Inequalities in reported use of breast and cervical screening in Great Britain: analysis of cross sectional survey data.

作者: K. Moser , J. Patnick , V. Beral

DOI: 10.1136/BMJ.B2025

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摘要: Objective To investigate the relation between women’s reported use of breast and cervical screening sociodemographic characteristics. Design Cross sectional multipurpose survey. Setting Private households, Great Britain. Population 3185 women aged 40-74 interviewed in National Statistics Omnibus Survey 2005-7. Main outcome measures Ever had a mammogram, ever smear, and, for each, timing most recent screen. Results 91% (95% confidence interval 90% to 92%) years having 93% (92% 94%) those 53-74 mammogram; 3% (2% 4%) never either or screening. Women were significantly more likely have mammogram if they lived households with cars (compared no car: one car, odds ratio 1.67, 95% 1.06 2.62; two cars, 2.65, 1.34 5.26), owner occupied housing rented housing: own mortgage, 2.12, 1.12 4.00; outright, 2.19, 1.39 3.43), but significant differences by ethnicity, education, occupation, region found. For screening, ethnicity was important predictor; white British smear than other (odds 2.20, 1.41 3.42). Uptake greater among educated not associated tenure, region. Conclusions Most (84%) eligible report both either. Some inequalities exist which differ type; indicators wealth The routine collection within general practice additional information would aid monitoring coverage inform policies correct them.

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