Uptake of Abdominal Aortic Aneurysm Screening. A Cohort Study

Abstract

HASP has a high uptake even in the most deprived and rural populations, demonstrating that programme design has overcome any potential rural disadvantage. A gradient of uptake associated with deprivation remains, although even the most deprived have an uptake of almost 80%.

Reasons for non-participation in population-based abdominal aortic aneurysm screening

“…The prevalence of AAA in 65‐year‐old men was 1·4 per cent, which is lower than expected, but in accordance with recent reports from England and Sweden. The mean attendance rate of 77·6 per cent for AAA screening is consistent with participation rates in England (75 per cent) and Malmö, Sweden (80 per cent), but lower than in other regions of Sweden (Uppsala, 85 per cent) and Scotland (90·1 per cent), and higher than in others. It is of concern that the participation rate was only 50–60 per cent in some of the socioeconomic groups that might benefit most from screening, as their risk of AAA is above average ( Tables and ).…”

“…Both in Sweden and internationally, participation rates of screening are influenced by sex, age, socioeconomic factors such as marital status, income and level of education, and also by immigrant status and distance from home to the screening centre. Other factors that affect participation are related to the organization of screening, such as a personal invitation letter, prebooked appointment, ability to reschedule online and whether the screening is free of charge.…”

Participation in bowel screening among men attending abdominal aortic aneurysm screening

“…Population abdominal aortic aneurysm (AAA) screening for 65-year-old men by a single abdominal ultrasound scan was recommended by the UK National Screening Committee in 2007 9 . Reported uptake in this group of men, who have traditionally been resistant to screening, is between 79 and 90 per cent 10,11 . In comparison, uptake of bowel screening in the 65-69-year age group is only 55 per cent in Scotland 12 .…”

Influence of rurality, deprivation and distance from clinic on uptake in men invited for abdominal aortic aneurysm screening

“…AAA screening has been undertaken in the neighbouring Highland region among men aged 65–74 years since 2001. After two invitations overall uptake was 90 per cent across 51 sites (mainly general practice surgeries and a single city hospital) over 10 years.…”

“…AAA screening has been undertaken in the neighbouring Highland region among men aged 65–74 years since 2001. After two invitations overall uptake was 90 per cent across 51 sites (mainly general practice surgeries and a single city hospital) over 10 years. A higher uptake in rural areas (based on SURC6) was also observed, but the association disappeared after adjusting for multiple deprivation (using the earlier 2009 version of the SIMD).…”