020." PLoS One. 18 (7). https://doi.org/10.1371/journal.pone.0288992
Article Title

Geographical and spatial variations in bowel cancer screening participation, Australia, 2015–2020

ERA Journal ID39745
Article CategoryArticle
AuthorsDasgupta, Paramita, Cameron, Jessica K., Goodwin, Belinda, Cramb, Susanna M., Mengersen, Kerrie, Aitken, Joanne F. and Baade, Peter D.
Journal TitlePLoS One
Journal Citation18 (7)
Article Numbere0288992
Number of Pages16
Year2023
PublisherPublic Library of Science (PLoS)
Place of PublicationUnited States
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0288992
Web Address (URL)https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288992
AbstractBackground Participation in bowel cancer screening programs remains poor in many countries. Knowledge of geographical variation in participation rates may help design targeted interventions to improve uptake. This study describes small-area and broad geographical patterns in bowel screening participation in Australia between 2015–2020. Methods Publicly available population-level participation data for Australia’s National Bowel Cancer Screening Program (NBCSP) were modelled using generalized linear models to quantify screening patterns by remoteness and area-level disadvantage. Bayesian spatial models were used to obtain smoothed estimates of participation across 2,247 small areas during 2019–2020 compared to the national average, and during 2015–2016 and 2017–2018 for comparison. Spatial heterogeneity was assessed using the maximized excess events test. Results Overall, screening participation rates was around 44% over the three time-periods. Participation was consistently lower in remote or disadvantaged areas, although heterogeneity was evident within these broad categories. There was strong evidence of spatial differences in participation over all three periods, with little change in patterns between time periods. If the spatial variation was reduced (so low participation areas were increased to the 80th centile), an extra 250,000 screens (4% of total) would have been conducted during 2019–2020. Conclusions Despite having a well-structured evidence-based government funded national bowel cancer screening program, the substantial spatial variation in participation rates highlights the importance of accounting for the unique characteristics of specific geographical regions and their inhabitants. Identifying the reasons for geographical disparities could inform interventions to achieve more equitable access and a higher overall bowel screening uptake. Copyright: © 2023 Dasgupta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywordsbowel cancer; screening ; Australia
ANZSRC Field of Research 20204299. Other health sciences
Byline AffiliationsCancer Council Queensland, Australia
Queensland University of Technology
Centre for Health Research
University of Queensland
Griffith University
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Dunn, Jeff, Ng, Shu Kay, Holland, Jimmie, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Trajectories of psychological distress after colorectal cancer." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 22 (8), pp. 1759-1765. https://doi.org/10.1002/pon.3210
Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints
Chambers, Suzanne K., Baade, Peter, Youl, Philippa, Aitken, Joanne, Occhipinti, Stefano, Vinod, Shalini, Valery, Patricia C., Garvey, Gail, Fong, Kwun M., Ball, David, Zorbas, Helen, Dunn, Jeff and O'Connell, Dianne L.. 2015. "Psychological distress and quality of life in lung cancer: The role of health-related stigma, illness appraisals and social constraints." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 24 (11), pp. 1569-1577. https://doi.org/10.1002/pon.3829
Systematic review of psychosocial outcomes for patients with advanced melanoma
Dunn, Jeff, Watson, Maggie, Aitken, Joanne F. and Hyde, Melissa K.. 2017. "Systematic review of psychosocial outcomes for patients with advanced melanoma." Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer. 26 (11), pp. 1722-1731. https://doi.org/10.1002/pon.4290
Applying a revised two-factor model of impulsivity to predict health behaviour and well-being
Goodwin, Belinda C., Browne, Matthew, Hing, Nerilee and Russell, Alex M. T.. 2017. "Applying a revised two-factor model of impulsivity to predict health behaviour and well-being." Personality and Individual Differences. 111, pp. 250-255. https://doi.org/10.1016/j.paid.2017.02.029
Geographic disparities in prostate cancer outcomes - review of international patterns
Baade, Peter D., Yu, Xue Qin, Smith, David P., Dunn, Jeff and Chambers, Suzanne K.. 2015. "Geographic disparities in prostate cancer outcomes - review of international patterns." Asian Pacific Journal of Cancer Prevention (APJCP). 16 (3), pp. 1259-1275. https://doi.org/10.7314/APJCP.2015.16.3.1259
The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia
Youl, Philippa H., Aitken, Joanne F., Turrell, Gavin, Chambers, Suzanne K., Dunn, Jeffrey, Pyke, Christopher and Baade, Peter D.. 2016. "The impact of rurality and disadvantage on the diagnostic interval for breast cancer in a large population-based study of 3202 women in Queensland, Australia." International Journal of Environmental Research and Public Health. 13 (11). https://doi.org/10.3390/ijerph13111156
Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment
Dunn, Jeff, Ng, Shu Kay, Breitbart, William, Aitken, Joanne, Youl, Pip, Baade, Peter D. and Chambers, Suzanne K.. 2013. "Health-related quality of life and life satisfaction in colorectal cancer survivors: trajectories of adjustment." Health and Quality of Life Outcomes. 11 (1). https://doi.org/10.1186/1477-7525-11-46
Advancing prostate cancer survivorship research in Australia
Chambers, Suzanne K., Scuffham, Paul A., Baade, Peter D., Lowe, Anthony P., Dunn, Jeff, Galvao, Daniel A., Gordon, Louisa, Smith, David P., Sandoe, David F., Wootten, Addie C., Spry, Nigel A., Gardiner, Robert A., Davis, Ian D. and Newton, Robert U.. 2015. "Advancing prostate cancer survivorship research in Australia." Cancer Forum. 39 (3), pp. 204-209.
