Tackling inequalities within abdominal aortic aneurysm screening
PHE ePoster Library. Summers L. Sep 13, 2016; 138134; 197
Lisa Summers
Lisa Summers
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Abstract
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Abstract Background: The aim was to examine the effects of deprivation and ethnicity on uptake of screening for abdominal aortic aneurysm (AAA) and prevalence of AAA in a national programme. Methods: Men aged 65 in two annual cohorts (2013/14 and 2014/15) were invited for AAA screening. Demographic characteristics, attendance and prevalence of AAA (aortic diameter >2.9cm) were recorded in the national IT software. A descriptive analysis of the attendance and outcome by key demographic characteristics was undertaken. Results: Some 593,032 men were invited and 461,898 attended for ultrasound screening; uptake 77.9%. Uptake was associated with social deprivation: 65.1% in the most deprived decile, 84.1% in the least deprived. Men in deprived areas were more likely to actively decline screening: 6% versus 3.8% in the least deprived decile. AAA were more common in white British men than in Black or Asian men and in men from more deprived areas (1.68% in the most deprived decile versus 0.84% in the least deprived decile). There was considerable local variation in all findings. Conclusions: A number of factors affect uptake of AAA screening that could potentially be addressed by local actions in screening programmes. Materials to support local programmes in managing equality issues are being developed. Patient reported outcome measures will be introduced to evaluate patient experience and compare local programmes.
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