Association between Socio-economic Status Factors and Non-participation among Colo-Rectal Cancer Screening in Ubon Ratchathani Province

Authors

  • Kannaporn Kanyama Master degree student of Master of Public Health Program in Epidemiology, Faculty of Public Health, Khon Kaen University
  • Supot Kamsa-ard Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University
  • Willpong Promnoy Detudom Royal Crown Prince Hospital, Ubon Ratchathani Province

Keywords:

socio-economic status, colorectal cancer, cancer screening program

Abstract

Background and Objective: Colorectal cancer (CRC) is an important cause of death. But it also found that access to screening services in each area was different and less investigted. Therefore, this study aimed to study the association between socio-economic status factors and non-participation in CRC sereening project.

Methods: An analytics case-control study. Data were retrieved from the CRC screening project and Health Data Center, HDC database of Ubon Ratchathani Provincial Public Health Office between 1st October 2018 and 30th September 2020, that is the target group in the screening aged between 50-70 years of  250 cases, and divided into two groups; Case and Control cases were 125 volunteers who didn't come for CRC screening, and Controls were 125 volunteers who came for CRC screening. Data were collected by interview. Multiple logistic regression was used in the analysis of data. We reported an adjusted Odds Ratio (Adjusted OR), and the 95% confidence interval (95% CI), and p-value.

Result: Factors associated with non-participation in CRC screening by statistically significant (p<0.05) were education, occupations, household income, constipation and diarrhea, and family support for screening services. While age was not associated with non-participation in CRC screening.

Conclusion: Socio-economic factors (education, occupation, monthly household income), constipation and diarrhea, and family support for screening services. Were  important factors associated with non-participation in CRC screening project.

References

Xi Y, Xu P. Global colorectal cancer burden in 2020 and projections to 2040. 2021. [cited Nov 8, 2021] Available from: https://sciencedirect.com/science/article/pii/S1936523321001662

Global Cancer Observatory. South-Eastern Asia. 2020. [Online] 2020 [cited Mar 21, 2021] Available from: https://gco.iarc.fr/today/data/factsheets/populations/920-south-eastern-asia-factsheets.pdf

National Cancer Institute. Hospital Based Cancer Registry 2020. [Online] 2019 [cited Sep 25, 2021]. Available from: https://www.nci.go.th/e_book/hosbased_2563/index.html

Global Cancer Observatory. Thailand Number of new cases in 2020, both sexes, all ages. 2020. [cited Mar 21, 2021] Available from: https://gco.iarc.fr/today/data/factsheets/populations/764-thailand fact-sheets.pdf

Khuhaprema T, Attasara P, Sriplung H, Wiangnon S, Sangrajrang S. Cancaer in Thailand Volume. VII, 2007-2009. Bangkok: New Thammada Press (Thailand) Co., Ltd.; 2014.

Imsamran W, Chaiwerawattana A, Wiangnon S, Pongnikorn D, Suwanrungrung K, Sangrajrang S, et al. Cancer in Thailand Vol. VIII, 2010-2012. Bangkok: New Thammada Press (Thailand) Co., Ltd.; 2015.

Imsamran W, Pattatang A, Supaattagorn P, Chiawiriyabunya I, Namthaisong K, Wongsena M, et al. Cancer in Thailand Vol. IX, 2013-2015. Bangkok: New Thammada Press (Thailand) Co., Ltd.; 2018.

Rojanamatin J, Ukranum W, Supaattagorn P, Chiawiriyabunya I, Wongsena M, Chaiwerawattana A, et al. Cancer in Thailand Volume X, 2016-2018. Bangkok. [Online] 2015 [cited Sep 12, 2021] Available from: http://www.nci.go.th/th/File_download/Nci Cancer Registry/Cancer in Thailand8.pdf

Kavalin C. The analysis study of primary health care development plan for leading the operations of the health region of Thailand during the budget year 2012-2016. JDHS 2020; 15(3): 27-38

Ubon ratchathani Cancer Hospital. Hospital Based Cancer Registry. [Online] 2019 [cited Jan 12, 2021]. Available from: http://uboncancer.go.th/ubcc2016v2/filefordownload/hosbase61.pdf

Ubon ratchathani Provincial Health Office. Ubon ratchathani Smart Information Management System. [Online] 2020 [cited Jan 16, 2021]. Available from: http://203.157.166.27/Ub-IMs/index.php?_id=47

Poldej P. Equality. [Online] 2021 [cited Apr 7, 2021]. Available from: https://infocenter.nationalhealth.or.th/node/27695

Saipirun C. Health Care Awareness and Colorectal Cancer Screening Result,Ampher Koh Samui, Suratthani Province. JPCN, Phetchaburi Province 2020; 3(1): 47-61

Aliki Christou and Sandra C Thompson. Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. 2012. [cited Aug 19, 2021]. Available from: http://www.biomedcentral.com/1471-2458/12/528

BL Frederiksen, T Jorgensen, K Brasso, I Holten and M Osler. Socioeconomic position and participation in colorectal cancer screening. 2010 [cited Dec 15, 2020]. Available from: https://www.nature.com/articles/6605962

Mina Suh, Kui Son Choi, Hoo-Yeon Lee, Myung-Il Hahm, Yoon Young Lee, Jae Kwan Jun. Socioeconomic disparities in colorectal cancer screening in Korea: A Nationwide Cross-Sectional Study. Medicine (Baltimore) 2015;94: e1368.

Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med 1998; 17: 1623-34.

Frederiksen BL, Jorgensen T, Brasso K, Holten I, Osler M. Socioeconomic position and participation in colorectal cancer screening. Br J Cancer 2010;103(10):1496-501.

Christou A, Thompson SC. Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. BMC Public Health 2012;12:e528.

Brittain K, Taylor JY, Loveland-Cherry C, Northouse L, Caldwell CH. Family support and colorectal cancer screening among Urban African Americans. J Nurse Pract 2012;8(7):522-33.

Kanayod C, Naowarat M, Chanwit M, Patravoot V, Chananya J. Factors associated with participation in colorectal cancer screening using a Fecal Immunochemical Test (FIT) in Thai population aged 45 to 74 years in Namphong District, Khon Kaen Province. J Med Assoc Thai 2021;104(7):1067-72.

Published

2022-10-19

How to Cite

1.
Kanyama K, Kamsa-ard S, Promnoy W. Association between Socio-economic Status Factors and Non-participation among Colo-Rectal Cancer Screening in Ubon Ratchathani Province . SRIMEDJ [Internet]. 2022 Oct. 19 [cited 2024 Jul. 21];37(5):467-74. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/254729

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Section

Original Articles