European transnational ecological deprivation index and participation in population-based breast cancer screening programmes in France
European transnational ecological deprivation index and participation in population-based breast cancer screening programmes in France
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DOI：
10.1016/j.ypmed.2013.12.007
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发表时间：
2014-06-01
影响因子：
5.1
通讯作者：
Arveux, Patrick
中科院分区：
文献类型：
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作者：
Ouedraogo, Samiratou;Dabakuyo-Yonli, Tienhan Sandrine;Arveux, Patrick
背景：我们考虑了欧洲跨国生态剥夺指数，调查了乳腺癌筛查项目 (BCSP) 参与率低的因素。 患者和方法：随机选择 13,565 名 51-74 岁女性的数据，这些女性被邀请参加 2010 年至 2011 年间在法国 13 个部门举办的有组织的乳房 X 线摄影筛查会议。以多层次模型记录和分析女性参与 BCSP 的信息、她们的个人特征以及居住地区的特征。 结果：2010 年至 2012 年间，研究人群中 7121 名（52.5%）女性收到邀请后进行了乳房 X 光检查。生活在最贫困社区的妇女比生活在最富裕社区的妇女参与 BCSP 的可能性更低（OR 95%CI = 0.84[0.78-0.92]），生活在农村地区的妇女与生活在城市地区的妇女相比也是如此（OR 95%CI = 0.87[0.80-0.95]）。自营职业者 (p < 0.0001) 或居住距离认可的筛查中心超过 15 分钟 (p = 0.02) 也是参与 BCSP 的障碍。结论：尽管 BCSP 的实施无阶级性，但接受方面的不平等仍然存在。为了充分利用预防并避免加剧癌症死亡率的差异，BCSP 应适应女性的个人和背景特征。 (C) 2014 Elsevier Inc. 保留所有权利。
Background: We investigated factors explaining low breast cancer screening programme (BCSP) attendance taking into account a European transnational ecological Deprivation Index.Patients and methods: Data of 13,565 women aged 51-74 years old invited to attend an organised mammography screening session between 2010 and 2011 in thirteen French departments were randomly selected. Information on the women's participation in BCSP, their individual characteristics and the characteristics of their area of residence were recorded and analysed in a multilevel model.Results: Between 2010 and 2012, 7121 (52.5%) women of the studied population had their mammography examination after they received the invitation. Women living in the most deprived neighbourhood were less likely than those living in the most affluent neighbourhood to participate in BCSP (OR 95%CI = 0.84[0.78-0.92]) as were those living in rural areas compared with those living in urban areas (OR 95%CI = 0.87[0.80-0.95]). Being self-employed (p < 0.0001) or living more than 15 min away from an accredited screening centre (p = 0.02) was also a barrier to participation in BCSP.Conclusion: Despite the classless delivery of BCSP, inequalities in uptake remain. To take advantage of prevention and to avoid exacerbating disparities in cancer mortality, BCSP should be adapted to women's personal and contextual characteristics. (C) 2014 Elsevier Inc. All rights reserved.