{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:08:31Z","timestamp":1777928911808,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,9,20]],"date-time":"2015-09-20T00:00:00Z","timestamp":1442707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine uptake in the first six pilot centres of the English Bowel Scope Screening (BSS) programme, which began in early 2013 and invites adults aged 55 for a one off Flexible Sigmoidoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between March 2013 and May 2014 the six pilot centres sent 21,187 invitations. Using multivariate logistic regression analysis, we examined variation in uptake by gender, socioeconomic deprivation (using the Index of Multiple Deprivation), area-based ethnic diversity (proportion of non-white residents), screening centre, and appointment time (routine: daytime vs out-of-hours: evening\/weekend).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Uptake was 43.1%. Men were more likely to attend than women (45% vs 42%; OR 1.136, 95% CI 1.076, 1.199, p\u2009&lt;\u20090.001). Combining data across centres, there was a socioeconomic gradient in uptake, ranging from 33% in the most deprived to 53% in the least deprived quintile. Areas with the highest level of ethnic diversity also had lower uptake (39%) than other areas (41\u201347%) (all p\u2009&lt;\u20090.02), but there was no gradient. Individuals offered a routine appointment were less likely to attend than those offered an out-of-hours appointment (42% vs. 44%; OR 0.931, 95% CI 0.882, 0.983, p\u2009=\u20090.01). Multivariate analyses confirmed independent effects of deprivation, gender, and centre, but not of ethnic diversity or appointment time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early indications of uptake are encouraging. Future efforts should focus on increasing public awareness of the programme and reducing socioeconomic inequalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141315604659","type":"journal-article","created":{"date-parts":[[2015,9,20]],"date-time":"2015-09-20T19:57:50Z","timestamp":1442779070000},"page":"77-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Uptake of Bowel Scope (Flexible Sigmoidoscopy) Screening in the English National Programme: the first 14 months"],"prefix":"10.1177","volume":"23","author":[{"given":"Lesley M","family":"McGregor","sequence":"first","affiliation":[{"name":"Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardette","family":"Bonello","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S","family":"Kerrison","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Nickerson","sequence":"additional","affiliation":[{"name":"NHS Cancer Screening Programmes, Sheffield"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Baio","sequence":"additional","affiliation":[{"name":"Department of Statistical Science, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindy","family":"Berkman","sequence":"additional","affiliation":[{"name":"Patient Representative"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin J","family":"Rees","sequence":"additional","affiliation":[{"name":"South Tyneside NHS Foundation Trust, South Tyneside"},{"name":"School of Medicine, Health and Pharmacy, University of Durham, County Durham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Atkin","sequence":"additional","affiliation":[{"name":"Deparment of Surgery and Cancer, Imperial College London, St Mary\u2019s Campus, London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Wardle","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"von Wagner","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,20]]},"reference":[{"key":"bibr1-0969141315604659","unstructured":"Cancer Research UK. Worldwide cancer incidence statistics, http:\/\/www.cancerresearchuk.org\/cancer-info\/cancerstats\/world\/incidence\/ (2013, accessed 9 September 2014)."},{"key":"bibr2-0969141315604659","unstructured":"Cancer Research UK. Worldwide cancer mortality statistic, http:\/\/www.cancerresearchuk.org\/cancer-info\/cancerstats\/world\/mortality\/ (2013, accessed 9 September 2014)."},{"key":"bibr3-0969141315604659","unstructured":"Cancer Research UK. Cancer mortality in the UK in 2012, http:\/\/publications.cancerresearchuk.org\/publicationformat\/formatstats\/mortality.html (2014, accessed 8 April 2015)."},{"key":"bibr4-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2008.01875.x"},{"key":"bibr5-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60551-X"},{"key":"bibr6-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001352"},{"key":"bibr7-0969141315604659","first-page":"CD009259","volume":"9","author":"Holmes \u00d8","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.8266"},{"key":"bibr9-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2015.76"},{"key":"bibr10-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyr008"},{"key":"bibr11-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8882"},{"key":"bibr12-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2009.177089"},{"key":"bibr13-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.23.1763"},{"key":"bibr14-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2010.010055"},{"key":"bibr15-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1258\/096914107781261972"},{"key":"bibr16-0969141315604659","first-page":"827","volume":"10","author":"Bevan R","year":"2014","journal-title":"Endoscopy"},{"key":"bibr17-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2010.236430"},{"key":"bibr18-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-306144"},{"key":"bibr19-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)08268-5"},{"key":"bibr20-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1258\/0969141053279158"},{"key":"bibr21-0969141315604659","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.377"},{"key":"bibr22-0969141315604659","author":"Burgess C","journal-title":"Health Expect"},{"key":"bibr23-0969141315604659","unstructured":"Department for Communities and Local Government. The English indices of deprivation 2010, https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2010 (2011, accessed 8 April 2015)."},{"key":"bibr24-0969141315604659","unstructured":"Public Health England. Adjusted IMD 2010 scores for 2011 LSOAs, http:\/\/www.apho.org.uk\/resource\/item.aspx?RID=125887 (2013, accessed 9 April 2015)."},{"key":"bibr25-0969141315604659","unstructured":"Health and Social Care Information Centre. Breast Screening Programme, England \u2013 2013-2014, http:\/\/www.hscic.gov.uk\/searchcatalogue?productid=17263&q=title%3a%22Breast+Screening+Programme%2c+England%22&sort=Relevance&size=10&page=1#top (2015, accessed 8 April 2015)."},{"key":"bibr26-0969141315604659","unstructured":"Health and Social Care Information Centre. Cervical Screening Programme, England \u2013 2013-2014, http:\/\/www.hscic.gov.uk\/searchcatalogue?productid=16474&q=title%3a%22Cervical+screening+programme%22&sort=Relevance&size=10&page=1#top (2014, accessed 8 April 2015)."}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141315604659","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0969141315604659","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141315604659","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:23:40Z","timestamp":1777677820000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969141315604659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,20]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1177\/0969141315604659"],"URL":"https:\/\/doi.org\/10.1177\/0969141315604659","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,20]]}}}