Exploring the influence of rural residence on uptake of organized cancer screening: a systematic review of international literature

Lauren T  Walji; Peter Murchie; Gerald Lip; Valerie Speirs; Lisa Iversen

doi:10.1016/j.canep.2021.101995

Exploring the influence of rural residence on uptake of organized cancer screening: a systematic review of international literature

Lauren T Walji^* (Corresponding Author), Peter Murchie, Gerald Lip, Valerie Speirs, Lisa Iversen

^*Corresponding author for this work

University of Aberdeen

Research output: Contribution to journal › Article › peer-review

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Abstract

Lower screening uptake could impact cancer survival in rural areas. This systematic review sought studies comparing rural/urban uptake of colorectal, cervical and breast cancer screening in high income countries. Relevant studies (n=50) were identified systematically by searching Medline, EMBASE and CINAHL. Narrative synthesis found that screening uptake for all three cancers was
generally lower in rural areas. In meta-analysis, colorectal cancer screening uptake (OR 0.66, 95% CI=0.50-0.87, I 2 = 85%) was significantly lower for rural dwellers than their urban counterparts. The meta-analysis found no relationship between uptake of breast cancer screening and rural versus urban residency (OR 0.93, 95% CI=0.80-1.09, I2=86%). However, it is important to note the limitation of the significant statistical heterogeneity found which demonstrates the lack of
consistency between the few studies eligible for inclusion in the meta-analyses. Cancer screening uptake is apparently lower for rural dwellers which may contribute to poorer survival. National screening programmes should consider geography in planning.

Original language	English
Article number	101995
Number of pages	17
Journal	Cancer Epidemiology
Volume	74
Early online date	17 Aug 2021
DOIs	https://doi.org/10.1016/j.canep.2021.101995
Publication status	Published - Oct 2021

Bibliographical note

Acknowledgements
LW is a final year medical student and this work was completed as part of LW’s intercalated Bachelors of Science degree at the University of Aberdeen. A small grant from the University of Aberdeen and NHS Grampian Endowment Research Grant (19/026) supported literature retrieval. We thank Melanie Bickerton (MB) (Medical librarian) for assistance with the development of the search strategy.

Keywords

Cancer
Screening
epidemic
Geographic
Review

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Exploring the influence of rural residence on uptake of organized cancer screening: a systematic review of international literature",

abstract = "Lower screening uptake could impact cancer survival in rural areas. This systematic review sought studies comparing rural/urban uptake of colorectal, cervical and breast cancer screening in high income countries. Relevant studies (n=50) were identified systematically by searching Medline, EMBASE and CINAHL. Narrative synthesis found that screening uptake for all three cancers wasgenerally lower in rural areas. In meta-analysis, colorectal cancer screening uptake (OR 0.66, 95% CI=0.50-0.87, I 2 = 85%) was significantly lower for rural dwellers than their urban counterparts. The meta-analysis found no relationship between uptake of breast cancer screening and rural versus urban residency (OR 0.93, 95% CI=0.80-1.09, I2=86%). However, it is important to note the limitation of the significant statistical heterogeneity found which demonstrates the lack ofconsistency between the few studies eligible for inclusion in the meta-analyses. Cancer screening uptake is apparently lower for rural dwellers which may contribute to poorer survival. National screening programmes should consider geography in planning.",

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AU - Iversen, Lisa

N1 - Acknowledgements LW is a final year medical student and this work was completed as part of LW’s intercalated Bachelors of Science degree at the University of Aberdeen. A small grant from the University of Aberdeen and NHS Grampian Endowment Research Grant (19/026) supported literature retrieval. We thank Melanie Bickerton (MB) (Medical librarian) for assistance with the development of the search strategy.

PY - 2021/10

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N2 - Lower screening uptake could impact cancer survival in rural areas. This systematic review sought studies comparing rural/urban uptake of colorectal, cervical and breast cancer screening in high income countries. Relevant studies (n=50) were identified systematically by searching Medline, EMBASE and CINAHL. Narrative synthesis found that screening uptake for all three cancers wasgenerally lower in rural areas. In meta-analysis, colorectal cancer screening uptake (OR 0.66, 95% CI=0.50-0.87, I 2 = 85%) was significantly lower for rural dwellers than their urban counterparts. The meta-analysis found no relationship between uptake of breast cancer screening and rural versus urban residency (OR 0.93, 95% CI=0.80-1.09, I2=86%). However, it is important to note the limitation of the significant statistical heterogeneity found which demonstrates the lack ofconsistency between the few studies eligible for inclusion in the meta-analyses. Cancer screening uptake is apparently lower for rural dwellers which may contribute to poorer survival. National screening programmes should consider geography in planning.

AB - Lower screening uptake could impact cancer survival in rural areas. This systematic review sought studies comparing rural/urban uptake of colorectal, cervical and breast cancer screening in high income countries. Relevant studies (n=50) were identified systematically by searching Medline, EMBASE and CINAHL. Narrative synthesis found that screening uptake for all three cancers wasgenerally lower in rural areas. In meta-analysis, colorectal cancer screening uptake (OR 0.66, 95% CI=0.50-0.87, I 2 = 85%) was significantly lower for rural dwellers than their urban counterparts. The meta-analysis found no relationship between uptake of breast cancer screening and rural versus urban residency (OR 0.93, 95% CI=0.80-1.09, I2=86%). However, it is important to note the limitation of the significant statistical heterogeneity found which demonstrates the lack ofconsistency between the few studies eligible for inclusion in the meta-analyses. Cancer screening uptake is apparently lower for rural dwellers which may contribute to poorer survival. National screening programmes should consider geography in planning.

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M3 - Article

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JO - Cancer Epidemiology

JF - Cancer Epidemiology

M1 - 101995

ER -

Exploring the influence of rural residence on uptake of organized cancer screening: a systematic review of international literature

Abstract

Bibliographical note

Keywords

UN SDGs

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Cite this