Please use this identifier to cite or link to this item:
|Title:||Socioeconomic factors affecting colorectal, breast and cervical cancer screening in an Asian urban low-income setting at baseline and post-intervention||Authors:||Wee, L.E.
Low socioeconomic status
|Issue Date:||Jul-2012||Citation:||Wee, L.E., Koh, G.C.H., Chin, R.T., Yeo, W.X., Seow, B., Chua, D. (2012-07). Socioeconomic factors affecting colorectal, breast and cervical cancer screening in an Asian urban low-income setting at baseline and post-intervention. Preventive Medicine 55 (1) : 61-67. ScholarBank@NUS Repository. https://doi.org/10.1016/j.ypmed.2012.04.011||Abstract:||Background: Inequalities in cancer screening are little studied in Asian societies. We determined whether area and individual measures of socio-economic status (SES) affected cancer screening participation in Singapore and prospectively evaluated an access-enhancing community-based intervention. Methods: The study population involved all residents aged > 40. years in two housing estates comprising of owner-occupied (high-SES area) and rental (low-SES area) flats. From 2009 to 2011, non-adherents to regular screening for colorectal/breast/cervical cancer were offered free convenient screening over six months. Pre- and post-intervention screening rates were compared with McNemar's test. Multi-level logistic regression identified factors of regular screening at baseline; Cox regression analysis identified predictors of screening post-intervention. Results: Participation was 78.2% (1081/1383). In the low-SES area, 7.7% (33/427), 20.4% (44/216), and 14.3% (46/321) had regular colorectal, cervical and breast cancer screening respectively. Post-intervention, screening rates in the low-SES area rose significantly to 19.0% (81/427), 25.4% (55/216), and 34.3% (74/216) respectively (p< 0.001). Area SES was more consistently associated with screening than individual SES at baseline. Post-intervention, for colorectal cancer screening, those with higher education were more likely to attend (p= 0.004); for female cancer screening, the higher-income were less likely to attend (p= 0.032). Conclusions: Access-enhancing community-based interventions improve participation among disadvantaged strata of Asian societies. © 2012 Elsevier Inc..||Source Title:||Preventive Medicine||URI:||http://scholarbank.nus.edu.sg/handle/10635/109058||ISSN:||00917435||DOI:||10.1016/j.ypmed.2012.04.011|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on Aug 20, 2019
WEB OF SCIENCETM
checked on Aug 12, 2019
checked on Aug 16, 2019
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.