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Article

Residential Area Sociodemographic and Breast Cancer Screening Venue Location Built Environmental Features Associated with Women’s Use of Closest Venue in Greater Sydney, Australia

1
Australian Geospatial Health Laboratory, Health Research Institute, University of Canberra, Canberra, ACT 2617, Australia
2
School of Health Sciences, University of South Australia, Adelaide, SA 5000, Australia
3
Housing and Healthy Cities Research Group, School of Architecture and Built Environment, University of Adelaide, Adelaide, SA 5005, Australia
4
Cancer Institute NSW, St Leonards, Sydney, NSW 2065, Australia
5
Department of Medicine, St. Vincent’s Hospital, The University of Melbourne, Fitzroy, VIC 3065, Australia
*
Author to whom correspondence should be addressed.
Academic Editors: Marco Helbich and Diana Grigsby-Toussaint
Int. J. Environ. Res. Public Health 2021, 18(21), 11277; https://doi.org/10.3390/ijerph182111277
Received: 24 August 2021 / Revised: 21 October 2021 / Accepted: 23 October 2021 / Published: 27 October 2021
(This article belongs to the Special Issue Spatial Analysis of Environmental Health)
Understanding environmental predictors of women’s use of closest breast screening venue versus other site(s) may assist optimal venue placement. This study assessed relationships between residential-area sociodemographic measures, venue location features, and women’s use of closest versus other venues. Data of 320,672 Greater Sydney screening attendees were spatially joined to residential state suburbs (SSCs) (n = 799). SSC-level sociodemographic measures included proportions of: women speaking English at home; university-educated; full-time employed; and dwellings with motor-vehicles. A geographic information system identified each woman’s closest venue to home, and venue co-location with bus-stop, train-station, hospital, general practitioner, and shop(s). Multilevel logistic models estimated associations between environmental measures and closest venue attendance. Attendance at closest venue was 59.4%. Closest venue attendance was positively associated with SSC-level women speaking English but inversely associated with SSC-level women university-educated, full-time employed, and dwellings with motor-vehicles. Mobile venue co-location with general practitioner and shop was positively, but co-location with bus-stop and hospital was inversely associated with attendance. Attendance was positively associated with fixed venue co-location with train-station and hospital but inversely associated with venue co-location with bus-stop, general practitioner, and shop. Program planners should consider these features when optimising service locations to enhance utilisation. Some counterintuitive results necessitate additional investigation. View Full-Text
Keywords: breast screening; closest screening venue attendance; locational features; observational study; multilevel modelling breast screening; closest screening venue attendance; locational features; observational study; multilevel modelling
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MDPI and ACS Style

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

AMA Style

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 Style

Khan, Jahidur R., 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

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