Colorectal and Breast Cancer Screening Status for People in Ontario Provincial Correctional Facilities
Colorectal and Breast Cancer Screening Status for People in Ontario Provincial Correctional Facilities
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DOI：
10.1016/j.amepre.2018.11.011
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发表时间：
2019-04-01
影响因子：
5.5
通讯作者：
Kouyoumdjian, Fiona G.
中科院分区：
文献类型：
--
作者：
McConnon, Andres;Fung, Kinwah;Kouyoumdjian, Fiona G.
简介：初级保健是一个机会，以改善健康的人谁经历监禁，结肠直肠癌和乳腺癌的筛查表明初级保健质量。本研究的目的是检查从省级惩教机构释放的人中，在进入惩教机构时逾期进行结直肠癌或乳腺癌筛查以及3年后仍逾期进行筛查的人的比例，并将结果与一般人群的数据进行比较。方法：行政数据被用来确定有资格进行结肠直肠癌和乳腺癌筛查的人，他们是在1999年从省级教养所释放的。2010年（分别为N= 3，803和N=249）和加拿大安大略的一般人群（分别为N= 2，757，584和N= 1，099，942）。卡方检验和对数二项回归模型用于比较入院时或2010年7月1日一般人群中逾期筛查的个体比例，以及3年后仍逾期筛查的个体比例。结果：矫正组人群是普通人群的1.53倍，矫正组人群的平均年龄为1.54岁，矫正组人群的平均年龄为1.53岁，矫正组人群的平均年龄为1.54岁（95% CI=1.50，1.55）更有可能逾期进行结直肠癌筛查：百分之七十七点一（95% CI=74.3，79.9）vs 50.5%（95% CI=50.5，50.6）和2.25倍（95% CI=2.06，2.46）更有可能逾期进行乳腺癌筛查：65.9%（95% CI=56.2，76.8）vs 29.3%（95% CI=29.2，29.4，均为p
Introduction: Primary care represents an opportunity to improve health for people who experience imprisonment, and screening for colorectal and breast cancer indicate primary care quality. The study objectives were to examine the proportion of people released from provincial correctional facilities who were overdue for colorectal or breast cancer screening on admission to the correctional facility and who were still overdue after 3 years, and to compare findings with data for the general population.Methods: Administrative data were used to identify people eligible for colorectal and breast cancer screening who were released from provincial correctional facilities in 2010 (N=3,803 and N=249, respectively) and in the general population (N=2,757,584 and N=1,099,942, respectively) in Ontario, Canada. Chi-square tests and log binomial regression models were used to compare the proportion of individuals overdue for screening on admission or on July 1, 2010 for the general population, and still overdue after 3 years. Analyses were conducted in 2017 and 2018.Results: Compared with the general population, people in the corrections group were 1.53 times (95% CI=1.50, 1.55) more likely to be overdue for colorectal cancer screening: 77.1% (95% CI=74.3, 79.9) vs 50.5% (95% CI=50.5, 50.6), and 2.25 times (95% CI=2.06, 2.46) more likely to be overdue for breast cancer screening: 65.9% (95% CI=56.2, 76.8) vs 29.3% (95% CI=29.2, 29.4, both p