Sociodemographic predictors of non-attendance at invitational mammography screening - a population-based register study (Sweden)
Sociodemographic predictors of non-attendance at invitational mammography screening - a population-based register study (Sweden)
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DOI：
10.1023/a:1013978421073
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发表时间：
2002-02-01
影响因子：
2.3
通讯作者：
Lambe, M
中科院分区：
文献类型：
--
作者：
Lagerlund, M;Maxwell, AE;Lambe, M
目的：为了探讨社会人口因素预测乳腺X线摄影摄取的外展screeningprogrammes.Methods的作用：链接的数据从一个区域人口为基础的乳腺X线摄影计划与瑞典全国范围内的登记：1990年的人口和住房普查，生育登记，癌症登记，和死因登记。我们计算了社会人口学因素对不出勤的优势比（OR）和95%置信区间（CI）。结果：4198名未参加者和38,972名参加者的多变量分析显示，无子女和高产次妇女更有可能是未参加者（OR = 1.8，95%CI：1.6-2.0和OR = 2.2，95%CI：1.8-2.7，分别）。没有伴侣的妇女参加的可能性较小（OR = 1.7，95% CI：1.5-1.9），失业妇女也是如此（OR = 2.1，95% CI：1.9-2.3）。与有房者相比，租房者更有可能是不上班的人（OR = 1.8，95%CI：1.6-2.0），与瑞典出生的女性相比，来自非北欧国家的移民不参加的可能性是两倍多结论：乳腺X线摄影的应用可分为不同的亚组，在这些亚组中，乳腺X线摄影的应用率可以提高。应特别注意从未上过学的妇女、无子女妇女和非北欧移民。
Objective: To investigate the role of sociodemographic factors in predicting mammography uptake in an outreach screening program.Methods: Linkage of data from a regional population-based mammography program with four Swedish nationwide registers: the Population and Housing Census of 1990, the Fertility Register, the Cancer Register, and the Cause of Death Register. We computed odds ratios (OR) and 95% confidence intervals (CI) for non-attendance by sociodemographic factors. Non-attendance was defined as failure to attend in response to the two most recent invitations.Results: Multivariate analyses among 4198 non-attenders and 38,972 attenders revealed that both childless and high-parity women were more likely to be non-attenders (OR = 1.8, 95% CI: 1.6-2.0 and OR = 2.2, 95% CI: 1.8-2.7, respectively). Women living without a partner were less likely to attend (OR = 1.7, 95% CI: 1.5-1.9), as were non-employed women (OR = 2.1, 95% CI: 1.9-2.3). Those renting an apartment were more likely to be non-attenders compared with home-owners (OR = 1.8, 95% CI: 1.6-2.0), and immigrants from non-Nordic countries were more than twice as likely to be non-attenders compared with Swedish-born women (OR = 2.4, 95% CI: 2.0-2.8).Conclusions: There are identifiable subgroups in which mammography utilization can be increased. Special attention should be paid to women who have never attended, childless women, and non-Nordic immigrants.