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The importance of socio-economic variables in cancer screening participation: A comparison between population-based and opportunistic screening in the EU-15

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  • Walsh, Brendan
  • Silles, Mary
  • O'Neill, Ciarán

Abstract

Objectives To investigate differences in participation with breast and cervical cancer screening related to individual socio-economic characteristics, across population-based versus opportunistic screening programmes.Methods Data from Eurobarometer 66.2 "Health in the European Union" 2006 on self-reported breast and cervical cancer screening participation in the preceding 12 months within the EU 15 was obtained The sample was restricted to those eligible for screening based on the screening age within each country. Observations for 2214 and 5025 individuals respectively for breast and cervical cancer screening were available. Data on marital status, self-reported health, socio-economic group and years of education were also available. Screening programmes were categorised as population-based or opportunistic and logistic regression analysis used to examine the relationship between participation, individual characteristics and programme type.Results Differences in participation related to socio-economic status were observed in opportunistic screening programmes for breast cancer (ORÂ =Â 0.63* and ORÂ =Â 0.51**) and cervical cancer (ORÂ =Â 0.75** and ORÂ =Â 0.64**). Differences related to socio-economic characteristics were not found with respect to participation in population-based programmes.Conclusions In opportunistic programmes, differences in participation across socio-economic groups are evident in respect of both breast and cervical cancer screening. These differences may have implications for treatment and outcomes across socio-economic groups. Such differences were not evident in population-based programmes.

Suggested Citation

  • Walsh, Brendan & Silles, Mary & O'Neill, Ciarán, 2011. "The importance of socio-economic variables in cancer screening participation: A comparison between population-based and opportunistic screening in the EU-15," Health Policy, Elsevier, vol. 101(3), pages 269-276, August.
    • Handle: RePEc:eee:hepoli:v:101:y:2011:i:3:p:269-276
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    1. Burns, Richeal & Walsh, Brendan & O’Neill, Stephen & O’Neill, Ciaran, 2012. "An examination of variations in the uptake of prostate cancer screening within and between the countries of the EU-27," Health Policy, Elsevier, vol. 108(2), pages 268-276.
    2. Isabella Rosato & Teresa Dalla Zuanna & Valentina Tricarico & Claudio Barbiellini Amidei & Cristina Canova, 2023. "Adherence to Cervical Cancer Screening Programs in Migrant Populations: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    3. Shen, Cheng-Ting & Chen, Fang-Ming & Hsieh, Hui-Min, 2020. "Effect of a national population-based breast cancer screening policy on participation in mammography and stage at breast cancer diagnosis in Taiwan," Health Policy, Elsevier, vol. 124(4), pages 478-485.
    4. Bussière, Clémence & Le Vaillant, Marc & Pelletier-Fleury, Nathalie, 2015. "Screening for cervical cancer: What are the determinants among adults with disabilities living in institutions? Findings from a National Survey in France," Health Policy, Elsevier, vol. 119(6), pages 794-801.
    5. Clara Dugord & Carine Franc, 2022. "Trajectories and individual determinants of regular cancer screening use over a long period based on data from the French E3N cohort," Post-Print hal-04385507, HAL.
    6. Barbara Willems & Piet Bracke, 2018. "The education gradient in cancer screening participation: a consistent phenomenon across Europe?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 93-103, January.
    7. Willems, Barbara & Bracke, Piet, 2018. "Participants, Physicians or Programmes: Participants’ educational level and initiative in cancer screening," Health Policy, Elsevier, vol. 122(4), pages 422-430.
    8. Hale Koç & Owen O’Donnell & Tom Van Ourti, 2018. "What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    9. Gallo, Federica & Caprioglio, Adele & Castagno, Roberta & Ronco, Guglielmo & Segnan, Nereo & Giordano, Livia, 2017. "Inequalities in cervical cancer screening utilisation and results: A comparison between Italian natives and immigrants from disadvantaged countries," Health Policy, Elsevier, vol. 121(10), pages 1072-1078.
    10. Missinne, Sarah & Bracke, Piet, 2015. "A cross-national comparative study on the influence of individual life course factors on mammography screening," Health Policy, Elsevier, vol. 119(6), pages 709-719.
    11. Priaulx, Jennifer & de Koning, Harry J. & de Kok, Inge M.C.M. & Széles, György & McKee, Martin, 2018. "Identifying the barriers to effective breast, cervical and colorectal cancer screening in thirty one European countries using the Barriers to Effective Screening Tool (BEST)," Health Policy, Elsevier, vol. 122(11), pages 1190-1197.
    12. Ming-Jye Wang & Yi-Ting Lo, 2022. "Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    13. Jolidon, Vladimir, 2022. "Gender inequality and mammography screening: Does living with a partner improve women's mammography uptake?," Social Science & Medicine, Elsevier, vol. 298(C).
    14. Dugord, Clara & Franc, Carine, 2022. "Trajectories and individual determinants of regular cancer screening use over a long period based on data from the French E3N cohort," Social Science & Medicine, Elsevier, vol. 294(C).
    15. Carney, Patricia & O'Neill, Stephen & O'Neill, Ciaran, 2013. "Determinants of breast cancer screening uptake in women, evidence from the British Household Panel Survey," Social Science & Medicine, Elsevier, vol. 82(C), pages 108-114.
    16. Miao Zhang & Wenshuang Wei & Qinmei Li & Xinguang Chen & Min Zhang & Dan Zuo & Qing Liu, 2021. "Determinants of Intention to Participate in Breast Cancer Screening among Urban Chinese Women: An Application of the Protection Motivation Theory," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    17. Folkert Groot & Stefano Capri & Jean-Claude Castanier & David Cunningham & Bruno Flamion & Mathias Flume & Harald Herholz & Lars-Åke Levin & Oriol Solà-Morales & Christoph J. Rupprecht & Natalie Shale, 2017. "Ethical Hurdles in the Prioritization of Oncology Care," Applied Health Economics and Health Policy, Springer, vol. 15(2), pages 119-126, April.

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