Soziodemografische Unterschiede in der Teilnahme an Krebsfrüherkennungsuntersuchungen (KFU) in Deutschland - Eine Übersicht

Abstract

In 1971 a statutory programme aiming at the early detection of cancer was established in Germany. Since then, acceptance has been low, especially among men. In 2002, 49 % of the women, but only 20 % of the men entitled to screening, took part in the free preventive medical screening. This paper gives an overview of the research done in Germany between 1973 and 2003, examining the associations of sociodemographic factors with participation in cancer screening. All studies show that participation rates increase steadily with age in men, but decrease in elderly women (55 years and older). Participation rates among women are significantly associated with educational level and occupational status. Among men, however, the relationship between socio-economic status and attendance appears to be less pronounced. Since 1971, participation rates have increased much more among women than among men, but, interestingly, the reasons for the gender differences in attendance rates have not been studied until now. Variables which were identified in international studies as predictors of participation, such as physician's recommendation or marital status, should be acknowledged in future research.

Skin cancer screening participation and impact on melanoma incidence in Germany – an observational study on incidence trends in regions with and without population-based screening

“…The proportion of people reporting to have had skin cancer screening in both Austria and the US was somewhat lower than the participation proportion achieved in the 1-year SCREEN project (Haidinger et al , 2009; Lakhani et al , 2009). As known from other cancer early-detection programmes, some population groups (e.g., women, high socio-economic status, and urban dwellers) are more responsive to such programmes than others (Scheffer et al , 2006; von Wagner et al , 2009; Palencia et al , 2010; Sprague et al , 2010). Likewise in SCREEN, women show a substantially higher participation compared with men (Haidinger et al , 2009).…”

Up-to-date results on survival of patients with melanoma in Germany

“…RS may be used to quantify the excess mortality due to melanoma. 14,15 Additionally to overall sex-specific 5-year RS, estimates by age group (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44), 45-54, 55-64, 65-74, 75+ years), by histology, by T-category, by N-category, by M-category and by body site are presented. 11 Expected survival was based on life tables stratified by age and sex (and by federal state for the regional comparison), using the Ederer II method.…”

Inanspruchnahme von Krebsfrüherkennungsuntersuchungen

“…Allerdings wird weiterhin nur ein Teil der Bevölkerung erreicht. Alter, Geschlecht, Bildungsniveau/sozioökonomischer Status, Partnerschaft, Kinder, Gesundheitszustand und Inanspruchnahme der hausärztlichen Versorgung [7,8,9,10] …”