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Inequalities in reported use of breast and cervical screening in Great Britain: analysis of cross sectional survey data.

Moser K, Patnick J, Beral V - BMJ (2009)

Bottom Line: For cervical screening, ethnicity was the most important predictor; white British women were significantly more likely to have had a cervical smear than were women of other ethnicity (odds ratio 2.20, 1.41 to 3.42).Some inequalities exist in the reported use of screening, which differ by screening type; indicators of wealth were important for breast screening and ethnicity for cervical screening.The routine collection within general practice of additional sociodemographic information would aid monitoring of inequalities in screening coverage and inform policies to correct them.

View Article: PubMed Central - PubMed

Affiliation: Cancer Epidemiology Unit, University of Oxford, Oxford OX3 7LF. kath.moser@ceu.ox.ac.uk

ABSTRACT

Objective: To investigate the relation between women's reported use of breast and cervical screening and sociodemographic characteristics.

Design: Cross sectional multipurpose survey.

Setting: Private households, Great Britain. Population 3185 women aged 40-74 interviewed in the National Statistics Omnibus Survey 2005-7.

Main outcome measures: Ever had a mammogram, ever had a cervical smear, and, for each, timing of most recent screen.

Results: 91% (95% confidence interval 90% to 92%) of women aged 40-74 years reported ever having had a cervical smear, and 93% (92% to 94%) of those aged 53-74 years reported ever having had a mammogram; 3% (2% to 4%) of women aged 53-74 years had never had either breast or cervical screening. Women were significantly more likely to have had a mammogram if they lived in households with cars (compared with no car: one car, odds ratio 1.67, 95% confidence interval 1.06 to 2.62; two or more cars, odds ratio 2.65, 1.34 to 5.26), and in owner occupied housing (compared with rented housing: own with mortgage, odds ratio 2.12, 1.12 to 4.00; own outright, odds ratio 2.19, 1.39 to 3.43), but no significant differences by ethnicity, education, occupation, or region were found. For cervical screening, ethnicity was the most important predictor; white British women were significantly more likely to have had a cervical smear than were women of other ethnicity (odds ratio 2.20, 1.41 to 3.42). Uptake of cervical screening was greater among more educated women but was not significantly associated with cars, housing tenure, or region.

Conclusions: Most (84%) eligible women report having had both breast and cervical screening, but 3% report never having had either. Some inequalities exist in the reported use of screening, which differ by screening type; indicators of wealth were important for breast screening and ethnicity for cervical screening. The routine collection within general practice of additional sociodemographic information would aid monitoring of inequalities in screening coverage and inform policies to correct them.

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Fig 1 Time since most recent mammogram, all women aged 53-74
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fig1: Fig 1 Time since most recent mammogram, all women aged 53-74

Mentions: Just under two thirds (1172/1919) of women aged 53-74 had had a mammogram in the previous three years, decreasing from 80% (154/198) of those aged 53-54 to 58% (223/391) in the 65-69 age group and 27% (108/390) in the 70-74 age group (fig 1). Eighty nine per cent (600/688) of women in their 50s had had a mammogram in the previous six years, as had 80% (678/841) of those in their 60s and 48% (187/390) of the 70-74 age group. Of women who had not had a hysterectomy, around three quarters of those in each age group from 40-44 and 55-59 years had had a cervical smear in the previous five years and a further approximately 5% had one more than five years previously (fig 2). Unsurprisingly, among women aged 60 and over, the percentage who had a smear less than five years previously decreased with age; the percentage who had one longer ago increased with age, as did the percentage reporting never having had one. Most women knew when they had last had a mammogram, in contrast with the higher proportion of women who did not know the date of their most recent cervical smear.


Inequalities in reported use of breast and cervical screening in Great Britain: analysis of cross sectional survey data.

Moser K, Patnick J, Beral V - BMJ (2009)

Fig 1 Time since most recent mammogram, all women aged 53-74
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2697310&req=5

fig1: Fig 1 Time since most recent mammogram, all women aged 53-74
Mentions: Just under two thirds (1172/1919) of women aged 53-74 had had a mammogram in the previous three years, decreasing from 80% (154/198) of those aged 53-54 to 58% (223/391) in the 65-69 age group and 27% (108/390) in the 70-74 age group (fig 1). Eighty nine per cent (600/688) of women in their 50s had had a mammogram in the previous six years, as had 80% (678/841) of those in their 60s and 48% (187/390) of the 70-74 age group. Of women who had not had a hysterectomy, around three quarters of those in each age group from 40-44 and 55-59 years had had a cervical smear in the previous five years and a further approximately 5% had one more than five years previously (fig 2). Unsurprisingly, among women aged 60 and over, the percentage who had a smear less than five years previously decreased with age; the percentage who had one longer ago increased with age, as did the percentage reporting never having had one. Most women knew when they had last had a mammogram, in contrast with the higher proportion of women who did not know the date of their most recent cervical smear.

Bottom Line: For cervical screening, ethnicity was the most important predictor; white British women were significantly more likely to have had a cervical smear than were women of other ethnicity (odds ratio 2.20, 1.41 to 3.42).Some inequalities exist in the reported use of screening, which differ by screening type; indicators of wealth were important for breast screening and ethnicity for cervical screening.The routine collection within general practice of additional sociodemographic information would aid monitoring of inequalities in screening coverage and inform policies to correct them.

View Article: PubMed Central - PubMed

Affiliation: Cancer Epidemiology Unit, University of Oxford, Oxford OX3 7LF. kath.moser@ceu.ox.ac.uk

ABSTRACT

Objective: To investigate the relation between women's reported use of breast and cervical screening and sociodemographic characteristics.

Design: Cross sectional multipurpose survey.

Setting: Private households, Great Britain. Population 3185 women aged 40-74 interviewed in the National Statistics Omnibus Survey 2005-7.

Main outcome measures: Ever had a mammogram, ever had a cervical smear, and, for each, timing of most recent screen.

Results: 91% (95% confidence interval 90% to 92%) of women aged 40-74 years reported ever having had a cervical smear, and 93% (92% to 94%) of those aged 53-74 years reported ever having had a mammogram; 3% (2% to 4%) of women aged 53-74 years had never had either breast or cervical screening. Women were significantly more likely to have had a mammogram if they lived in households with cars (compared with no car: one car, odds ratio 1.67, 95% confidence interval 1.06 to 2.62; two or more cars, odds ratio 2.65, 1.34 to 5.26), and in owner occupied housing (compared with rented housing: own with mortgage, odds ratio 2.12, 1.12 to 4.00; own outright, odds ratio 2.19, 1.39 to 3.43), but no significant differences by ethnicity, education, occupation, or region were found. For cervical screening, ethnicity was the most important predictor; white British women were significantly more likely to have had a cervical smear than were women of other ethnicity (odds ratio 2.20, 1.41 to 3.42). Uptake of cervical screening was greater among more educated women but was not significantly associated with cars, housing tenure, or region.

Conclusions: Most (84%) eligible women report having had both breast and cervical screening, but 3% report never having had either. Some inequalities exist in the reported use of screening, which differ by screening type; indicators of wealth were important for breast screening and ethnicity for cervical screening. The routine collection within general practice of additional sociodemographic information would aid monitoring of inequalities in screening coverage and inform policies to correct them.

Show MeSH
Related in: MedlinePlus