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Population-based mammography screening attendance in Sweden 2017–2018 : A cross-sectional register study to assess the impact of sociodemographic factors

Lagerlund, Magdalena LU ; Åkesson, Anna and Zackrisson, Sophia LU (2021) In Breast 59. p.16-26
Abstract

Sweden has a population-based mammography screening programme for women aged 40–74. The objective of this study was to examine the association between mammography screening attendance and sociodemographic factors in 15 of Sweden's 21 health care regions. Register-based information was collected on all mammography screening invitations and attendance during 2017 and 2018, and linked to individual-level sociodemographic data from Statistics Sweden. Odds ratios (ORs) and 95% confidence intervals (CIs) for attendance were computed by sociodemographic factor. The study sample included 1.5 million women, aged 40–75, with an overall screening attendance of 81.3%. The lowest odds of attending were found for women living without a partner (OR =... (More)

Sweden has a population-based mammography screening programme for women aged 40–74. The objective of this study was to examine the association between mammography screening attendance and sociodemographic factors in 15 of Sweden's 21 health care regions. Register-based information was collected on all mammography screening invitations and attendance during 2017 and 2018, and linked to individual-level sociodemographic data from Statistics Sweden. Odds ratios (ORs) and 95% confidence intervals (CIs) for attendance were computed by sociodemographic factor. The study sample included 1.5 million women, aged 40–75, with an overall screening attendance of 81.3%. The lowest odds of attending were found for women living without a partner (OR = 0.52, 95% CI: 0.52–0.53), low-income women (OR = 0.57, 95% CI: 0.56–0.57), and non-Nordic women born in Europe (OR = 0.60, 95% CI: 0.59–0.61). Other groups with lower odds of attending were women whose main source of income was social assistance or benefits (OR = 0.62, 95% CI: 0.62–0.63), those not owning their home (OR = 0.66, 95% CI: 0.66–0.67), and those with low level of education (OR = 0.72, 95% CI: 0.71–0.73). Having multiple of these sociodemographic characteristics further lowered the odds of attending. Although overall mammography screening attendance in Sweden is high, sociodemographic inequalities exist, and efforts should be made to address these. Particular attention should be given to low-income women who live without a partner.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Breast cancer screening, Mammography, Socioeconomic aspects of health, Women's health
in
Breast
volume
59
pages
11 pages
publisher
Churchill Livingstone
external identifiers
  • scopus:85107657232
  • pmid:34118780
ISSN
0960-9776
DOI
10.1016/j.breast.2021.05.011
language
English
LU publication?
yes
id
032ddcbe-68a9-4cbc-9057-27f5e374ce30
date added to LUP
2021-07-01 14:57:26
date last changed
2024-04-20 08:14:20
@article{032ddcbe-68a9-4cbc-9057-27f5e374ce30,
  abstract     = {{<p>Sweden has a population-based mammography screening programme for women aged 40–74. The objective of this study was to examine the association between mammography screening attendance and sociodemographic factors in 15 of Sweden's 21 health care regions. Register-based information was collected on all mammography screening invitations and attendance during 2017 and 2018, and linked to individual-level sociodemographic data from Statistics Sweden. Odds ratios (ORs) and 95% confidence intervals (CIs) for attendance were computed by sociodemographic factor. The study sample included 1.5 million women, aged 40–75, with an overall screening attendance of 81.3%. The lowest odds of attending were found for women living without a partner (OR = 0.52, 95% CI: 0.52–0.53), low-income women (OR = 0.57, 95% CI: 0.56–0.57), and non-Nordic women born in Europe (OR = 0.60, 95% CI: 0.59–0.61). Other groups with lower odds of attending were women whose main source of income was social assistance or benefits (OR = 0.62, 95% CI: 0.62–0.63), those not owning their home (OR = 0.66, 95% CI: 0.66–0.67), and those with low level of education (OR = 0.72, 95% CI: 0.71–0.73). Having multiple of these sociodemographic characteristics further lowered the odds of attending. Although overall mammography screening attendance in Sweden is high, sociodemographic inequalities exist, and efforts should be made to address these. Particular attention should be given to low-income women who live without a partner.</p>}},
  author       = {{Lagerlund, Magdalena and Åkesson, Anna and Zackrisson, Sophia}},
  issn         = {{0960-9776}},
  keywords     = {{Breast cancer screening; Mammography; Socioeconomic aspects of health; Women's health}},
  language     = {{eng}},
  pages        = {{16--26}},
  publisher    = {{Churchill Livingstone}},
  series       = {{Breast}},
  title        = {{Population-based mammography screening attendance in Sweden 2017–2018 : A cross-sectional register study to assess the impact of sociodemographic factors}},
  url          = {{http://dx.doi.org/10.1016/j.breast.2021.05.011}},
  doi          = {{10.1016/j.breast.2021.05.011}},
  volume       = {{59}},
  year         = {{2021}},
}