Non-participation in breast screening in Denmark: Sociodemographic determinants

Background Internationally, non-participation in breast screening increased with decreasing level of education indicating importance of information campaigns to enhance awareness of screening. However, in Denmark in the 1990s the association between education and non-participation was U-shaped. We t...

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Bibliographic Details
Published in:BMC public health Vol. 24; no. 1; pp. 2024 - 8
Main Authors: von Euler-Chelpin, My, Napolitano, George, Lynge, Elsebeth, Borstrøm, Søren, Vejborg, Ilse
Format: Journal Article
Language:English
Published: London BioMed Central 29.07.2024
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Age
Aged
Analysis
Biostatistics
Breast
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - prevention & control
Care and treatment
Datasets
Demographic aspects
Denmark
Diagnosis
Early Detection of Cancer - statistics & numerical data
Education
Educational Status
Employees
Environmental Health
Epidemiology
Female
Health aspects
Humans
Mammography
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Participation
Patient Acceptance of Health Care - statistics & numerical data
Public Health
Public participation
Screening
Self employment
Sensitivity analysis
Social conditions
Sociodemographic Factors
Sociodemographics
Socioeconomic Factors
Vaccine
Women
Womens health
Denmark
Screening
Participation
Breast cancer
Mammography
Epidemiology
ISSN:1471-2458, 1471-2458
Online Access:Get full text
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Summary:Background Internationally, non-participation in breast screening increased with decreasing level of education indicating importance of information campaigns to enhance awareness of screening. However, in Denmark in the 1990s the association between education and non-participation was U-shaped. We therefore analyzed recent Danish data. Methods Data derived from the Capital Region of Denmark, biennial, organized breast screening program 2008–2020, where women aged 50–69 were personally invited to screening. Non-participation was measured as number of women with no participation out of women eligible for at least three invitations. Sociodemographic determinants were identified by linkage to public registers. Results were reported as age adjusted odds ratios (OR) of non-participation including 95% confidence intervals (CI). Results Among 196,085 women, 86% participated. Using women with low education as baseline, the OR for professional bachelors was 0.64; and for academics 0.75. The strongest determinants of non-participation were being non-married OR 2.03; born outside Denmark OR 2.04; being self-employed OR 1.67; retired OR 3.12; on public support OR 3.66; or having co-morbidity OR 1.56. Conclusion The U-shaped association between education and non-participation in breast screening prevailed. The data further indicated that screening participation was low in women with pertinent health and social problems.
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ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-024-19547-x