Market segmentation tools provide insights into demographic variations in bowel cancer screening uptake

BackgroundThe National Health Service Bowel Cancer Screening Programme (NHS BCSP) aims to detect individuals who have precancerous polyps or early stage cancer, when it is easier to treat. To be effective, a screening uptake of at least 52% is required. Variations in uptake by demographic characteri...

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Published in:Journal of epidemiology and community health (1979) 2019-08, Vol.73 (8), p.778-785
Main Authors: Gavens, Lucy, Whiteley, Leila, Belencsak, Agnes, Careless, Jane, Devine, Shirley, Richmond, Nicola, Muirhead, Andrew
Format: Article
Language:English
Subjects:
Blood tests
Cancer
Cancer screening
Colorectal cancer
Demography
Ethnicity
Evidence-based public health policy and practice
Health education
Health literacy
Intestine
Medical screening
Minority & ethnic groups
Participation
Patients
Polyps
Population
Public health
Segmentation
Urban populations
Women
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cited_by cdi_FETCH-LOGICAL-b385t-fc1ba71365371f3192273a16cd41bbbc0dffdc2f6195dd0eb3dcc7c52ba466713
cites cdi_FETCH-LOGICAL-b385t-fc1ba71365371f3192273a16cd41bbbc0dffdc2f6195dd0eb3dcc7c52ba466713
container_end_page 785
container_issue 8
container_start_page 778
container_title Journal of epidemiology and community health (1979)
container_volume 73
creator Gavens, Lucy
Whiteley, Leila
Belencsak, Agnes
Careless, Jane
Devine, Shirley
Richmond, Nicola
Muirhead, Andrew
description BackgroundThe National Health Service Bowel Cancer Screening Programme (NHS BCSP) aims to detect individuals who have precancerous polyps or early stage cancer, when it is easier to treat. To be effective, a screening uptake of at least 52% is required. Variations in uptake by demographic characteristic are reported and the aim of this study was to better understand who participates in the NHS BCSP, to inform action to address inequalities in screening uptake.MethodsInvitation-level data for the Derbyshire population were supplied by the NHS BCSP Eastern Hub for the period 1 April 2014 to 31 March 2016. Data were linked by postal code to the Mosaic Public Sector Segmentation tool. Descriptive analysis using 14 groups and 61 types within Mosaic was undertaken to offer insight into the demographic, lifestyle and behavioural traits of people living in small geographies against their screening uptake, with a particular focus on identifying population groups with an uptake below 52% and so at risk of health inequalities.Results180 176 screening invitations were dispatched with an overall uptake of 60.55%. Six Mosaic groups have an uptake below the 52% acceptable level: urban cohesion, rental hubs, transient renters, family basics, vintage value and municipal tenants. These groups are characterised by high levels of social-rented accommodation, multicultural urban communities and transient populations.ConclusionSegmentation tools offer an effective way to generate novel insights into bowel cancer screening uptake and develop tailored strategies for working with identified communities to increase participation.
doi_str_mv 10.1136/jech-2018-211085
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To be effective, a screening uptake of at least 52% is required. Variations in uptake by demographic characteristic are reported and the aim of this study was to better understand who participates in the NHS BCSP, to inform action to address inequalities in screening uptake.MethodsInvitation-level data for the Derbyshire population were supplied by the NHS BCSP Eastern Hub for the period 1 April 2014 to 31 March 2016. Data were linked by postal code to the Mosaic Public Sector Segmentation tool. Descriptive analysis using 14 groups and 61 types within Mosaic was undertaken to offer insight into the demographic, lifestyle and behavioural traits of people living in small geographies against their screening uptake, with a particular focus on identifying population groups with an uptake below 52% and so at risk of health inequalities.Results180 176 screening invitations were dispatched with an overall uptake of 60.55%. Six Mosaic groups have an uptake below the 52% acceptable level: urban cohesion, rental hubs, transient renters, family basics, vintage value and municipal tenants. These groups are characterised by high levels of social-rented accommodation, multicultural urban communities and transient populations.ConclusionSegmentation tools offer an effective way to generate novel insights into bowel cancer screening uptake and develop tailored strategies for working with identified communities to increase participation.