TY - JOUR
T1 - Residential area sociodemographic and breast cancer screening venue location built environmental features associated with women’s use of closest venue in greater Sydney, Australia
AU - Khan, Jahidur Rahman
AU - Carroll, Suzanne J.
AU - Coffee, Neil T.
AU - Warner-Smith, Matthew
AU - Roder, David
AU - Daniel, Mark
N1 - Funding Information:
Acknowledgments: The authors acknowledge the University of Canberra, Cancer Institute of NSW, and the University of South Australia. This research is part of the first author’s PhD research, which is supported by the Australian Government Research Training Program (RTP) Scholarship.
Funding Information:
The authors acknowledge the University of Canberra, Cancer Institute of NSW, and the University of South Australia. This research is part of the first author?s PhD research, which is supported by the Australian Government Research Training Program (RTP) Scholarship.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - 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.
AB - 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.
KW - Breast screening
KW - Closest screening venue attendance
KW - Locational features
KW - Multilevel modelling
KW - Observational study
UR - http://www.scopus.com/inward/record.url?scp=85117947156&partnerID=8YFLogxK
U2 - 10.3390/ijerph182111277
DO - 10.3390/ijerph182111277
M3 - Article
C2 - 34769794
AN - SCOPUS:85117947156
SN - 1660-4601
VL - 18
SP - 1
EP - 12
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 21
M1 - 11277
ER -