A systematic review of the impact of stigma and nihilism on lung cancer outcomes
Chambers, Suzanne K., Dunn, Jeffrey, Occhipinti, Stefano, Hughes, Suzanne, Baade, Peter, Sinclair, Sue, Aitken, Joanne, Youl, Pip and O'Connell, Dianne L.. 2012. "A systematic review of the impact of stigma and nihilism on lung cancer outcomes." BMC Cancer. 12 (184). https://doi.org/10.1186/1471-2407-12-184
The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia
Baade, Peter D., Meng, Xingqiong, Youl, Philippa H., Aitken, Joanne F., Dunn, Jeff and Chambers, Suzanne K.. 2011. "The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia." Cancer Epidemiology, Biomarkers and Prevention. 20 (7), pp. 1410-1420. https://doi.org/10.1158/1055-9965.EPI-11-0079
A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer
Youl, Philippa H., Baade, Peter D., Aitken, Joanne F., Chambers, Suzanne K., Turrell, Gavin, Pyke, Christopher and Dunn, Jeffrey. 2011. "A multilevel investigation of inequalities in clinical and psychosocial outcomes for women after breast cancer." BMC Cancer. 11. https://doi.org/10.1186/1471-2407-11-415
The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial
Devin, James L., Sax, Andrew T., Hughes, Gareth I., Jenkins, David G., Aitken, Joanne F., Chambers, Suzanne K., Dunn, Jeffrey C., Bolam, Kate A. and Skinner, Tina L.. 2016. "The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial." Journal of Cancer Survivorship. 10 (3), pp. 467-479. https://doi.org/10.1007/s11764-015-0490-7
A five-year prospective study of quality of life after colorectal cancer
Chambers, Suzanne K., Meng, Xingqiong, Youl, Pip, Aitken, Joanne, Dunn, Jeff and Baade, Peter. 2012. "A five-year prospective study of quality of life after colorectal cancer." Quality of Life Research. 21 (9), pp. 1551-1564. https://doi.org/10.1007/s11136-011-0067-5
Epidemiology of prostate cancer in the Asia-Pacific region
Baade, Peter D., Youlden, Danny R., Cramb, Susanna M., Dunn, Jeff and Gardiner, Robert A.. 2013. "Epidemiology of prostate cancer in the Asia-Pacific region." Prostate International. 1 (2), pp. 47-58. https://doi.org/10.12954/PI.12014
A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors
Occhipinti, Stefano, Chambers, Suzanne K., Lepore, Stephen, Aitken, Joanne and Dunn, Jeff. 2015. "A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors." PLoS One. 10 (9). https://doi.org/10.1371/journal.pone.0139119
Connected and isolated victims of relational aggression: associations with peer group status and differences between girls and boys
Zimmer-Gembeck, Melanie J., Pronk, Rhiarne E., Goodwin, Belinda, Mastro, Shawna and Crick, Nicki R.. 2013. "Connected and isolated victims of relational aggression: associations with peer group status and differences between girls and boys." Sex Roles: a journal of research. 68 (5-6), pp. 363-377. https://doi.org/10.1007/s11199-012-0239-y
Comparing reports of peer rejection: associations with rejection sensitivity, victimization, aggression, and friendship
Zimmer-Gembeck, Melanie J., Nesdale, Drew, McGregor, Leanne, Mastro, Shawna, Goodwin, Belinda and Downey, Geraldine. 2013. "Comparing reports of peer rejection: associations with rejection sensitivity, victimization, aggression, and friendship." Journal of Adolescence. 36 (6), pp. 1237-1246. https://doi.org/10.1016/j.adolescence.2013.10.002
Preferred electronic gaming machine environments of recreational versus problem gamblers: an in-venue mixed methods study
Thorne, Hannah Briony, Goodwin, Belinda, Langham, Erika, Rockloff, Matthew and Rose, Judy. 2016. "Preferred electronic gaming machine environments of recreational versus problem gamblers: an in-venue mixed methods study." Journal of Gambling Issues. https://doi.org/10.4309/jgi.2016.34.12
Reflective minds and open hearts: cognitive style and personality predict religiosity and spiritual thinking in a community sample
