The varying influence of socioeconomic deprivation on breast cancer screening uptake in London

J Public Health (Oxf). 2016 Jun;38(2):330-4. doi: 10.1093/pubmed/fdv038. Epub 2015 Mar 31.

Abstract

Background: We assessed the relationship between screening uptake and socioeconomic deprivation for London women aged 50-52 invited to their first routine screening appointment between 2006 and 2009.

Methods: We examined uptake for London overall and within six screening areas, using deprivation quintile, based on post code of residence.

Results: After adjustment for age, area and ethnicity, overall uptake decreased with increasing deprivation (adjusted odds ratio (OR) = 0.95, P < 0.001). However, in two screening areas with lower uptake, women living in deprived areas had higher uptake than women from affluent areas.

Conclusions: These potential inequalities in early diagnosis across London require further investigation.

Keywords: breast cancer; screening; socioeconomic deprivation.

MeSH terms

  • Breast Neoplasms / diagnosis*
  • Early Detection of Cancer / economics
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / statistics & numerical data*
  • England
  • Female
  • Health Services Accessibility
  • Humans
  • Logistic Models
  • London
  • Mammography / economics
  • Mammography / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Poverty
  • State Medicine