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Increasing Public Acceptance for Colon Cancer Screening Programmes by Invitation Schemes




In the United Kingdom a demonstration pilot of colorectal cancer screening based on faecal occult blood testing has been in operation since March 2000.  Invitations were sent by post to all persons between the ages of 50 and 69 in the pilot areas. These invitations consisted of an invitation letter and the test kit. Three biennial screening rounds are now complete and overall uptake of screening was over 50% for each screening round. There was however, a considerable variation by gender and deprivation and uptake was highest amongst females from the least deprived communities and lowest amongst males from the most deprived communities. Invitation seems to be an effective intervention for increasing uptake of screening.



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RJC Steele