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Intentions to participate in cervical and colorectal cancer screening during the COVID-19 pandemic: a mixed-methods study [article]

Rebecca Wilson, Harriet Quinn-Scoggins, Yvonne Moriarty, Jacqueline Hughes, Mark Goddard, Rebecca Cannings-John, Victoria Whitelock, Katriina L Whitaker, Detelina Grozeva, Julia Townson, Kirstie Osborne, Stephanie Smits (+6 others)
2021 biorxiv/medrxiv   pre-print

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Worldwide, cancer screening faced significant disruption in 2020 due to the COVID-19 pandemic. If this has led to changes in public attitudes towards screening and reduced intention to participate, there is a risk of long-term adverse impact on cancer outcomes. In this study, we examined previous participation and future intentions to take part in cervical and colorectal cancer (CRC) screening following the first national lockdown in the UK. Overall, 7543 adults were recruited to a
more » ... al online survey in August-September 2020. Logistic regression analyses were used to identify correlates of strong screening intentions among 2,319 participants eligible for cervical screening and 2,502 eligible for home-based CRC screening. Qualitative interviews were conducted with a sub-sample of 30 participants. Verbatim transcripts were analysed thematically. Of those eligible, 74% of survey participants intended to attend cervical screening and 84% intended to complete home-based CRC screening when next invited. Thirty percent and 19% of the cervical and CRC samples respectively said they were less likely to attend a cancer screening appointment now than before the pandemic. Previous non-participation was the strongest predictor of low intentions for cervical (aOR 26.31, 95% CI: 17.61-39.30) and CRC (aOR 67.68, 95% CI: 33.91-135.06) screening. Interview participants expressed concerns about visiting healthcare settings but were keen to participate when screening programmes resumed. Intentions to participate in future screening were high and strongly associated with previous engagement in both programmes. As screening services recover, it will be important to monitor participation and to ensure people feel safe to attend.
doi:10.1101/2021.07.20.21260558 fatcat:nt7ufh3zhzd7fi7kgyy4fs4hzm
Citation

Rebecca Wilson, Harriet Quinn-Scoggins, Yvonne Moriarty, Jacqueline Hughes, Mark Goddard, Rebecca Cannings-John, Victoria Whitelock, Katriina L Whitaker, Detelina Grozeva, Julia Townson, Kirstie Osborne, Stephanie Smits, Michael Robling, Julie Hepburn, Graham Moore, Ardiana Gjini, Kate Brain, Jo Waller. "Intentions to participate in cervical and colorectal cancer screening during the COVID-19 pandemic: a mixed-methods study." biorxiv/medrxiv (2021)