Introduction of an organised programme and social inequalities in mammography screening: A 22-year population-based study in Geneva, Switzerland.

Détails

ID Serval
serval:BIB_7622F58FDD1F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Introduction of an organised programme and social inequalities in mammography screening: A 22-year population-based study in Geneva, Switzerland.
Périodique
Preventive medicine
Auteur(s)
Sandoval J.L., Theler J.M., Cullati S., Bouchardy C., Manor O., Gaspoz J.M., Guessous I.
ISSN
1096-0260 (Electronic)
ISSN-L
0091-7435
Statut éditorial
Publié
Date de publication
10/2017
Peer-reviewed
Oui
Volume
103
Pages
49-55
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
In developed countries, breast cancer mortality has decreased during the last decades due to, at least partially, the advent of mammography screening. Organised programmes aim, among other objectives, to increase participation and decrease social inequalities in screening access. We aimed to characterise the evolution of socioeconomic disparities in mammography screening before and after the implementation of an organised programme in Geneva, Switzerland. We included 5345 women, aged 50-74years, without past history of breast cancer who participated in the cross-sectional Bus Santé study, between 1992 and 2014. Outcome measures were: 1) never had a mammography (1992-2014) and 2) never had a mammography or not screened in the two years before being surveyed (subgroup analysis, 2007-2014). Educational attainment was divided in three groups (primary, secondary and tertiary) and period in two (before/after introduction of a screening programme in 1999). We calculated measures of relative and absolute change, including the relative (RII) and slope (SII) indices of social inequality adjusted for age and nationality. We compared the prevalence of screening before and after screening programme implementation using Poisson models. The proportion of unscreened women decreased during the study period from 30.5% to 3.6%. Lower educated women were more frequently unscreened (RII=2.39, p<0.001; SII=0.10, p<0.001). Organised screening decreased the proportion of unscreened women independently of education (prevalence ratio <sub>before vs. after</sub> =4.41, p<0.001), but absolute and relative inequalities persisted (RII=2.11, p=0.01; SII=0.04, p=0.01). Introduction of an organised programme increased women's adherence to mammography screening but did not eliminate social disparities in screening participation.
Mots-clé
Adult, Aged, Breast Neoplasms/diagnosis, Cross-Sectional Studies, Early Detection of Cancer, Female, Humans, Mammography/statistics & numerical data, Mass Screening/statistics & numerical data, Middle Aged, Prevalence, Socioeconomic Factors, Surveys and Questionnaires, Switzerland, Breast neoplasms, Mammography, Socioeconomic factors
Pubmed
Web of science
Création de la notice
05/09/2017 17:34
Dernière modification de la notice
23/07/2018 18:15
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