Socioeconomic and ethnic inequalities in screen-detected breast cancer in London.
J Public Health (Oxf)
; 35(4): 607-15, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-23440707
ABSTRACT
BACKGROUND:
We investigated socioeconomic and ethnic inequalities in screen-detected breast cancer in London-a city with relatively low breast cancer screening uptake and a diverse population.METHODS:
Data on 11 957 breast cancers in London women aged 50-64 between 1998 and 2005 were extracted from the Thames Cancer Registry. We investigated the relationship between socioeconomic deprivation and the incidence and 5-year relative survival of screen-detected and non screen-detected cancers. Using logistic regression analysis we explored whether differences in screen-detected cancers between White, Asian and Black women were influenced by age and socioeconomic deprivation.RESULTS:
The incidence of screen-detected breast cancer was lower in deprived women and their 5-year relative survival was worse than affluent women. However, survival differences were smaller for screen-detected disease. Among women with breast cancer the odds ratios (OR) for screen-detected disease differed between ethnic groups and these differences were not influenced by adjustment for age and deprivation. Compared with White women, Indian women had higher odds (OR 1.50, 95% confidence interval (1.23-1.84)], and Black Caribbean [0.68 (0.54-0.87)] and Black African women [0.53 (0.38-0.76)] significantly lower odds.CONCLUSION:
A sustained focus on increasing screening uptake among deprived women and in Black communities could decrease inequalities in early diagnosis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Etnicidade
/
Disparidades em Assistência à Saúde
/
Detecção Precoce de Câncer
Tipo de estudo:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Female
/
Humans
/
Middle aged
País/Região como assunto:
Asia
/
Europa
Idioma:
En
Revista:
J Public Health (Oxf)
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Reino Unido