Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Eur J Cancer. 2022 Nov;175:180-186. doi: 10.1016/j.ejca.2022.08.018. Epub 2022 Sep 17.
Many European countries offer organised population-based breast, cervical, and colorectal cancer screening programmes. Around age 55 and 60, Dutch women are invited to all three screening programmes. We examined the extent to which participation concurs and identified factors influencing concurrent participation.
Individual level data from breast, cervical, and colorectal cancer screening invitations between 2017 and 2019 were extracted from the Dutch screening registry. The percentages of women participating in all three, two, one, or none of the programmes around age 55 and 60, and before subsequent round invitation were determined. Multivariate ordinal regression analyses were performed to estimate whether population density, socio-economic status (SES) per postal code area, and time between the three invitations (<3, 3-6, >6 months) were associated with concurrent participation.
Data from 332,484 women were analysed. At age 55, 53.7% participated in all three programmes, 22.1% in two, 11.7% in one, and 12.6% did not participate at all. At age 60, a similar participation pattern was observed. Women living in areas with higher population density were less likely (odds ratios 0.75-0.94) and women in higher SES groups were more likely (odds ratios 1.12-1.60) to participate in more screening programmes, although this positive association was smaller for the highest SES group. No substantial association was found between concurrent participation and timing of invitations.
More than half of Dutch women participated in all three screening programmes and around 12% did not participate in any. Concurrent participation was lower in cities and lower SES groups.
许多欧洲国家提供有组织的基于人群的乳腺癌、宫颈癌和结直肠癌筛查计划。在 55 岁和 60 岁左右，荷兰女性被邀请参加所有三种筛查计划。我们研究了参与程度，并确定了影响同时参与的因素。
从 2017 年至 2019 年，从荷兰筛查登记处提取了乳腺癌、宫颈癌和结直肠癌筛查邀请的个人水平数据。确定了 55 岁和 60 岁左右以及随后的一轮邀请前，所有三种、两种、一种或都不参加的女性百分比。进行多变量有序回归分析，以评估人口密度、按邮政编码区域划分的社会经济地位（SES）以及三种邀请之间的时间（<3、3-6、>6 个月）是否与同时参与相关。
分析了 332484 名女性的数据。在 55 岁时，53.7%的女性参加了所有三种计划，22.1%的女性参加了两种，11.7%的女性参加了一种，12.6%的女性完全不参加。在 60 岁时，观察到类似的参与模式。居住在人口密度较高地区的女性不太可能（比值比 0.75-0.94），SES 较高的女性更有可能（比值比 1.12-1.60）参加更多的筛查计划，尽管 SES 最高组的这种正相关关系较小。同时参与与邀请时间之间没有发现实质性关联。
超过一半的荷兰女性参加了所有三种筛查计划，约 12%的女性没有参加任何一种。同时参与在城市和 SES 较低的群体中较低。
