Addressing Inequity in Spatial Access to Lung Cancer Screening
Background: The successful implementation of an equitable lung cancer screening program requires consideration of factors that influence accessibility to screening services. Methods: Using lung cancer cases in British Columbia (BC), Canada, as a proxy for a screen-eligible population, spatial access...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/9/586 |
| _version_ | 1797580677583994880 |
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| author | Jonathan Simkin Edwin Khoo Maryam Darvishian Janette Sam Parveen Bhatti Stephen Lam Ryan R. Woods |
| author_facet | Jonathan Simkin Edwin Khoo Maryam Darvishian Janette Sam Parveen Bhatti Stephen Lam Ryan R. Woods |
| author_sort | Jonathan Simkin |
| collection | DOAJ |
| description | Background: The successful implementation of an equitable lung cancer screening program requires consideration of factors that influence accessibility to screening services. Methods: Using lung cancer cases in British Columbia (BC), Canada, as a proxy for a screen-eligible population, spatial access to 36 screening sites was examined using geospatial mapping and vehicle travel time from residential postal code at diagnosis to the nearest site. The impact of urbanization and Statistics Canada’s Canadian Index of Multiple Deprivation were examined. Results: Median travel time to the nearest screening site was 11.7 min (interquartile range 6.2–23.2 min). Urbanization was significantly associated with shorter drive time (<i>p</i> < 0.001). Ninety-nine percent of patients with ≥60 min drive times lived in rural areas. Drive times were associated with sex, ethnocultural composition, situational vulnerability, economic dependency, and residential instability. For example, the percentage of cases with drive times ≥60 min among the least deprived situational vulnerability group was 4.7% versus 44.4% in the most deprived group. Conclusions: Populations at risk in rural and remote regions may face more challenges accessing screening services due to increased travel times. Drive times increased with increasing sociodemographic and economic deprivations highlighting groups that may require support to ensure equitable access to lung cancer screening. |
| first_indexed | 2024-03-10T22:53:21Z |
| format | Article |
| id | doaj.art-851243432b184ca8938d2970def28778 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T22:53:21Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-851243432b184ca8938d2970def287782023-11-19T10:10:52ZengMDPI AGCurrent Oncology1198-00521718-77292023-08-013098078809110.3390/curroncol30090586Addressing Inequity in Spatial Access to Lung Cancer ScreeningJonathan Simkin0Edwin Khoo1Maryam Darvishian2Janette Sam3Parveen Bhatti4Stephen Lam5Ryan R. Woods6BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 4C2, CanadaBC Cancer Screening, BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 1G1, CanadaBC Cancer Screening, BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 1G1, CanadaBC Cancer Screening, BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 1G1, CanadaCancer Control Research, BC Cancer Research Institute, Vancouver, BC V5Z 1G1, CanadaBC Cancer Screening, BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 1G1, CanadaCancer Control Research, BC Cancer Research Institute, Vancouver, BC V5Z 1G1, CanadaBackground: The successful implementation of an equitable lung cancer screening program requires consideration of factors that influence accessibility to screening services. Methods: Using lung cancer cases in British Columbia (BC), Canada, as a proxy for a screen-eligible population, spatial access to 36 screening sites was examined using geospatial mapping and vehicle travel time from residential postal code at diagnosis to the nearest site. The impact of urbanization and Statistics Canada’s Canadian Index of Multiple Deprivation were examined. Results: Median travel time to the nearest screening site was 11.7 min (interquartile range 6.2–23.2 min). Urbanization was significantly associated with shorter drive time (<i>p</i> < 0.001). Ninety-nine percent of patients with ≥60 min drive times lived in rural areas. Drive times were associated with sex, ethnocultural composition, situational vulnerability, economic dependency, and residential instability. For example, the percentage of cases with drive times ≥60 min among the least deprived situational vulnerability group was 4.7% versus 44.4% in the most deprived group. Conclusions: Populations at risk in rural and remote regions may face more challenges accessing screening services due to increased travel times. Drive times increased with increasing sociodemographic and economic deprivations highlighting groups that may require support to ensure equitable access to lung cancer screening.https://www.mdpi.com/1718-7729/30/9/586accessgeospatialhealth equityhealth service accesslung cancerprevention |
| spellingShingle | Jonathan Simkin Edwin Khoo Maryam Darvishian Janette Sam Parveen Bhatti Stephen Lam Ryan R. Woods Addressing Inequity in Spatial Access to Lung Cancer Screening Current Oncology access geospatial health equity health service access lung cancer prevention |
| title | Addressing Inequity in Spatial Access to Lung Cancer Screening |
| title_full | Addressing Inequity in Spatial Access to Lung Cancer Screening |
| title_fullStr | Addressing Inequity in Spatial Access to Lung Cancer Screening |
| title_full_unstemmed | Addressing Inequity in Spatial Access to Lung Cancer Screening |
| title_short | Addressing Inequity in Spatial Access to Lung Cancer Screening |
| title_sort | addressing inequity in spatial access to lung cancer screening |
| topic | access geospatial health equity health service access lung cancer prevention |
| url | https://www.mdpi.com/1718-7729/30/9/586 |
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