Cancer Causes & Control

, Volume 13, Issue 1, pp 73–82

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

  • Magdalena Lagerlund
  • Annette E. Maxwell
  • Roshan Bastani
  • Erik Thurfjell
  • Anders Ekbom
  • Mats Lambe
Article

DOI: 10.1023/A:1013978421073

Cite this article as:
Lagerlund, M., Maxwell, A.E., Bastani, R. et al. Cancer Causes Control (2002) 13: 73. 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.

breast cancer demography mammography mass screening utilization 

Copyright information

© Kluwer Academic Publishers 2002

Authors and Affiliations

  • Magdalena Lagerlund
    • 1
  • Annette E. Maxwell
    • 2
  • Roshan Bastani
    • 2
  • Erik Thurfjell
    • 3
  • Anders Ekbom
    • 1
  • Mats Lambe
    • 1
  1. 1.Department of Medical EpidemiologyKarolinska InstitutetStockholmSweden
  2. 2.UCLA School of Public Health and Jonsson Comprehensive Cancer CenterDivision of Cancer Prevention and Control ResearchLos AngelesUSA
  3. 3.Department of Oncology, Radiology and Clinical Immunology, Section of RadiologyUppsala University HospitalUppsalaSweden

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