Presence, characteristics and equity of access to breast cancer screening programmes in 27 European countries in 2010 and 2014. Results from an international survey
Presence, characteristics and equity of access to breast cancer screening programmes in 27 European countries in 2010 and 2014. Results from an international survey
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DOI：
10.1016/j.ypmed.2016.08.021
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发表时间：
2016-10-01
影响因子：
5.1
通讯作者：
Salas, D.
中科院分区：
文献类型：
--
作者：
Deandrea, S.;Molina-Barcelo, A.;Salas, D.
欧洲联盟理事会 2003 年 12 月 2 日关于癌症筛查的建议建议，每隔一年对 50 至 69 岁的女性实施基于乳房 X 光检查的有组织的、以人群为基础的乳腺癌筛查计划，确保平等获得筛查机会，同时考虑到针对特定社会经济群体的潜在需求。 2014 年，欧洲针对 2010 年和 2014 年计划的覆盖范围和参与情况以及主要组织和政策特征进行了调查。总体而言，27 个国家参与了这项调查，其中 28 个欧盟成员国中的 26 个国家 (92.9%) 加上挪威。 2014 年，25 个国家报告了一项正在进行的基于人口的计划，一个国家报告了一项试点计划，另一个国家正在计划一项试点。在八个国家，目标年龄范围比理事会建议提出的范围更宽，而在三个国家，目标年龄范围并未涵盖全部范围。 15 个国家报告称未惠及某些弱势群体，例如移民、囚犯和没有医疗保险的人，而 22 个国家报告称，其参与情况受到社会经济变量（例如年龄和领土）的定期监测。大多数欧盟成员国都制定了基于常规乳房 X 光检查的、有组织的、以人群为基础的乳腺癌筛查计划。然而，筛查项目的实施方式仍存在差异，应鼓励弱势群体参与。 (C) 2016 年作者。由爱思唯尔公司出版
The European Union Council Recommendation of 2 December 2003 on cancer screening suggests the implementation of organised, population- based breast cancer screening programmes based on mammography every other year for women aged 50 to 69 years, ensuring equal access to screening, taking into account potential needs for targeting particular socioeconomic groups. A European survey on coverage and participation, and key organisational and policy characteristics of the programmes, targeting years 2010 and 2014, was undertaken in 2014. Overall, 27 countries contributed to this survey, 26 of the 28 European Union member states (92.9%) plus Norway. In 2014, 25 countries reported an ongoing population- based programme, one country reported a pilot programme and another was planning a pilot. In eight countries, the target age range was broader than that proposed by the Council Recommendation, and in three countries the full range was not covered. Fifteen countries reported not reaching some vulnerable populations, such as immigrants, prisoners and people without health insurance, while 22 reported that participation was periodically monitored by socioeconomic variables (e.g. age and territory). Organised, population- based breast cancer screening programmes based on routine mammograms are in place in most EU member states. However, there are still differences in the way screening programmes are implemented, and participation by vulnerable populations should be encouraged. (C) 2016 The Authors. Published by Elsevier Inc.