Acceptability and potential impact on uptake of using different risk stratification approaches to determine eligibility for screening: A population‐based survey.
Background: Using risk stratification approaches to determine eligibility has the potential to improve efficiency of screening. Objectives: To compare the public acceptability and potential impact on uptake of using different approaches to determine eligibility for screening. Design: An online popul...
| Publicado en: | Health Expectations Vol. 24; no. 2; pp. 341 - 352 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150025935&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150025935 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Apr2021 vid: 24 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150025935 147306790 150025935 150025935 10.1111/hex.13175 150025935 ppf: 341 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Acceptability and potential impact on uptake of using different risk stratification approaches to determine eligibility for screening: A population‐based survey. aug: au: Usher‐Smith, Juliet A. Harvey‐Kelly, Laragh L. W. Rossi, Sabrina H. Harrison, Hannah Griffin, Simon J. Stewart, Grant D. affil: The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK sug: subj: Risk Assessment Eligibility Determination Health Screening Productivity Consumer Attitudes Human Surveys Adult Middle Age Aged Outcome Assessment Multiple Logistic Regression Male Female Summated Rating Scaling Odds Ratio Confidence Intervals Data Analysis Software Multivariate Analysis Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Using risk stratification approaches to determine eligibility has the potential to improve efficiency of screening. Objectives: To compare the public acceptability and potential impact on uptake of using different approaches to determine eligibility for screening. Design: An online population‐based survey of 668 adults in the UK aged 45‐79 including a series of scenarios in the context of a potential kidney cancer screening programme in which eligibility was determined by age, sex, age and sex combined, a simple risk score (age, sex, body mass index, smoking status), a complex risk score additionally incorporating family history and lifestyle, or a genetic risk score. Outcome measures: We used multi‐level ordinal logistic regression to compare acceptability and potential uptake within individuals and multivariable ordinal logistic regression differences between individuals. Results: Using sex, age and sex, or the simple risk score were less acceptable than age (P <.0001). All approaches were less acceptable to women than men. Over 70% were comfortable waiting until they were older if the complex risk score or genetics indicated a low risk. If told they were high risk, 85% would be more likely to take up screening. Being told they were low risk had no overall influence on uptake. Conclusions: Varying the starting age of screening based on estimated risk from models incorporating phenotypic or genetic risk factors would be acceptable to most individuals and may increase uptake. Patient or Public Contribution: Two members of the public contributed to the development of the survey and have commented on this paper. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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