{"id":4197,"date":"2015-10-28T00:00:00","date_gmt":"2015-10-28T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/"},"modified":"2023-06-14T20:13:36","modified_gmt":"2023-06-15T00:13:36","slug":"small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/","title":{"rendered":"Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study"},"content":{"rendered":"

Background<\/strong> — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific mortality from these cancers and circulatory diseases. Despite primary care reforms and incentives, and promotion of cancer-screening programs among individuals, participation is suboptimal. We aimed to examine participation as of Dec. 31, 2011, by factors of deprivation, demographics and primary care at the small-area level.<\/p>\n

Methods<\/strong> — From healthcare administrative databases, we identified people eligible for each screening test, and their participation, in each dissemination area (referred to as small areas, n = 18 950) in Ontario. We calculated rates for each test among small areas (overall and stratified by demographic, socioeconomic and primary care descriptors) and stratified by sex for all tests combined. We loaded all data into a geographic information system. Funnel plots were generated showing the percentage of eligible people who completed screening for all tests by small area, stratified by sex. Overall and stratified screening prevalence ratios were calculated among small areas.<\/p>\n

Results<\/strong> — Among small areas, the mean and SD for participation in all tests combined was 31.6% (SD 11.0%) for women and 41.2% (SD 12.0%) for men. Screening prevalence among small areas, for each test and for all tests combined, overall and stratified by sex, declined with decreasing percentage with high school completion, decreasing socioeconomic quintile, and decreasing percentage with an identifiable primary care physician.<\/p>\n

Interpretation<\/strong> — Our results show that the rate of participation in all eligible screening tests among small areas is much lower than the rate of participation in any one particular test. This finding has implications for the design and implementation of strategies to improve rates of screening.<\/p>\n","protected":false},"excerpt":{"rendered":"

Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific mortality from these cancers and circulatory diseases. Despite primary care reforms and incentives, and promotion of cancer-screening programs among individuals, participation is suboptimal. We aimed to examine participation as of Dec. 31, 2011, by factors of deprivation, […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[38,62,19,35],"migration-helper-qa-sample-set":[],"class_list":["post-4197","journal_article","type-journal_article","status-publish","hentry","topic-cancer-and-cancer-screening","topic-health-services-research","topic-marginalized-populations","topic-public-health"],"acf":{"citation":"Fernandes KA, Sutradhar R, Borkhoff CM, Baxter N, Lofters A, Rabeneck L, Tinmouth J, Paszat L, Ontario Cancer Screening Research Network. CMAJ Open<\/em>. 2015; 3(4):E1-9.","source_url":"http:\/\/cmajopen.ca\/content\/3\/4\/E373.full","ices_scientist":[1099,1370,1177,1292,1342,1109],"site":[6733],"research_program":[6741],"news_release":[7850],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9450],"video":[],"downloads":null,"links":null,"sitecore_item_id":"1D459701-DE9B-4079-9D43-FC5984DB3135","sitecore_item_name":"Small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-Ontario","sitecore_field_values":"{\n \"__Valid from\": \"20170727T132913\",\n \"Title\": \"Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study\",\n \"Short title\": \"Small-area variation in screening\",\n \"Summary\": \"The researchers examined participation levels in screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose.\",\n \"Citation\": \"

Fernandes KA, Sutradhar R, Borkhoff CM, Baxter N, Lofters A, Rabeneck L, Tinmouth J, Paszat L, Ontario Cancer Screening Research Network. CMAJ Open<\/em>. 2015; 3(4):E1-9.<\/p>\",\n \"Abstract\": \"

Background<\/strong> — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific mortality from these cancers and circulatory diseases. Despite primary care reforms and incentives, and promotion of cancer-screening programs among individuals, participation is suboptimal. We aimed to examine participation as of Dec. 31, 2011, by factors of deprivation, demographics and primary care at the small-area level.<\/p>n

Methods<\/strong> — From healthcare administrative databases, we identified people eligible for each screening test, and their participation, in each dissemination area (referred to as small areas, n = 18 950) in Ontario. We calculated rates for each test among small areas (overall and stratified by demographic, socioeconomic and primary care descriptors) and stratified by sex for all tests combined. We loaded all data into a geographic information system. Funnel plots were generated showing the percentage of eligible people who completed screening for all tests by small area, stratified by sex. Overall and stratified screening prevalence ratios were calculated among small areas.<\/p>n

Results<\/strong> — Among small areas, the mean and SD for participation in all tests combined was 31.6% (SD 11.0%) for women and 41.2% (SD 12.0%) for men. Screening prevalence among small areas, for each test and for all tests combined, overall and stratified by sex, declined with decreasing percentage with high school completion, decreasing socioeconomic quintile, and decreasing percentage with an identifiable primary care physician.<\/p>n

Interpretation<\/strong> — Our results show that the rate of participation in all eligible screening tests among small areas is much lower than the rate of participation in any one particular test. This finding has implications for the design and implementation of strategies to improve rates of screening.<\/p>n

View full text<\/a><\/p>\",\n \"Keywords\": \"{D130ADD9-0370-4BF6-9BBB-7379AF0263F0}|{4F321D0E-F7F1-4C8D-B2FE-922AD8DE3C78}|{263A4422-83C0-4DA7-9594-07606A469124}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}\",\n \"Related Products\": \"

NEWS RELEASE<\/h2>rn

Less than half of eligible Ontarians get all recommended screening tests for cancer, diabetes and heart disease<\/a><\/h3>rn

Infographic<\/h2>rn

Less than half of eligible Ontarians get all recommended screening for cancer, diabetes & heart disease<\/a><\/h3>rn

ICES in the news<\/h2>rn

Too many Ontarians overdue for colon cancer screening: report<\/a><\/h3>\",\n \"Research Programs\": \"{85DE96A6-4C96-40C7-8E6D-7597A0EB5F80}|{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n \"ICES Scientists\": \"{F137150D-7BD5-4368-8FCC-FAF6D82891C4}|{56BF24FA-D81E-4114-BF1F-4715A424E26C}|{73B9FD95-5453-4FBA-B02E-CD2911B86ACD}|{5A8C25C3-41F2-46E3-B879-20397B7A03FD}|{D58A8993-4C34-4C55-8F94-717F6C1FDD31}|{FB8F59D3-754C-4C51-87D6-3393A5D84432}\",\n \"Posted Date\": \"20151028T000000\",\n \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2015\/January\/Small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-Ontario"},"yoast_head":"\nICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study<\/title>\n<meta name=\"description\" content=\"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study\" \/>\n<meta property=\"og:description\" content=\"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-15T00:13:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\\\/\",\"name\":\"ICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2015-10-28T04:00:00+00:00\",\"dateModified\":\"2023-06-15T00:13:36+00:00\",\"description\":\"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study","description":"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study","og_description":"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-15T00:13:36+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/","name":"ICES | Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2015-10-28T04:00:00+00:00","dateModified":"2023-06-15T00:13:36+00:00","description":"Background — Screening for cervical, breast and colon cancers, and elevations of cholesterol and glucose, reduces premature cause-specific","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/small-area-variation-in-screening-for-cancer-glucose-and-cholesterol-in-ontario-a-cross-sectional-study\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Small-area variation in screening for cancer, glucose and cholesterol in Ontario: a cross-sectional study"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/4197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/infographic\/9450"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/news_release\/7850"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6741"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1109"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1342"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1292"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1177"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1370"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1099"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=4197"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=4197"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=4197"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=4197"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=4197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}