Socioeconomic variation in uptake of colonoscopy following a positive faecal occult blood test result: a retrospective analysis of the NHS Bowel Cancer Screening Programme


Bowel cancer is a serious health burden and its early diagnosis improvessurvival. The Bowel Cancer Screening Programme (BCSP) in Englandscreens with the Faecal Occult Blood test (FOBt), followed by colonoscopyfor individuals with a positive test result. Socioeconomic inequalitieshave been demonstrated for FOBt uptake, but it is not known whetherthey persist at the next stage of the screening pathway. The aimof this study was to assess the association between colonoscopy uptakeand area socioeconomic deprivation, controlling for individual ageand sex, and area ethnic diversity, population density, poor self-assessedhealth, and region.

British Journal of Cancer
Gianluca Baio
Gianluca Baio
Professor of Statistics and Health Economics