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The effects of a UK review of breast cancer screening on uptake : an observational before/after study
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Taylor-Phillips, Sian, O'Sullivan, Emma, Kearins, Olive, Parsons, Helen and Clarke, Aileen (2013) The effects of a UK review of breast cancer screening on uptake : an observational before/after study. Journal of Medical Screening, Volume 20 (Number 2). pp. 86-90. doi:10.1177/0969141313497198 ISSN 0969-1413.
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Official URL: http://dx.doi.org/10.1177/0969141313497198
Abstract
Objectives: To measure whether uptake of breast cancer screening was affected by the publication of the Marmot Review and associated press coverage.
Setting: Eight NHS breast screening centres in the West Midlands of the UK.
Methods: Uptake of breast cancer screening invitations was compared in the week before and after the Marmot review publication. All 12,023 women invited for screening between 23 October 2012 and 5 November 2012 were included. A mixed effects model of the predictors of screening uptake (on date invited, or within 21 days) was created. Predictors considered for inclusion were whether the allocated screening appointment was before or after publication of the review, population factors (age, index of multiple deprivation income domain by quintile, previous attendance), and interaction terms.
Results: Uptake decreased after publication of the review from 65% to 62% (OR = 0.87 95%CI = 0.80–0.94), but a similar decrease was seen for the same dates on the previous year (OR = 0.85 95%CI = 0.78–0.93). Odds of attending screening were lower for women in the most deprived (uptake = 49%, OR = 0.54, 95%CI = 0.46–0.62) in comparison with the least deprived quintile (uptake = 71%). Odds of attendance also increased if the woman had ever previously attended (OR 3.9 95% CI 3.5–4.4), and decreased with each year of increasing age (OR 0.96 95% CI 0.96–0.97). There were no interactions between any of the other predictors and whether the appointment was before or after publication of the Marmot review.
Conclusion: No change in uptake of breast cancer screening above normal seasonal variation was detected after publication of the Marmot review.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Breast -- Cancer, Medical screening -- Great Britain, Marmot review | ||||||
Journal or Publication Title: | Journal of Medical Screening | ||||||
Publisher: | Sage Publications Ltd. | ||||||
ISSN: | 0969-1413 | ||||||
Official Date: | 19 July 2013 | ||||||
Dates: |
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Volume: | Volume 20 | ||||||
Number: | Number 2 | ||||||
Page Range: | pp. 86-90 | ||||||
DOI: | 10.1177/0969141313497198 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 27 December 2015 | ||||||
Date of first compliant Open Access: | 27 December 2015 | ||||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) |
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