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Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population

2021-07-01Artigo científico Acesso aberto
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dc.contributor.authorGomes, Fábio Sousa
dc.contributor.authorKislaya, Irina
dc.contributor.authorSeabra, Dulce
dc.contributor.authorCordeiro, Eugénio
dc.contributor.authorNunes, Baltazar
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblKarger
dc.date.accessioned2021-11-04T04:59:50Z
dc.date.available2021-11-04T04:59:50Z
dc.date.issued2021-07-01
dc.descriptionFunding Information: INSEF was developed as part of the predefined project of the Public Health Initiatives Program “Improvement of epidemiological health information to support public health decision and management in Portugal: Towards reduced inequalities, improved health, and bilateral cooperation”, which benefited from a EUR 1,500,000 grant from Iceland, Liechtenstein, and Norway through the European Economic Area Grants and from the Government of Portugal. Publisher Copyright: © 2021 The Author(s). Published by S. Karger AG, Basel on behalf of NOVA National School of Public Health.
dc.description.abstractIntroduction: The incidence of colorectal cancer is increasing worldwide. However, the screening uptake is generally low. We analyzed the association between sociodemographic, economic, and access-to-healthcare factors and the use of exams that are the basis for colorectal cancer screening in Portugal. Methods: We conducted a cross-sectional study based on data from the 1st National Health Examination Survey. We used Poisson regression to estimate prevalence ratios and study factors associated with the use of fecal immunochemical tests (FIT) and colonoscopy in a Portuguese population aged 50-74 years (n = 2,489). Results: 45.7% of the individuals reported using FIT in the previous 2 years; 37.3% reported using colonoscopy in the previous 5 years. The use of FIT was associated with age group, health region, and having a family doctor. It was higher in older individuals (47.6% in the age group 70-74 years vs. 38.1% in the age group 50-54 years; adjusted prevalence ratio [aPR] = 1.32; 95% CI 1.05-1.65), and in individuals assigned to a family doctor (47.6 vs. 30.3%; aPR = 1.50; 95% CI 1.14-1.98). Colonoscopy was associated with age group, health region, higher education, economic capacity, and having a family doctor. It was higher in older individuals (45.3% in the age group 70-74 years vs. 25.6% in the age group 50-54 years; aPR = 1.85; 95% CI 1.42-2.40), individuals with a higher economic capacity (40.5 vs. 32.4%; aPR = 1.19; 95% CI 1.01-1.40), and individuals assigned to a family doctor (38.7 vs. 25.6%; aPR = 1.43; 95% CI 1.08-1.91). Discussion/Conclusion: In our analysis, the use of FIT and colonoscopy was influenced by sociodemographic, economic, and access-to-healthcare factors. This is relevant to guide interventions in this area. It is essential to ensure an equitable and uniform implementation of the screening program, with family doctors as an important part of the process.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent10
dc.format.extent193346
dc.identifier.doi10.1159/000516502
dc.identifier.issn2504-3137
dc.identifier.otherPURE: 34657184
dc.identifier.otherPURE UUID: b55bd1c2-ff0f-4421-ae7d-012309be1ed8
dc.identifier.otherScopus: 85109193282
dc.identifier.urihttp://hdl.handle.net/10362/127131
dc.identifier.urlhttps://www.scopus.com/pages/publications/85109193282
dc.language.isomul
dc.peerreviewedyes
dc.subjectColonoscopy
dc.subjectColorectal cancer
dc.subjectFecal immunochemical test
dc.subjectHealth examination survey
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleFactors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
dc.title.alternativeFatores associados com a utilização de pesquisa de sangue oculto nas fezes e colonoscopia na população Portuguesa do INSEFen
dc.typejournal article
degois.publication.firstPage48
degois.publication.issue1
degois.publication.lastPage57
degois.publication.titlePortuguese Journal of Public Health
degois.publication.volume39
dspace.entity.typePublication
rcaap.rightsopenAccess

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