The Research Unit for General Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, Aarhus C 8000, Denmark. line.jensen@alm.au.dk
A population-based breast cancer screening programme was implemented in the Central Denmark Region in 2008-09. The objective of this registry-based study was to examine the association between socio-demographic characteristics and screening participation and to examine whether the group of non-participants can be regarded as a homogeneous group of women.
Participation status was obtained from a regional database for all women invited to the first screening round in the Central Denmark Region in 2008-2009 (n=149,234). Participation data was linked to registries containing socio-demographic information. Distance to screening site was calculated using ArcGIS. Participation was divided into 'participants' and 'non-participants', and non-participants were further stratified into 'active non-participants' and 'passive non-participants' based on whether the woman called and cancelled her participation or was a 'no-show'.
The screening participation rate was 78.9%. In multivariate analyses, non-participation was associated with older age, immigrant status, low OECD-adjusted household income, high and low level education compared with middle level education, unemployment, being unmarried, distance to screening site >20 km, being a tenant and no access to a vehicle. Active and passive non-participants comprised two distinct groups with different socio-demographic characteristics, with passive non-participants being more socially deprived compared with active non-participants.
Non-participation was associated with low social status e.g. low income, unemployment, no access to vehicle and status as tenant. Non-participants were also more likely than participants to be older, single, and of non-Danish origin. Compared to active non-participants, passive non-participants were characterized by e.g. lower income and lower educational level. Different interventions might be warranted to increase participation in the two non-participant groups.
Notes
Cites: Lancet. 2002 Mar 16;359(9310):909-1911918907
Cites: Cancer Causes Control. 2002 Feb;13(1):73-8211899121
Cites: Ann Intern Med. 2002 Sep 3;137(5 Part 1):347-6012204020
Cites: Eur J Cancer Prev. 2003 Dec;12(6):487-9414639126
Cites: Int J Cancer. 2004 Feb 20;108(5):754-6014696103
Cites: Am J Epidemiol. 2004 Apr 1;159(7):702-615033648
Cites: BMC Med Res Methodol. 2003 Oct 20;3:2114567763
Cites: Breast. 2004 Aug;13(4):284-915325662
Cites: J Med Screen. 1999;6(2):82-810444726
Cites: Int J Cancer. 2005 Jan 20;113(3):464-7015455383
Cites: Eur J Cancer Prev. 2006 Jun;15(3):242-816679867
Cites: Int J Cancer. 2008 Jan 15;122(2):418-2317893881
Cites: Soc Sci Med. 2008 Jan;66(2):260-7518022299
Cites: Cancer. 2009 Oct 15;115(20):4828-3819645031
Cites: Health Educ Behav. 2009 Dec;36(6):1012-2519233947
Cites: Cancer Causes Control. 2009 Oct;20(8):1339-5319449107
Cites: BMC Public Health. 2010;10:14620302614
Cites: Int J Public Health. 2010 Jun;55(3):209-1520340039
Cites: Lancet. 2011 Jan 8;377(9760):127-3821183212