{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T08:04:50Z","timestamp":1787040290468,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Colorectal cancer has geographic inequities in Australia, with higher mortality rates and lower participation in the National Bowel Cancer Screening Program (NBCSP) in remote and rural areas. The at\u2010home kit is temperature\u2010sensitive, necessitating a \u2018hot zone policy\u2019 (HZP); kits are not sent when an area's average monthly temperature is above 30\u00b0C. Australians in HZP areas are susceptible to potential screening disruptions but may benefit from well\u2010timed interventions to improve participation. This study describes the demographics of HZP areas and estimates the impacts of potential screening changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The number of individuals in HZP areas was estimated, as well as correlations with remoteness, socio\u2010economic and Indigenous status. The potential impacts of screening changes were estimated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over a million eligible Australians live in HZP areas, which are more likely to be remote\/rural, have lower socio\u2010economic status and higher Indigenous populations. Predictive modelling estimates that any 3\u2010month screening disruption would increase CRC mortality rates up to 4.1 times more in HZP areas vs unaffected areas, while targeted intervention could decrease mortality rates 3.4 times more in HZP areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>People living in affected areas would be negatively impacted by any NBCSP disruption, compounding existing inequities. However, well\u2010timed health promotion could have a stronger impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.12977","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T11:25:21Z","timestamp":1678706721000},"page":"580-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The \u2018hot zone policy\u2019 for colorectal cancer screening presents unique risks and opportunities for rural Australia"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8830-0520","authenticated-orcid":false,"given":"Joachim","family":"Worthington","sequence":"first","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie\u2010Bin","family":"Lew","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"He","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Broun","sequence":"additional","affiliation":[{"name":"Cancer Council Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katina","family":"D'Onise","sequence":"additional","affiliation":[{"name":"School of Public Health University of Adelaide  Adelaide South Australia Australia"},{"name":"Prevention and Population Health, Wellbeing SA  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Grogan","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Canfell","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Feletto","sequence":"additional","affiliation":[{"name":"The Daffodil Centre The University of Sydney, a joint venture with Cancer Council NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Cancer data in Australia","author":"Australian Institute of Health and Welfare","year":"2021"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-017-3067-1"},{"key":"e_1_2_10_4_1","volume-title":"National Bowel Cancer Screening Program: monitoring report 2022. 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The national bowel cancer screening experience in one remote aboriginal community","author":"Coppa K","year":"2011"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-373"},{"key":"e_1_2_10_11_1","unstructured":"Australian Government Department of Health.National Bowel Cancer Screening Program Policy Framework phase four (2015\u20132020).2017."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2009.200873"},{"key":"e_1_2_10_13_1","unstructured":"Bureau of Meteorology.Bureau of meteorology \u2010 climate data online.2022."},{"key":"e_1_2_10_14_1","volume-title":"National Bowel Cancer Screening Program monitoring report: phase 2, July 2008\u2013June 2011. Cancer series no. 65. Cat. no. 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