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

Detalhes bibliográficos
Autor(a) principal: Gomes, Fábio Sousa
Data de Publicação: 2021
Outros Autores: Kislaya, Irina, Seabra, Dulce, Cordeiro, Eugénio, Nunes, Baltazar
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/127131
Resumo: Funding 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.
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spelling Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese populationFatores associados com a utilização de pesquisa de sangue oculto nas fezes e colonoscopia na população Portuguesa do INSEFColonoscopyColorectal cancerFecal immunochemical testHealth examination surveyHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding 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.Introduction: 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.Centro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNGomes, Fábio SousaKislaya, IrinaSeabra, DulceCordeiro, EugénioNunes, Baltazar2021-11-04T04:59:50Z2021-07-012021-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/1271312504-3137PURE: 34657184https://doi.org/10.1159/000516502info:eu-repo/semantics/openAccessporreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:07:13Zoai:run.unl.pt:10362/127131Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:46:03.190687Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
Fatores associados com a utilização de pesquisa de sangue oculto nas fezes e colonoscopia na população Portuguesa do INSEF
title Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
spellingShingle Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
Gomes, Fábio Sousa
Colonoscopy
Colorectal cancer
Fecal immunochemical test
Health examination survey
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
title_full Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
title_fullStr Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
title_full_unstemmed Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
title_sort Factors associated with the use of fecal immunochemical tests and colonoscopy in the INSEF Portuguese population
author Gomes, Fábio Sousa
author_facet Gomes, Fábio Sousa
Kislaya, Irina
Seabra, Dulce
Cordeiro, Eugénio
Nunes, Baltazar
author_role author
author2 Kislaya, Irina
Seabra, Dulce
Cordeiro, Eugénio
Nunes, Baltazar
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Gomes, Fábio Sousa
Kislaya, Irina
Seabra, Dulce
Cordeiro, Eugénio
Nunes, Baltazar
dc.subject.por.fl_str_mv Colonoscopy
Colorectal cancer
Fecal immunochemical test
Health examination survey
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Colonoscopy
Colorectal cancer
Fecal immunochemical test
Health examination survey
Health Policy
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description Funding 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-11-04T04:59:50Z
2021-07-01
2021-07-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/127131
url http://hdl.handle.net/10362/127131
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv 2504-3137
PURE: 34657184
https://doi.org/10.1159/000516502
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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