The association of demographic and socioeconomic variables with cancer screening participation: A national cross-sectional study of three cancer screening programs in Denmark

Anne Dorte Lerche Helgestad; Berit Andersen; Sisse Helle Njor; Mette Bach Larsen

doi:10.1016/j.heliyon.2024.e31163

The association of demographic and socioeconomic variables with cancer screening participation: A national cross-sectional study of three cancer screening programs in Denmark

Anne Dorte Lerche Helgestad^*, Berit Andersen, Sisse Helle Njor, Mette Bach Larsen

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

Abstract

Objective: To analyze the demographic and socioeconomic determinants of non-participation in cervical, colorectal and breast cancer screening programs in Denmark. Study design and setting: We conducted a cross-sectional study involving all women aged 53–65 years residing in Denmark on March 31, 2018, utilizing comprehensive individual data from population registries. Logistic regression models were employed to assess associations between demographic and socioeconomic factors and non-participation compared with participating in one, two, and three cancer screening programs, presenting odds ratios (ORs) with 95 % confidence intervals (CIs). Both unadjusted and adjusted models were applied for each level of screening participation. Results: Significant associations with non-participation in the three cancer screening programs were observed across all demographic and socioeconomic covariates considered. Women with low incomes demonstrated the highest likelihood of non-participation (none vs. three programs attended, OR: 2.95, 95 % CI: 2.82–3.08). Similarly, increased odds of non-participation were noted among immigrants (Western immigrants: OR: 2.08, 95 % CI: 1.96–2.21; non-Western immigrants OR 1.26 95 % CI: 1.20–1.32), women living alone (OR: 2.08, 95 % CI: 2.02–2.14), women outside the labor force (OR: 1.92, 95 % CI: 1.86–1.99), and women with lower educational levels (OR: 1.44, 95 % CI: 1.39–1.50) in the model comparing non-participation to participating in three screening programs. A progressive intensification of the association with non-participation was noted with each incremental increase in screening participation (from one to two to three programs). Conclusions: Demographic and socioeconomic variables are significantly associated with non-participation in all three Danish cancer screening programs, particularly affecting women from vulnerable demographic and socioeconomic backgrounds. Future research should prioritize strategies to enhance participation within this subgroup, aiming to alleviate social inequities in cancer screening.

Original language	English
Article number	e31163
Journal	Heliyon
Volume	10
Issue	13
ISSN	2405-8440
DOIs	https://doi.org/10.1016/j.heliyon.2024.e31163
Publication status	Published - Jul 2024

Keywords

Breast cancer
Cervical cancer
Colorectal cancer
Mass screening
Preventive care
Socio-economic diversity

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10.1016/j.heliyon.2024.e31163Licence: CC BY-NC

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@article{38ad31d1e9a14169adb9db5167111dee,

title = "The association of demographic and socioeconomic variables with cancer screening participation: A national cross-sectional study of three cancer screening programs in Denmark",

abstract = "Objective: To analyze the demographic and socioeconomic determinants of non-participation in cervical, colorectal and breast cancer screening programs in Denmark. Study design and setting: We conducted a cross-sectional study involving all women aged 53–65 years residing in Denmark on March 31, 2018, utilizing comprehensive individual data from population registries. Logistic regression models were employed to assess associations between demographic and socioeconomic factors and non-participation compared with participating in one, two, and three cancer screening programs, presenting odds ratios (ORs) with 95 % confidence intervals (CIs). Both unadjusted and adjusted models were applied for each level of screening participation. Results: Significant associations with non-participation in the three cancer screening programs were observed across all demographic and socioeconomic covariates considered. Women with low incomes demonstrated the highest likelihood of non-participation (none vs. three programs attended, OR: 2.95, 95 % CI: 2.82–3.08). Similarly, increased odds of non-participation were noted among immigrants (Western immigrants: OR: 2.08, 95 % CI: 1.96–2.21; non-Western immigrants OR 1.26 95 % CI: 1.20–1.32), women living alone (OR: 2.08, 95 % CI: 2.02–2.14), women outside the labor force (OR: 1.92, 95 % CI: 1.86–1.99), and women with lower educational levels (OR: 1.44, 95 % CI: 1.39–1.50) in the model comparing non-participation to participating in three screening programs. A progressive intensification of the association with non-participation was noted with each incremental increase in screening participation (from one to two to three programs). Conclusions: Demographic and socioeconomic variables are significantly associated with non-participation in all three Danish cancer screening programs, particularly affecting women from vulnerable demographic and socioeconomic backgrounds. Future research should prioritize strategies to enhance participation within this subgroup, aiming to alleviate social inequities in cancer screening.",

keywords = "Breast cancer, Cervical cancer, Colorectal cancer, Mass screening, Preventive care, Socio-economic diversity",

author = "Helgestad, {Anne Dorte Lerche} and Berit Andersen and Njor, {Sisse Helle} and Larsen, {Mette Bach}",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

month = jul,

doi = "10.1016/j.heliyon.2024.e31163",

language = "English",

volume = "10",

journal = "Heliyon",

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The association of demographic and socioeconomic variables with cancer screening participation: A national cross-sectional study of three cancer screening programs in Denmark. / Helgestad, Anne Dorte Lerche ; Andersen, Berit ; Njor, Sisse Helle et al.
In: Heliyon, Vol. 10, No. 13, e31163, 07.2024.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - The association of demographic and socioeconomic variables with cancer screening participation

