Determinants of Non-Participation in Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Ding, Lilu; Wang, Jing; Greuter, Marcel J W; Goossens, Mathijs; Hal, Guido Van; Bock, Geertruida H. de

doi:10.3389/fonc.2022.817222

Cited by 10 publications

(11 citation statements)

References 55 publications

(44 reference statements)

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“…Accessibility has several dimensions including acceptability. The list of potential barriers includes, in addition to health literacy, sociodemographic, cultural, psychological, and migration related factors, travel distance, and healthcare system barriers 226414445. The results of this study indicate that efforts other than translated information are needed to increase attendance.…”

Section: Discussionmentioning

confidence: 90%

“…On the basis of the results of this trial, no reason exists to expect that translated information alone will increase attendance at BreastScreen Norway for immigrant women in the future. Several aspects of the screening programme should be considered to facilitate a higher attendance among immigrant women, such as guaranteed access to female radiographers and the use of an interpreter service 41. A guarantee of a female radiographer is difficult to give in Norway, and the interpreter service is challenging in a screening setting.…”

Section: Discussionmentioning

confidence: 99%

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Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Hofvind,

Iqbal,

Thy

et al. 2023

BMJ

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Objective To explore attendance at organised mammographic screening among immigrant groups that received an invitation letter and information leaflet (invitation) in their language of origin and Norwegian compared with Norwegian only. Design Randomised controlled trial. Setting Population based screening programme for breast cancer in Norway (BreastScreen Norway), which invites women aged 50-69 to two-view mammographic screening biennially. Participants All women invited to BreastScreen Norway in the study period April 2021 to June 2022 whose language of origin was Arabic (women born in Algeria, Egypt, Lebanon, Iraq, Palestine, Sudan, Syria, Tunisia, or Morocco), English (women born in the Philippines), Polish (women born in Poland), Somali (women born in Somalia), or Urdu (women born in Pakistan) (n=11 347). Intervention The study group received an invitation to screening in their language of origin and in Norwegian, whereas the control group received an invitation in Norwegian only during the study period. Main outcome measure Attendance at BreastScreen Norway during the study period. Results Overall attendance was 46.5% (2642/5683) in the study group and 47.4% (2682/5664) in the control group. No statistical differences in attendance were observed after stratification by language of invitation, age at invitation, or years since immigration. Conclusions No difference in attendance was observed between immigrant women invited to BreastScreen Norway in their language of origin and in Norwegian compared with Norwegian only. Several barriers to cancer screening may exist among immigrants, and translating the invitation is probably only a part of a complex explanation. Trial registration NCT04672265.ClinicalTrials.gov NCT04672265 .

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Hofvind,

Iqbal,

Thy

et al. 2023

BMJ

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“…In a previous study, using individual‐level data from the EHIS 2013 to 2015, Bozhar et al found that besides educational attainment, women aged 50 to 54, born in a non‐EU country, widowed or never married, and with lower household income were less likely to report having had a mammography in the past 2 years 20 . Disparities in use of screening by socioeconomic status have also been consistently found in the context of organised programmes 21 . Therefore, large improvements could be potentially achieved by better reaching women in the most deprived stratum of the population.…”

Section: Discussionmentioning

confidence: 94%

“…20 Disparities in use of screening by socioeconomic status have also been consistently found in the context of organised programmes. 21 Therefore, large improvements could be potentially achieved by better reaching women in the most deprived stratum of the population.…”

Section: Self-reported Use Of Mammography In European Countries By Hd...mentioning

confidence: 99%

Breast cancer screening programmes and self‐reported mammography use in European countries

Cardoso

Hoffmeister

Brenner

2023

Intl Journal of Cancer

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Mammography screening has been shown to be able to reduce breast cancer mortality, leading most European countries to implement mammography‐based screening programmes. In our study, we analysed key characteristics of breast cancer screening programmes and mammography use in European countries. Information on screening programmes were obtained from the 2017 European Union (EU) screening report, websites from governments and cancer registries, and through literature search in PubMed (studies published up to 20 June 2022). Data on self‐reported mammography use in the past 2 years were obtained from Eurostat and had been derived from the European health interview survey (cross‐sectional survey), conducted in the 27 EU countries, Iceland, Norway, Serbia, Turkey and the UK in 2013 to 2015 and 2018 to 2020. Data were analysed for each country according to their human development index (HDI). By 2022, all included countries besides Bulgaria and Greece had introduced an organised mammography‐based screening programme; Romania and Turkey had only pilot programmes. Screening programmes differ substantially across countries, particularly in timing of implementation (e.g., in Sweden, the Netherlands before 1990; Belgium, France between 2000 and 2004; Denmark, Germany between 2005 and 2009; Austria, Slovakia after 2010). Self‐reported mammography use also differed considerably across countries, and went along with HDI—from <36% in all countries with HDI <0.85 to >70% in most countries with HDI >0.90. The data call for efforts to improve mammography screening use across Europe, particularly in countries with lower development levels where breast cancer mortality rates are also among the highest in the region.

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“…Previous studies showed that socio-economic factors, such as by low income, low education, being unmarried, and being an immigrant are associated with non-participation in both breast and cervical cancer screening (Ding et al , 2022) (Jolidon et al , 2020).…”

Section: Discussionmentioning

confidence: 99%

Impact of altering the invitation package on screening participation among never-screeners in the Flemish population-based cancer screening programs

Kellen,

Meers,

Pil

et al. 2023

European Journal of Cancer Prevention

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Background The total coverage of both the Flemish breast cancer and cervical screening program remain suboptimal, with approximately 63% for both. Of all the women invited to the breast cancer screening program, 14.1% never underwent any type of breast cancer screening (any type of mammogram, ultrasound, or clinical breast examination). For the cervical cancer screening, this proportion of ‘never-screeners’ is 12.1%. We conducted two randomized controlled trials to assess whether various communication and presentation styles in the invitation package, were effective at motivating women who had never participated to attend. Methods The study population was limited to never-screeners (women who had never participated in the screening program). The RCT embedded in the breast cancer screening consisted of seven intervention arms and one control arm (all of them included a fixed appointment by letter). The RCT embedded in the cervical cancer screening consisted of three intervention arms and two control arms. In both RCTs, several content and style adaptations were made to the invitation letter, information leaflet, and envelope. Results None of the intervention arms in either the breast cancer screening or the cervical cancer screening had a statistically significant impact on the participation rate compared to ‘usual care’ (the regular invitation package used in the screening program). Conclusion Sending adapted invitation packages to never-screeners, from the Flemish breast and cervical cancer screening program, does not seem to be effective in increasing the proportion of women screened. Innovative methods are needed to motivate never-screeners to be screened.

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Determinants of Non-Participation in Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis

Cited by 10 publications

References 55 publications

Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway

Breast cancer screening programmes and self‐reported mammography use in European countries

Impact of altering the invitation package on screening participation among never-screeners in the Flemish population-based cancer screening programs

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