Browne, Matthew, Pennycook, Gordan, Goodwin, Belinda and McHenry, Melinda. 2014. "Reflective minds and open hearts: cognitive style and personality predict religiosity and spiritual thinking in a community sample." European Journal of Social Psychology. 44 (7), pp. 736-742. https://doi.org/10.1002/ejsp.2059
EGM jackpots and player behaviour: an in-venue shadowing study
Browne, Matthew, Langham, Erika, Rockloff, Matthew J., Li, En, Donaldson, Phillip and Goodwin, Belinda. 2015. "EGM jackpots and player behaviour: an in-venue shadowing study." Journal of Gambling Studies. 31 (4), pp. 1695-1714. https://doi.org/10.1007/s10899-014-9485-y
Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie J.. 2016. "Rash impulsivity predicts lower anticipated pleasure response and a preference for the supernormal." Personality and Individual Differences. 94, pp. 206-210. https://doi.org/10.1016/j.paid.2016.01.030
Differential effects of reward drive and rash impulsivity on the consumption of a range of hedonic stimuli
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Loxton, Natalie. 2016. "Differential effects of reward drive and rash impulsivity on the consumption of a range of hedonic stimuli ." Journal of Behavioral Addictions. 5 (2), pp. 192-203. https://doi.org/10.1556/2006.5.2016.047
Do gamblers eat more salt? Testing a latent trait model of covariance in consumption
Goodwin, Belinda C., Browne, Matthew, Rockloff, Matthew and Donaldson, Phillip. 2015. "Do gamblers eat more salt? Testing a latent trait model of covariance in consumption." Journal of Behavioural Addictions. 4 (3), pp. 170-180. https://doi.org/10.1556/2006.4.2015.022
Measuring preference for supernormal over natural rewards: a two-dimensional anticipatory pleasure scale
Goodwin, B. C., Browne, M. and Rockloff, M.. 2015. "Measuring preference for supernormal over natural rewards: a two-dimensional anticipatory pleasure scale." Evolutionary Psychology. 13 (4). https://doi.org/10.1177/1474704915613914
A Bayesian Network-based customer satisfaction model: a tool for management decisions in railway transport
Chakraborty, Subrata, Mengersen, Kerrie, Fidge, Colin, Ma, Lin and Lassen, David. 2016. "A Bayesian Network-based customer satisfaction model: a tool for management decisions in railway transport." Decision Analytics. 3 (4), pp. 1-24. https://doi.org/10.1186/s40165-016-0021-2
Location of residence and breast cancer stage: a SEER population-based analysis
Brandon, Lindsay, Youl, Pip, Baade, Peter, Whiteside, Eliza and Kimlin, Michael. 2015. "Location of residence and breast cancer stage: a SEER population-based analysis." The Breast Journal. 21 (6), pp. 693-695. https://doi.org/10.1111/tbj.12499
Multifaceted modelling of complex business enterprises
Chakraborty, Subrata, Mengersen, Kerrie, Fidge, Colin, Ma, Lin and Lassen, David. 2015. "Multifaceted modelling of complex business enterprises." PLoS One. 10 (8). https://doi.org/10.1371/journal.pone.0134052
Investigating effective wayfinding in airports: a Bayesian Network approach
Farr, Anna Charisse, Kleinschmidt, Tristan, Johnson, Sandra, Yarlagadda, Prasad and Mengersen, Kerrie. 2014. "Investigating effective wayfinding in airports: a Bayesian Network approach." Transport. 29 (1), pp. 90-99. https://doi.org/10.3846/16484142.2014.898695
Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 1999. "Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland." Physics in Medicine and Biology. 44 (12), pp. 2947-2953. https://doi.org/10.1088/0031-9155/44/12/307
Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 2000. "Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools." Photodermatology, Photoimmunology and Photomedicine. 16 (1), pp. 19-24. https://doi.org/10.1034/j.1600-0781.2000.160106.x
Evaluation of differences in ultraviolet exposure during weekend and weekday activities
Parisi, A. V., Meldrum, L. R., Kimlin, M. G., Wong, J. C. F., Aitken, J. and Mainstone, J. S.. 2000. "Evaluation of differences in ultraviolet exposure during weekend and weekday activities." Physics in Medicine and Biology. 45 (8), pp. 2253-2262. https://doi.org/10.1088/0031-9155/45/8/314