Geographic access to mammography screening centre and participation of women in the Quebec Breast Cancer Screening Programme

St‐Jacques, Sylvie; Philibert, Mathieu; Langlois, André; Daigle, Jean-Marc; Pelletier, Éric; Major, Diane; Brisson, Jacques

doi:10.1136/jech-2013-202614

Cited by 27 publications

(43 citation statements)

References 24 publications

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“…The distance decay effect is where levels of health services usage decreases as distance from the actual location of the healthcare facility increases. Previous research has found that distance is an important factor in determining health services utilisation 20 21. As the distance decay effect is primarily an expression of healthcare utilisation, it cannot be interpreted as an indicator of healthcare need, so caution needs to be taken when interpreting our study findings, which have shown that self-harm rates are most elevated in areas that have the shortest travel time to hospital services.…”

Section: Discussionmentioning

confidence: 78%

Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study

O’Farrell

Corcoran

Perry

2014

J Epidemiol Community Health

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Section: Discussionmentioning

confidence: 78%

Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study

O’Farrell

Corcoran

Perry

2014

J Epidemiol Community Health

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“…In order to develop effective promotion strategies, it is essential to identify the modifiable predictors of participation in screening. In the area of cancer screenings, various determinants of screening behaviors have been identified . Based on identified determinants, previous intervention studies have also succeeded in promoting cancer‐screening behavior.…”

Section: Introductionmentioning

confidence: 99%

Distance to screening site and older adults’ participation in cognitive impairment screening

Harada

Lee

Shimada

et al. 2017

Geriatrics Gerontology Int

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Aim: To develop intervention strategies that promote screening for cognitive impairment, it is essential to identify the modifiable predictors for participation in screening. The present study aimed to examine whether a shorter distance to the screening site predicted participation in screening for cognitive impairment, and whether interactive effects of the distance and psychological factors on the participation would be observed among community-dwelling older adults. Methods:The study used a prospective design. After a baseline questionnaire survey, participation in screening for cognitive impairment was followed for 6 months (n = 9616). The distance to the screening site was measured by road distance from each residential address and categorized into four groups (<1 km, 1-1.99 km, 2-2.99 km, ≥3 km). The questionnaire measured psychological factors (behavioral intention and perceived benefits of screening), driving status and demographic factors.Results: A logistic regression analysis showed that compared with the <1 km group, the 2-2.99 km (adjusted odds ratio 0.62, P = 0.040) and ≥3 km (adjusted odds ratio 0.54, P = 0.015) groups did not participate in screening after adjusting for psychological and demographic factors, and driving status. The interaction of the distances and psychological factors on participation were not significant. Conclusions:The distance to the screening site predicted participation in cognitive impairment screening among older adults regardless of their psychological status. This finding shows that improving access to screening sites would be effective for promoting screening for cognitive impairments among both low and highly motivated older adults. Geriatr Gerontol Int 2017; ••: ••-••.

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“…Previous studies showed that people who live a short distance from a screening facility were more likely to participate in cancer screening [3–5]. In addition, people who underwent screening by a primary care physician or a gynecologist during the previous 12 months and people who had many health care visits were also likely to participate in cancer screening [35,36,39].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies reported that the participation rates in cancer screening were different depending on whether the person eligible for screening lived in an urban area [3,28,34–36]. The interaction terms of four strategies and a binary variable to show whether the municipality was urban (a city or the 23 wards of Tokyo) were included in independent variables of Model 2, while the interaction terms were not included in those of Model 1.…”

Section: Methodsmentioning

confidence: 99%

“…In a 2014 survey that asked approximately 1,800 Japanese people why they did not undergo cancer screening, the largest proportion (48.0%) indicated that they did not have time to go for screening [2]. The time and distance required to access cancer screening are also viewed as factors that lower the participation rates in other countries as well [3–6]. A systematic review of interventions to increase participation rates in cancer screening conducted by the United States Centers for Disease Control and Prevention (CDC) indicated that reducing the time and distance to access breast and colorectal cancer screening would be effective in increasing the participation rates [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Does lack of resources impair access to breast and cervical cancer screening in Japan?

Sano

Goto

Hamashima³

2017

PLoS ONE

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ObjectivesTo assess the impact of the quantity of resources for breast and cervical cancer screening on the participation rates in screening in clinical settings in municipalities, as well as to clarify whether lack of resources impairs access to cancer screening in Japan.MethodsOf the 1,746 municipalities in 2010, 1,443 (82.6%) and 1,469 (84.1%) were included in the analyses for breast and cervical cancer screening, respectively. In order to estimate the effects of the number of mammography units and of gynecologists on the participation rates in breast and cervical cancer screening in clinical settings, multiple regression analyses were performed using the interaction term for urban municipalities.ResultsThe average participation rate in screening in clinical settings was 6.01% for breast cancer, and was 8.93% for cervical cancer. The marginal effect of the number of mammography units per 1,000 women was significantly positive in urban municipalities (8.20 percent point). The marginal effect of the number of gynecologists per 1,000 women was significantly positive in all municipalities (2.54 percent point) and rural municipalities (3.68 percent point).ConclusionsLack of mammography units in urban areas and of gynecologists particularly in rural areas impaired access to breast and cervical cancer screening. Strategies are required that quickly improve access for the residents and increase their participation rates in cancer screening.

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Geographic access to mammography screening centre and participation of women in the Quebec Breast Cancer Screening Programme

Abstract: Distance affects participation and this effect varies according to rural-urban classification. The lower participation in Montreal Island, where all women lived <12.5 km from a DSC, argues for a major impact of other characteristics or other dimensions of accessibility.

Cited by 27 publications

References 24 publications

Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study

Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study

Distance to screening site and older adults’ participation in cognitive impairment screening

Does lack of resources impair access to breast and cervical cancer screening in Japan?

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