Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

Silvina C. Mema; Huiming Yang; Sherry Elnitsky; Zhichang Jiang; Marcus Vaska; Linan Xu

doi:10.9778/cmajo.20170055

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Figure 1
Locations of Screen Test and Screen Test-EACS mobile clinics. A main criterion for the selection of Screen Test-EACS locations was a lack of alternative sources of cervical and colorectal cancer screening services in rural and remote northern Alberta.
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Figure 2
Number and cumulative percentage of (A) women aged 50-69 years screened for cervical cancer and (B) women aged 50-74 years screened for colorectal cancer (B) through Screen Test or Screen-Test-EACS.

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Table 1: Women who participated in Screen Test and Screen Test-EACS
Age, yr Program; no. of women (%)
Screen Test Screen Test-EACS
50-69 6174 (85.9) 958 (88.5)
70-74 1011 (14.1) 124 (11.5)
Total 7185 (100) 1082 (100)
Note: EACS = Enhanced Access to Cervical and Colorectal Cancer Screening.

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Table 2: Cervical and colorectal cancer screening among Screen Test and Screen Test-EACS clients who had a mammogram through one of these programs during the study period

Variable	Program; women aged 50-69 yr screened for cervical cancer				Program; women aged 50-74 yr screened for colorectal cancer
	Screen Test n = 6174		Screen Test-EACS n = 958		Screen Test n = 7185		Screen Test-EACS n = 1082
	No.	% (95% CI)	No.	% (95% CI)	No.	% (95% CI)	No.	% (95% CI)
Total screened*	623	10.1 (9.3-10.8)	263	27.5 (24.6-30.3)	782	10.9 (10.2-11.6)	243	22.5 (20.0-24.9)
Up to date 6 w before mammogram	2940	47.6 (46.4-48.9)	464	48.4 (45.3-51.6)	2150	29.9 (28.9-31.0)	348	32.2 (29.4-35.0)
Up to date 3 mo after mammogram	3241	52.5 (51.3-53.7)	603	62.9 (59.9-66.0)	2678	37.3 (36.2-38.4)	527	48.7 (45.7-51.7)
Net increase†	301	4.9 (4.3-5.4)	139	14.5 (12.3-6.7)	528	7.4(6.8-8.0)	179	16.5(14.3-18.8)

Note: CI = confidence interval, EACS = Enhanced Access to Cervical and Colorectal Cancer Screening.

*Women screened within the period 6 w before to 3 mo after their mammogram.

†Calculated as the difference between the number of women up to date with screening for this type of cancer 3 mo after the date of their mammogram and the number of women up to date with screening for this type of cancer 6 weeks before the date of their mammogram.