Samiratou Ouédraogo1, Tienhan Sandrine Dabakuyo-Yonli2, Adrien Roussot3, Carole Pornet4, Nathalie Sarlin5, Philippe Lunaud6, Pascal Desmidt7, Catherine Quantin8, Franck Chauvin9, Vincent Dancourt10, Patrick Arveux11. 1. Breast and Gynaecologic Cancer Registry of Cote d'Or, Georges-François Leclerc Comprehensive Cancer Care Centre, 1 rue Professeur Marion, 21000 Dijon, France; EA 4184, Medical School, University of Burgundy, 7 boulevard Jeanne d'Arc, 21000 Dijon, France. Electronic address: samioued@yahoo.fr. 2. EA 4184, Medical School, University of Burgundy, 7 boulevard Jeanne d'Arc, 21000 Dijon, France; Biostatistics and Quality of Life Unit, Georges-François Leclerc Comprehensive Cancer Care Centre, 1 rue du Professeur Marion, 21000 Dijon, France. Electronic address: sdabakuyo@cgfl.fr. 3. Service de Biostatistique et d'Informatique Médicale, University Hospital of Dijon, 21000 Dijon, France. Electronic address: adroussot@laposte.net. 4. Department of Epidemiological Research and Evaluation, CHU de Caen, France; EA3936, Medical School, Université de Caen Basse-Normandie, Caen, France; U1086 Inserm, Cancers and Preventions, Medical School, Université de Caen Basse-Normandie, Avenue de la Côte de Nacre, 14032 Caen Cedex, France. Electronic address: carole.pornet@inserm.fr. 5. Caisse Primaire d'Assurance maladie de la Côte d'Or, 8 rue du Dr Maret, 21000 Dijon, France. Electronic address: nathalie.sarlin@cpam-dijon.cnamts.fr. 6. Régime Social des Indépendants de Bourgogne, 41 rue de Mulhouse, 21000 Dijon, France. Electronic address: Philippe.Lunaud@bourgogne.rsi.fr. 7. Mutualité Sociale Agricole de Bourgogne, 14 rue Félix Trutat 21000 Dijon, France. Electronic address: desmidt.pascal@bourgogne.msa.fr. 8. Service de Biostatistique et d'Informatique Médicale, University Hospital of Dijon, 21000 Dijon, France; Inserm U866, Medical School, University of Burgundy, 21000 Dijon, France. Electronic address: catherine.quantin@chu-dijon.fr. 9. Institut de Cancérologie Lucien Neuwirth, CIC-EC 3 Inserm, IFR 143, Saint-Etienne, France; Université Lyon 1, CNRS UMR 5558 and Hospices Civils de Lyon, Lyon, France. Electronic address: Franck.CHAUVIN@icloire.fr. 10. Inserm U866, Medical School, University of Burgundy, 21000 Dijon, France; Association pour le Dépistage des Cancers en Côte d'Or et dans la Nièvre (ADECA 21-58), 16-18 rue Nodot, 21000 Dijon, France. Electronic address: vincent.dancourt@wanadoo.fr. 11. Breast and Gynaecologic Cancer Registry of Cote d'Or, Georges-François Leclerc Comprehensive Cancer Care Centre, 1 rue Professeur Marion, 21000 Dijon, France; EA 4184, Medical School, University of Burgundy, 7 boulevard Jeanne d'Arc, 21000 Dijon, France. Electronic address: parveux@cgfl.fr.
Abstract
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 51-74years 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 15min 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.
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 51-74years 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 15min 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.
Authors: Eleanor I Walsh; Emma L Turner; J Athene Lane; Jenny L Donovan; David E Neal; Freddie C Hamdy; Richard M Martin Journal: Trials Date: 2016-10-13 Impact factor: 2.279
Authors: Folkert de Groot; Stefano Capri; Jean-Claude Castanier; David Cunningham; Bruno Flamion; Mathias Flume; Harald Herholz; Lars-Åke Levin; Oriol Solà-Morales; Christoph J Rupprecht; Natalie Shalet; Andrew Walker; Olivier Wong Journal: Appl Health Econ Health Policy Date: 2017-04 Impact factor: 2.561
Authors: Elodie Guillaume; Carole Pornet; Olivier Dejardin; Ludivine Launay; Roberto Lillini; Marina Vercelli; Marc Marí-Dell'Olmo; Amanda Fernández Fontelo; Carme Borrell; Ana Isabel Ribeiro; Maria Fatima de Pina; Alexandra Mayer; Cyrille Delpierre; Bernard Rachet; Guy Launoy Journal: J Epidemiol Community Health Date: 2015-12-11 Impact factor: 3.710