Residential Area Sociodemographic and Breast Cancer Screening Venue Location Built Environmental Features Associated with Women’s Use of Closest Venue in Greater Sydney, Australia
Abstract
:1. Introduction
2. Materials and Methods
Population, Setting and Breast Cancer Screening Data
3. Measures
3.1. Outcome Measure: Use of Closest Breast Cancer Screening Venue (Individual Level)
3.2. Predictors
3.2.1. Area-Level
3.2.2. Venue Location
3.2.3. Covariates
3.3. Statistical Analysis
4. Results
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Measure | Statistics | ||
---|---|---|---|
Individual level characteristics (n = 320,672) | Mean (SD) | ||
Attended closest venue for screening (%) | 59.4 | ||
Age at screening (years) | 59.6 (6.4) | ||
Speaking English at home (yes) (%) | 68.7 | ||
SSC-level features (proportions; n = 799 SSCs) | |||
Women speaking English at home 1 | 70.9 (21.2) | ||
Women’s education 2 | 22.7 (12.1) | ||
Women’s employment (full-time) 3 | 27.4 (7.4) | ||
Motor vehicle ownership 4 | 88.1 (9.4) | ||
Venue features (n = 71 venues) | All venues | Fixed (n = 21) | Mobile (n = 50) |
Co-located with bus stop, (%) | 77.5 | 85.7 | 74.0 |
Co-located with train station, (%) | 39.4 | 57.1 | 32.0 |
Co-located with hospital, (%) | 16.9 | 38.1 | 8.0 |
Co-located with general practitioner, (%) | 54.9 | 57.1 | 54.0 |
Co-located with shop, (%) | 22.5 | 4.8 | 30.0 |
Model Specification | Women Speaking English at Home | Women’s Education | Women’s Employment (Full Time) | Motor Vehicle Ownership | All Sociodemographic Measures |
---|---|---|---|---|---|
Measure | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) |
SSC-level features | |||||
Women speaking English at home 1 | 1.529 (1.410 to 1.659) | - | - | - | 1.613 (1.476 to 1.763) |
Women’s education 2 | - | 0.901 (0.826 to 0.982) | - | - | 1.009 (0.912 to 1.116) |
Women’s employment (full time) 3 | - | - | 0.834 (0.765 to 0.909) | - | 0.843 (0.763 to 0.932) |
Motor vehicle ownership 4 | - | - | - | 1.073 (0.984 to 1.170) | 0.870 (0.795 to 0.952) |
Individual-level characteristics | |||||
Age at screening | 0.985 (0.983 to 0.986) | 0.985 (0.983 to 0.986) | 0.985 (0.983 to 0.986) | 0.985 (0.983 to 0.986) | 0.985 (0.983 to 0.986) |
Speaking English at home (Ref.: No) | 1.000 | 1.000 | 1.000 | 1.000 | 1.000 |
Yes | 0.987 (0.967 to 1.006) | 0.991 (0.972 to 1.011) | 0.991 (0.972 to 1.011) | 0.991 (0.971 to 1.011) | 0.986 (0.967 to 1.006) |
ICCssc | 0.2888 | 0.3144 | 0.3113 | 0.3151 | 0.2822 |
MORssc | 3.0119 | 3.2269 | 3.1998 | 3.2335 | 2.9590 |
AIC | 350,580.666 | 350,673.232 | 350,661.838 | 350,676.320 | 350,561.391 |
Model Specification | Co-Location with Bus Stop | Co-Location with Train Station | Co-Location with Hospital | Co-Location with General Practitioner | Co-Location with Shop |
---|---|---|---|---|---|
Measure | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) |
Closest venue location features | |||||
Mobile venue (n = 71,380) | |||||
Co-location with bus stop | 0.574 (0.535 to 0.616) | - | - | - | - |
Co-location with train station | - | 0.964 (0.898 to 1.034) | - | - | - |
Co-location with hospital | - | - | 0.889 (0.808 to 0.978) | - | - |
Co-location with general practitioner | - | - | - | 1.066 (1.008 to 1.126) | - |
Co-location with shop | - | - | - | - | 1.071 (1.010 to 1.135) |
ICCssc | 0.3185 | 0.3097 | 0.3093 | 0.3114 | 0.3086 |
MORssc | 3.2633 | 3.1863 | 3.1827 | 3.2011 | 3.1771 |
AIC | 76,676.530 | 76,916.897 | 76,912.060 | 76,912.833 | 76,912.639 |
Fixed venue (n = 249,292) | |||||
Co-location with bus stop | 0.862 (0.824 to 0.903) | - | - | - | - |
Co-location with train station | - | 1.868 (1.785 to 1.955) | - | - | - |
Co-location with hospital | - | - | 1.123 (1.086 to 1.161) | - | - |
Co-location with general practitioner | - | - | - | 0.899 (0.869 to 0.929) | - |
Co-location with shop | - | - | - | - | 0.454 (0.322 to 0.641) |
ICCssc | 0.3262 | 0.3148 | 0.3265 | 0.3266 | 0.3231 |
MORssc | 3.3332 | 3.2310 | 3.3354 | 3.3364 | 3.3045 |
AIC | 261,964.382 | 261,246.709 | 261,957.882 | 261,964.573 | 261,982.366 |
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Khan, J.R.; Carroll, S.J.; Coffee, N.T.; Warner-Smith, M.; Roder, D.; Daniel, M. Residential Area Sociodemographic and Breast Cancer Screening Venue Location Built Environmental Features Associated with Women’s Use of Closest Venue in Greater Sydney, Australia. Int. J. Environ. Res. Public Health 2021, 18, 11277. https://doi.org/10.3390/ijerph182111277
Khan JR, Carroll SJ, Coffee NT, Warner-Smith M, Roder D, Daniel M. Residential Area Sociodemographic and Breast Cancer Screening Venue Location Built Environmental Features Associated with Women’s Use of Closest Venue in Greater Sydney, Australia. International Journal of Environmental Research and Public Health. 2021; 18(21):11277. https://doi.org/10.3390/ijerph182111277
Chicago/Turabian StyleKhan, Jahidur Rahman, Suzanne J. Carroll, Neil T. Coffee, Matthew Warner-Smith, David Roder, and Mark Daniel. 2021. "Residential Area Sociodemographic and Breast Cancer Screening Venue Location Built Environmental Features Associated with Women’s Use of Closest Venue in Greater Sydney, Australia" International Journal of Environmental Research and Public Health 18, no. 21: 11277. https://doi.org/10.3390/ijerph182111277