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Distance to screening site and non-participation in screening for breast cancer: a population-based study.
- Source :
-
Journal of public health (Oxford, England) [J Public Health (Oxf)] 2014 Jun; Vol. 36 (2), pp. 292-9. Date of Electronic Publication: 2013 Jul 23. - Publication Year :
- 2014
-
Abstract
- Background: In population-based breast cancer screening programmes, the geographical distance to the screening site may influence a woman's propensity to participate. The aim of this study was to analyse the effect driving distance to the screening unit had on women's participation in a breast cancer screening programme.<br />Methods: All women invited to the first round of breast cancer screening in the Central Denmark Region were eligible for inclusion (n = 149,234). Information on participation was collected from a regional administrative database. The shortest road distance between each woman's residence and her affiliated screening site was assessed using Network Analyst, ArcGIS.<br />Results: The unadjusted association between distance and non-participation formed a J-shape curve. Adjustment for socio-demographic characteristics caused the J-shape to disappear, and the probability of non-attendance rose with longer distance to the screening site but flattened after ~45 km. Women without access to a vehicle had a higher risk of non-participation than women with access to a vehicle.<br />Conclusions: A long road distance to the screening site was associated with an increased risk of non-participation. Women without access to a vehicle were at higher risk of non-participation than women who had access to a vehicle.<br /> (© The Author 2013. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Details
- Language :
- English
- ISSN :
- 1741-3850
- Volume :
- 36
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of public health (Oxford, England)
- Publication Type :
- Academic Journal
- Accession number :
- 23885026
- Full Text :
- https://doi.org/10.1093/pubmed/fdt068