Ala Szczepura|Charlotte Price|Anil Gumber
Breast and bowel cancer screening uptake patterns over 15 years for UK south Asian ethnic minority populations, corrected for differences in socio-demographic characteristics
University of Warwick|University of Warwick|University of Warwick
number studies reported low uptake cancer screening programmes south asian populations uk however studies date adjusted findings differences demographics socioeconomic status populations subjects residents coventry warwickshire uk eligible screening uptakes compared round 1 200002 round 2 200305 national bowel cancer screening pilot rounds 1 2 5 established nhs breast cancer screening programme commenced 1989 data bowel screening data analysed 123367 invitees round 1 116773 round 2 total 240140 cases breast screening data analysed 61934 62829 86749 invitees rounds 1 2 5 respectively total 211512 cases analysis screening uptake compared two broad metacategories south asian nonasian five asian subgroups hindugujarati hinduother muslim sikh south asian univariate multivariate analyses examined screening uptake various demographic attributes invitees including age gender deprivation ethnic group south asians demonstrated significantly lower p 0001 unadjusted bowel screening uptake 328 vs 613 nonasians round 1 rates particularly low muslim subgroup 261 round 1 215 round 2 breast screening smaller difference observed south asians nonasians initially 608 vs 754 round 1 later 668 vs 777 round 5 thus disparity reduced gradually time alongside overall trend increased uptake however figures remained consistently low muslims 51 rounds 1 5 adjusting age deprivation gender bowel screening uptake remained significantly lower south asian subgroups similar adjustments breast screening uptake remained lower subgroups except hindugujaratis muslims registered asian vs nonasian gp bowel screening uptake significantly lower p 0001 however breast screening uptake muslims asian vs nonasian gp showed difference p 012 period colonoscopy breast assessment uptakes similar metacategories asian response time appeared slower colonoscopy percentage abnormal fobt results significantly higher south asian invitees slight increase abnormal mammograms observed muslims time 27 42 rounds 1 5 respectively lower cancer screening uptakes observed south asian population cannot attributed socioeconomic age gender population differences although breast screening disparities reduced time significant differences remain conclude programmes need implement assess interventions reduce differences