Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia
Abstract Objective: To compare breast screening attendances of Indigenous and non‐Indigenous women. Methods: A total of 4,093 BreastScreen cases were used including 857 self‐identified Indigenous women. Chi‐squared analysis compared data between Indigenous and non‐Indigenous women. Logistic regressi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-08-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/1753-6405.12917 |
| _version_ | 1797762237601939456 |
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| author | Kriscia A. Tapia Gail Garvey Mark F. McEntee Mary Rickard Lorraine Lydiard Patrick C. Brennan |
| author_facet | Kriscia A. Tapia Gail Garvey Mark F. McEntee Mary Rickard Lorraine Lydiard Patrick C. Brennan |
| author_sort | Kriscia A. Tapia |
| collection | DOAJ |
| description | Abstract Objective: To compare breast screening attendances of Indigenous and non‐Indigenous women. Methods: A total of 4,093 BreastScreen cases were used including 857 self‐identified Indigenous women. Chi‐squared analysis compared data between Indigenous and non‐Indigenous women. Logistic regression was used for groupings based on visits‐to‐screening frequency. Odds ratios and 95% confidence intervals were calculated for associations with low attendance. Results: Indigenous women were younger and had fewer visits to screening compared with non‐Indigenous women. Non‐English speaking was mainly associated with fewer visits for Indigenous women only (OR 1.9, 95%CI 1.3‐2.9). Living remotely was associated with fewer visits for non‐Indigenous women only (OR 1.3, 95%CI 1.1‐1.5). Shared predictors were younger age (OR 12.3, 95%CI 8.1‐18.8; and OR 11.5, 95%CI 9.6‐13.7, respectively) and having no family history of breast cancer (OR 2.1, 95%CI 1.3‐3.3; and OR 1.8, 95%CI 1.5‐2.1, respectively). Conclusions: Factors associated with fewer visits to screening were similar for both groups of women, except for language which was significant only for Indigenous women, and remoteness which was significant only for non‐Indigenous women. Implications for public health: Health communication in Indigenous languages may be key in encouraging participation and retaining Indigenous women in BreastScreen; improving access for remote‐living non‐Indigenous women should also be addressed. |
| first_indexed | 2024-03-12T19:24:26Z |
| format | Article |
| id | doaj.art-137bd72e1d3c499486f4aeac83bbc841 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T19:24:26Z |
| publishDate | 2019-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-137bd72e1d3c499486f4aeac83bbc8412023-08-02T04:54:53ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052019-08-0143433433910.1111/1753-6405.12917Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of AustraliaKriscia A. Tapia0Gail Garvey1Mark F. McEntee2Mary Rickard3Lorraine Lydiard4Patrick C. Brennan5Faculty of Health Sciences, The University of Sydney, New South WalesFaculty of Health Sciences, The University of Sydney, New South WalesDepartment of Medicine, University College Cork, IrelandFaculty of Health Sciences, The University of Sydney, New South WalesBreastScreen Northern TerritoryFaculty of Health Sciences, The University of Sydney, New South WalesAbstract Objective: To compare breast screening attendances of Indigenous and non‐Indigenous women. Methods: A total of 4,093 BreastScreen cases were used including 857 self‐identified Indigenous women. Chi‐squared analysis compared data between Indigenous and non‐Indigenous women. Logistic regression was used for groupings based on visits‐to‐screening frequency. Odds ratios and 95% confidence intervals were calculated for associations with low attendance. Results: Indigenous women were younger and had fewer visits to screening compared with non‐Indigenous women. Non‐English speaking was mainly associated with fewer visits for Indigenous women only (OR 1.9, 95%CI 1.3‐2.9). Living remotely was associated with fewer visits for non‐Indigenous women only (OR 1.3, 95%CI 1.1‐1.5). Shared predictors were younger age (OR 12.3, 95%CI 8.1‐18.8; and OR 11.5, 95%CI 9.6‐13.7, respectively) and having no family history of breast cancer (OR 2.1, 95%CI 1.3‐3.3; and OR 1.8, 95%CI 1.5‐2.1, respectively). Conclusions: Factors associated with fewer visits to screening were similar for both groups of women, except for language which was significant only for Indigenous women, and remoteness which was significant only for non‐Indigenous women. Implications for public health: Health communication in Indigenous languages may be key in encouraging participation and retaining Indigenous women in BreastScreen; improving access for remote‐living non‐Indigenous women should also be addressed.https://doi.org/10.1111/1753-6405.12917breast cancerscreeningparticipationAboriginal and Torres Strait Islander |
| spellingShingle | Kriscia A. Tapia Gail Garvey Mark F. McEntee Mary Rickard Lorraine Lydiard Patrick C. Brennan Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia Australian and New Zealand Journal of Public Health breast cancer screening participation Aboriginal and Torres Strait Islander |
| title | Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia |
| title_full | Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia |
| title_fullStr | Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia |
| title_full_unstemmed | Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia |
| title_short | Breast screening attendance of Aboriginal and Torres Strait Islander women in the Northern Territory of Australia |
| title_sort | breast screening attendance of aboriginal and torres strait islander women in the northern territory of australia |
| topic | breast cancer screening participation Aboriginal and Torres Strait Islander |
| url | https://doi.org/10.1111/1753-6405.12917 |
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