Sociodemographic predictors of non-attendance at invitational mammography screening--a population-based register study (Sweden)

Cancer Causes Control. 2002 Feb;13(1):73-82. doi: 10.1023/a:1013978421073.

Abstract

Objective: To investigate the role of sociodemographic factors in predicting mammography uptake in an outreach screening program.

Methods: Linkage of data from a regional population-based mammography program with four Swedish nationwide registers: the Population and Housing Census of 1990, the Fertility Register, the Cancer Register, and the Cause of Death Register. We computed odds ratios (OR) and 95% confidence intervals (CI) for non-attendance by sociodemographic factors. Non-attendance was defined as failure to attend in response to the two most recent invitations.

Results: Multivariate analyses among 4198 non-attenders and 38,972 attenders revealed that both childless and high-parity women were more likely to be non-attenders (OR = 1.8, 95% CI: 1.6-2.0 and OR = 2.2, 95% CI: 1.8-2.7, respectively). Women living without a partner were less likely to attend (OR = 1.7, 95% CI: 1.5-1.9), as were non-employed women (OR = 2.1, 95% CI: 1.9-2.3). Those renting an apartment were more likely to be non-attenders compared with home-owners (OR = 1.8, 95% CI: 1.6-2.0), and immigrants from non-Nordic countries were more than twice as likely to be non-attenders compared with Swedish-born women (OR = 2.4, 95% CI: 2.0-2.8).

Conclusions: There are identifiable subgroups in which mammography utilization can be increased. Special attention should be paid to women who have never attended, childless women, and non-Nordic immigrants.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Analysis of Variance
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / prevention & control*
  • Community-Institutional Relations
  • Confidence Intervals
  • Female
  • Humans
  • Logistic Models
  • Mammography / statistics & numerical data*
  • Mass Screening / organization & administration
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Odds Ratio
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Population Surveillance
  • Predictive Value of Tests
  • Registries
  • Risk Assessment
  • Risk Factors
  • Socioeconomic Factors
  • Sweden / epidemiology