Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status.

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Version: Final published version
Serval ID
serval:BIB_66266349DDC4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status.
Journal
Cancer medicine
Author(s)
Sandoval J.L., Himsl R., Theler J.M., Gaspoz J.M., Joost S., Guessous I.
ISSN
2045-7634 (Electronic)
ISSN-L
2045-7634
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
7
Number
12
Pages
6299-6307
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Local physical and social environment has a defining influence on individual behavior and health-related outcomes. However, it remains undetermined if its impact is independent of individual socioeconomic status. In this study, we evaluated the spatial distribution of mammography adherence in the state of Geneva (Switzerland) using individual-level data and assessed its independence from socioeconomic status (SES).
Georeferenced individual-level data from the population-based cross-sectional Bus Santé study (n = 5002) were used to calculate local indicators of spatial association (LISA) and investigate the spatial dependence of mammography adherence. Spatial clusters are reported without adjustment; adjusted for neighborhood income and individual educational attainment; and demographic factors (age and Swiss nationality). The association between adjusted clusters and the proximity to the nearest screening center was also evaluated.
Mammography adherence was not randomly distributed throughout Geneva with clusters geographically coinciding with known SES distributions. After adjustment for SES indicators, clusters were reduced to 56.2% of their original size (n = 1033). Adjustment for age and nationality further reduced the number of individuals exhibiting spatially dependent behavior (36.5% of the initial size). The identified SES-independent hot spots and cold spots of mammography adherence were not explained by proximity to the nearest screening center.
SES and demographic factors play an important role in shaping the spatial distribution of mammography adherence. However, the spatial clusters persisted after confounder adjustment indicating that additional neighborhood-level determinants could influence mammography adherence and be the object of targeted public health interventions.
Keywords
breast neoplasm, early detection of cancer, geography, health services, mammography, socioeconomic factors
Pubmed
Web of science
Open Access
Yes
Create date
07/11/2018 12:32
Last modification date
20/08/2019 14:22
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