Major ethnic group differences in breast cancer screening uptake in Scotland are not extinguished by adjustment for indices of geographical residence, area deprivation, long-term illness and education
Major ethnic group differences in breast cancer screening uptake in Scotland are not extinguished by adjustment for indices of geographical residence, area deprivation, long-term illness and education
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DOI：
10.1038/bjc.2012.83
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发表时间：
2012-04-10
影响因子：
8.8
通讯作者：
Brewster, D. H.
中科院分区：
文献类型：
--
作者：
Bansal, N.;Bhopal, R. S.;Brewster, D. H.
背景：乳腺癌筛查数据通常显示少数民族的摄取率较低。我们调查是否发生这种变化在Scotland.METHODS：使用非侵入性计算机连接，我们结合了苏格兰乳腺癌筛查和2001年人口普查数据。未接受首次乳房检查邀请（2002-2008年）在11个种族之间进行比较，使用年龄调整的风险比（RR）和95%置信区间（CI），乘以100，使用泊松回归。与苏格兰的白色人相比（RR = 100），其他白色英国人（99.5，95% CI 96.1-103.2）和中国人（112.8，95% CI 96.3-132.2）和更高（巴基斯坦人）（181.7，95% CI 164.9-200.2）、非洲（162.2，95% CI 130.8-201.1）、其他南亚（151.7，95% CI 118.9-193.7）和印度（141.7，95% CI 121.1-165.7）组。调整农村与城市居住，长期疾病，地区剥夺和教育，与不出席的风险，增加了RR不出席除了巴基斯坦妇女，它是适度衰减（RR = 164.9，149.4-182.1）。结论：我们的数据显示，重要的不平等，在乳腺癌筛查摄取，而不是减弱潜在的混杂因素。乳腺癌筛查参与率的种族不平等令人担忧，特别是有证据表明，南亚群体传统上较低的乳腺癌发病率正在向英国白色人群的风险靠拢。尽管即将对乳腺癌筛查进行审查，但这些数据要求采取紧急行动。英国癌症杂志（2012）106，1361-1366。doi：10.1038/bjc.2012.83 www.bjcancer.com在线发布2012年3月13日（C）2012英国癌症研究
BACKGROUND: Breast cancer screening data generally show lower uptake in minority ethnic groups. We investigated whether such variations occur in Scotland.METHODS: Using non-disclosive computerised linkage we combined Scottish breast screening and Census 2001 data. Non-attendance at first breast-screening invitation (2002-2008) was compared between 11 ethnic groups using age-adjusted risk ratios (RR) with 95% confidence intervals (CI), multiplied by 100, using Poisson regression.RESULTS: Compared with the White Scottish (RR = 100), non-attendance was similar for Other White British (99.5, 95% CI 96.1-103.2) and Chinese (112.8, 95% CI 96.3-132.2) and higher for Pakistani (181.7, 95% CI 164.9-200.2), African (162.2, 95% CI 130.8-201.1), Other South Asian (151.7, 95% CI 118.9-193.7) and Indian (141.7, 95% CI 121.1-165.7) groups. Adjustment for rural vs urban residence, long-term illness, area deprivation and education, associated with risk of non-attendance, increased the RR for non-attendance except for Pakistani women where it was modestly attenuated (RR = 164.9, 149.4-182.1).CONCLUSION: Our data show important inequality in breast cancer screening uptake, not attenuated by potential confounding factors. Ethnic inequalities in breast screening attendance are of concern especially given evidence that the traditionally lower breast cancer rates in South Asian groups are converging towards the risks in the White UK population. Notwithstanding the forthcoming review of breast cancer screening, these data call for urgent action. British Journal of Cancer (2012) 106, 1361-1366. doi: 10.1038/bjc.2012.83 www.bjcancer.com Published online 13 March 2012 (C) 2012 Cancer Research UK