T2 - A national cross-sectional study of three cancer screening programs in Denmark

AU - Helgestad, Anne Dorte Lerche

AU - Andersen, Berit

AU - Njor, Sisse Helle

AU - Larsen, Mette Bach

PY - 2024/7

Y1 - 2024/7

N2 - Objective: To analyze the demographic and socioeconomic determinants of non-participation in cervical, colorectal and breast cancer screening programs in Denmark. Study design and setting: We conducted a cross-sectional study involving all women aged 53–65 years residing in Denmark on March 31, 2018, utilizing comprehensive individual data from population registries. Logistic regression models were employed to assess associations between demographic and socioeconomic factors and non-participation compared with participating in one, two, and three cancer screening programs, presenting odds ratios (ORs) with 95 % confidence intervals (CIs). Both unadjusted and adjusted models were applied for each level of screening participation. Results: Significant associations with non-participation in the three cancer screening programs were observed across all demographic and socioeconomic covariates considered. Women with low incomes demonstrated the highest likelihood of non-participation (none vs. three programs attended, OR: 2.95, 95 % CI: 2.82–3.08). Similarly, increased odds of non-participation were noted among immigrants (Western immigrants: OR: 2.08, 95 % CI: 1.96–2.21; non-Western immigrants OR 1.26 95 % CI: 1.20–1.32), women living alone (OR: 2.08, 95 % CI: 2.02–2.14), women outside the labor force (OR: 1.92, 95 % CI: 1.86–1.99), and women with lower educational levels (OR: 1.44, 95 % CI: 1.39–1.50) in the model comparing non-participation to participating in three screening programs. A progressive intensification of the association with non-participation was noted with each incremental increase in screening participation (from one to two to three programs). Conclusions: Demographic and socioeconomic variables are significantly associated with non-participation in all three Danish cancer screening programs, particularly affecting women from vulnerable demographic and socioeconomic backgrounds. Future research should prioritize strategies to enhance participation within this subgroup, aiming to alleviate social inequities in cancer screening.

AB - Objective: To analyze the demographic and socioeconomic determinants of non-participation in cervical, colorectal and breast cancer screening programs in Denmark. Study design and setting: We conducted a cross-sectional study involving all women aged 53–65 years residing in Denmark on March 31, 2018, utilizing comprehensive individual data from population registries. Logistic regression models were employed to assess associations between demographic and socioeconomic factors and non-participation compared with participating in one, two, and three cancer screening programs, presenting odds ratios (ORs) with 95 % confidence intervals (CIs). Both unadjusted and adjusted models were applied for each level of screening participation. Results: Significant associations with non-participation in the three cancer screening programs were observed across all demographic and socioeconomic covariates considered. Women with low incomes demonstrated the highest likelihood of non-participation (none vs. three programs attended, OR: 2.95, 95 % CI: 2.82–3.08). Similarly, increased odds of non-participation were noted among immigrants (Western immigrants: OR: 2.08, 95 % CI: 1.96–2.21; non-Western immigrants OR 1.26 95 % CI: 1.20–1.32), women living alone (OR: 2.08, 95 % CI: 2.02–2.14), women outside the labor force (OR: 1.92, 95 % CI: 1.86–1.99), and women with lower educational levels (OR: 1.44, 95 % CI: 1.39–1.50) in the model comparing non-participation to participating in three screening programs. A progressive intensification of the association with non-participation was noted with each incremental increase in screening participation (from one to two to three programs). Conclusions: Demographic and socioeconomic variables are significantly associated with non-participation in all three Danish cancer screening programs, particularly affecting women from vulnerable demographic and socioeconomic backgrounds. Future research should prioritize strategies to enhance participation within this subgroup, aiming to alleviate social inequities in cancer screening.

KW - Breast cancer

KW - Cervical cancer

KW - Colorectal cancer

KW - Mass screening

KW - Preventive care

KW - Socio-economic diversity

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U2 - 10.1016/j.heliyon.2024.e31163

DO - 10.1016/j.heliyon.2024.e31163

M3 - Journal article

AN - SCOPUS:85197590233

SN - 2405-8440

VL - 10

JO - Heliyon

JF - Heliyon

IS - 13

M1 - e31163

ER -

The association of demographic and socioeconomic variables with cancer screening participation: A national cross-sectional study of three cancer screening programs in Denmark

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