Does poor mental health explain socio-demographic gradients in breast cancer screening uptake? A population-based study.
Does poor mental health explain socio-demographic gradients in breast cancer screening uptake? A population-based study.
复制标题
心理健康状况不佳是否可以解释乳腺癌筛查的社会人口统计学梯度？
DOI：
10.1093/eurpub/ckz220
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发表时间：
2020
影响因子：
4.4
通讯作者：
Ross E
中科院分区：
文献类型：
--
作者：
Ross E
背景来自美国的研究表明，精神健康状况不佳的妇女在乳腺癌筛查中的差异。然而，还没有尝试研究精神健康状况不佳对乳腺癌筛查的社会人口学差异的影响。目前的研究旨在探讨自我报告的慢性精神健康状况不佳的影响，在乳腺癌筛查在英国出席，并在何种程度上解释了社会人口不平等的筛查uptake.MethodsBreast筛查记录与2011年人口普查记录内的北方爱尔兰纵向研究。这确定了一个队列的57 328名妇女谁是通过一个为期3年的筛查周期的国家卫生服务乳腺癌筛查计划。关于心理健康状况的信息以及其他个人和家庭一级的属性来自2011年人口普查。结果10.7%的妇女报告心理健康状况不佳，在完全校正的分析中，这些人参加乳腺癌筛查的可能性降低了23%（OR 0.77，95%CI 0.73-0.82）。虽然精神健康状况不佳是一个强有力的预测筛选摄取，它并没有解释所观察到的不平等的社会经济地位，婚姻状况，或residence.ConclusionsThis研究的区域摄取不平等的乳腺癌筛查摄取的妇女在英国的慢性精神健康状况不佳。有针对性的干预措施是必要的，以确保公平的筛查机会，并提高整体死亡率的好处。
BackgroundResearch from the USA indicates disparities in breast cancer screening uptake for women with poor mental health. However, no attempt has been made to examine the contribution of poor mental health to socio-demographic variations in breast screening uptake. The current study aims to examine the impact of self-reported chronic poor mental health on attendance at breast screening in the UK, and to what extent this explains socio-demographic inequalities in screening uptake.MethodsBreast screening records were linked to 2011 Census records within the Northern Ireland Longitudinal Study. This identified a cohort of 57 328 women who were followed through one 3-year screening cycle of the National Health Service Breast Screening Programme. Information on mental health status, in addition to other individual and household-level attributes, was derived from the 2011 Census. Logistic regression was employed to calculate odds ratios (ORs) and 95% confidence intervals (CIs) of attendance at screening.Results10.7% of women in the cohort reported poor mental health, and in fully adjusted analyses, these individuals were 23% less likely to attend breast screening (OR 0.77; 95% CI 0.73–0.82). Although poor mental health was a strong predictor of screening uptake, it did not explain the observed inequalities in uptake by socio-economic status, marital status, or area of residence.ConclusionsThis study provides novel evidence of inequalities in breast screening uptake for women with chronic poor mental health in the UK. Targeted interventions are necessary to ensure equitable screening access and to enhance overall mortality benefit.
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影响因子：
4.5
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