Results of breast cancer screening in first generation migrants in Northwest Netherlands

Eur J Cancer Prev. 2005 Jun;14(3):251-5. doi: 10.1097/00008469-200506000-00009.


To determine breast cancer screening results according to country of birth data were used from the breast cancer screening organization of the Comprehensive Cancer Centre Amsterdam, The Netherlands. Overall (age-adjusted) attendance of the breast cancer screening was 76% for women aged 50-69. Attendance was significantly lower for women born in non-western countries (Surinam 59%, Turkey 44% and Morocco 37%) and for women with residence in Amsterdam (68%). Referral and detection rates for women from non-western countries were 5.1 and 2.2 per 1000 screened women, respectively, compared with 8.8 and 4.0 for women born in The Netherlands (P<0.05). The positive predictive value was 45% for women born in The Netherlands and western countries and 43% for women born in non-western countries. Although women born in non-western countries attend breast cancer screening less frequently than women born in The Netherlands, they also have a low detection rate. The latter finding justifies a passive attitude towards the low attendance.

MeSH terms

  • Aged
  • Attitude to Health
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / ethnology*
  • Emigration and Immigration*
  • Female
  • Humans
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Netherlands / epidemiology
  • Patient Compliance
  • Predictive Value of Tests
  • Sensitivity and Specificity