</description><identifier>ISSN: 0143-005X</identifier><identifier>EISSN: 1470-2738</identifier><identifier>DOI: 10.1136/jech-2018-211085</identifier><identifier>PMID: 31129565</identifier><language>eng</language><publisher>England: BMJ</publisher><subject>Blood tests ; Cancer ; Cancer screening ; Colorectal cancer ; Demography ; Ethnicity ; Evidence-based public health policy and practice ; Health education ; Health literacy ; Intestine ; Medical screening ; Minority &amp; ethnic groups ; Participation ; Patients ; Polyps ; Population ; Public health ; Segmentation ; Urban populations ; Women</subject><ispartof>Journal of epidemiology and community health (1979), 2019-08, Vol.73 (8), p.778-785</ispartof><rights>Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2019</rights><rights>2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b385t-fc1ba71365371f3192273a16cd41bbbc0dffdc2f6195dd0eb3dcc7c52ba466713</citedby><cites>FETCH-LOGICAL-b385t-fc1ba71365371f3192273a16cd41bbbc0dffdc2f6195dd0eb3dcc7c52ba466713</cites><orcidid>0000-0003-3560-4691</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26896499$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26896499$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>112,113,315,786,790,3213,27957,27958,58593,58826</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31129565$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gavens, Lucy</creatorcontrib><creatorcontrib>Whiteley, Leila</creatorcontrib><creatorcontrib>Belencsak, Agnes</creatorcontrib><creatorcontrib>Careless, Jane</creatorcontrib><creatorcontrib>Devine, Shirley</creatorcontrib><creatorcontrib>Richmond, Nicola</creatorcontrib><creatorcontrib>Muirhead, Andrew</creatorcontrib><title>Market segmentation tools provide insights into demographic variations in bowel cancer screening uptake</title><title>Journal of epidemiology and community health (1979)</title><addtitle>J Epidemiol Community Health</addtitle><description>BackgroundThe National Health Service Bowel Cancer Screening Programme (NHS BCSP) aims to detect individuals who have precancerous polyps or early stage cancer, when it is easier to treat. To be effective, a screening uptake of at least 52% is required. Variations in uptake by demographic characteristic are reported and the aim of this study was to better understand who participates in the NHS BCSP, to inform action to address inequalities in screening uptake.MethodsInvitation-level data for the Derbyshire population were supplied by the NHS BCSP Eastern Hub for the period 1 April 2014 to 31 March 2016. Data were linked by postal code to the Mosaic Public Sector Segmentation tool. Descriptive analysis using 14 groups and 61 types within Mosaic was undertaken to offer insight into the demographic, lifestyle and behavioural traits of people living in small geographies against their screening uptake, with a particular focus on identifying population groups with an uptake below 52% and so at risk of health inequalities.Results180 176 screening invitations were dispatched with an overall uptake of 60.55%. Six Mosaic groups have an uptake below the 52% acceptable level: urban cohesion, rental hubs, transient renters, family basics, vintage value and municipal tenants. 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To be effective, a screening uptake of at least 52% is required. Variations in uptake by demographic characteristic are reported and the aim of this study was to better understand who participates in the NHS BCSP, to inform action to address inequalities in screening uptake.MethodsInvitation-level data for the Derbyshire population were supplied by the NHS BCSP Eastern Hub for the period 1 April 2014 to 31 March 2016. Data were linked by postal code to the Mosaic Public Sector Segmentation tool. Descriptive analysis using 14 groups and 61 types within Mosaic was undertaken to offer insight into the demographic, lifestyle and behavioural traits of people living in small geographies against their screening uptake, with a particular focus on identifying population groups with an uptake below 52% and so at risk of health inequalities.Results180 176 screening invitations were dispatched with an overall uptake of 60.55%. Six Mosaic groups have an uptake below the 52% acceptable level: urban cohesion, rental hubs, transient renters, family basics, vintage value and municipal tenants. These groups are characterised by high levels of social-rented accommodation, multicultural urban communities and transient populations.ConclusionSegmentation tools offer an effective way to generate novel insights into bowel cancer screening uptake and develop tailored strategies for working with identified communities to increase participation.</abstract><cop>England</cop><pub>BMJ</pub><pmid>31129565</pmid><doi>10.1136/jech-2018-211085</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3560-4691</orcidid></addata></record>
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subjects Blood tests
Cancer
Cancer screening
Colorectal cancer
Demography
Ethnicity
Evidence-based public health policy and practice
Health education
Health literacy
Intestine
Medical screening
Minority & ethnic groups
Participation
Patients
Polyps
Population
Public health
Segmentation
Urban populations
Women
title Market segmentation tools provide insights into demographic variations in bowel cancer screening uptake
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