Socioeconomic status as determinant for participation in mammography screening: assessing the difference between using women's own versus their partner's
Socioeconomic status as determinant for participation in mammography screening: assessing the difference between using women's own versus their partner's
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DOI：
10.1007/s00038-010-0137-4
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发表时间：
2010-06-01
影响因子：
4.6
通讯作者：
von Euler-Chelpin, My
中科院分区：
文献类型：
--
作者：
Kjellen, Malin;von Euler-Chelpin, My
早期的研究表明，参与乳房X光检查筛查往往因社会经济水平而异。我们评估了使用妇女自己的社会经济地位（SES）和使用她的家庭或合作伙伴的决定因素之间的差异参与乳房X光检查screening.Participation数据从两个乳房X光检查筛查计划在丹麦被链接到一个国家SES分类系统提供的数据，为每个公民，他们的合作伙伴，和家庭。我们分别使用女性自己、家庭和伴侣的SES状况计算了不同SES水平的不参与的比值比。当使用女性自己的SES时，在两个项目中，不同SES水平的不参与的比值比均呈明显的U形。当使用伴侣的社会经济地位时，不同社会经济地位水平之间的不参与差异显着较小（p < 0.001）。社会经济地位在多大程度上是筛查参与的决定因素，这在很大程度上取决于是否使用女性自己的社会经济地位或她的伴侣。从公共卫生的角度来看，在解决不参加筛查的问题时考虑到这一点很重要。
Earlier research has shown that participation in mammography screening tends to vary across socioeconomic levels. We assessed the difference between using the woman's own socioeconomic status (SES) and using that of her household or partner as determinant of participation in mammography screening.Participation data from two mammography screening programs in Denmark were linked to a national SES classification system providing data for each citizen, their partner, and household. We calculated the odds ratio of non-participation across SES levels using the woman's own, the household's, and her partner's SES status, respectively.When using the woman's own SES, the odds ratio of non-participation showed a clear U-shape across SES levels, in both programs. When using the partner's SES the difference in non-participation across SES levels was significantly smaller (p < 0.001).To what extent SES was a determinant for screening participation strongly depended on whether using the woman's own SES or that of her partner. In a public health perspective it is important to take this into account when addressing the problem of non-attendance in screening.