Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population

Abstract Background Breast cancer is the most common malignant disease in women and is the leading cause of cancer deaths among women. Mammography is the best and the most available diagnostic method for breast cancer early detection. The aim of this study was to investigate the prevalence and inequ...

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Main Authors: Mehdi Mirzaei-Alavijeh, Bonnie Jerome-D”Emilia, Farid Najafi, Mehdi Moradinazar, Razieh Pirouzeh, Farzad Jalilian
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Global Health Research and Policy
Subjects:
Online Access:https://doi.org/10.1186/s41256-022-00277-9
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author Mehdi Mirzaei-Alavijeh
Bonnie Jerome-D”Emilia
Farid Najafi
Mehdi Moradinazar
Razieh Pirouzeh
Farzad Jalilian
author_facet Mehdi Mirzaei-Alavijeh
Bonnie Jerome-D”Emilia
Farid Najafi
Mehdi Moradinazar
Razieh Pirouzeh
Farzad Jalilian
author_sort Mehdi Mirzaei-Alavijeh
collection DOAJ
description Abstract Background Breast cancer is the most common malignant disease in women and is the leading cause of cancer deaths among women. Mammography is the best and the most available diagnostic method for breast cancer early detection. The aim of this study was to investigate the prevalence and inequality in the mammography uptake among Kurdish women in the west of Iran. Methods This cohort study was conducted using data extracted from the Ravansar Non-communicable Cohort Study among Kurdish women in the west of Iran from 2014 to 2018. The sample included 5289 women aged 35–65 years. The relative and generalized (absolute) concentration index (RC and GC, respectively) was used to quantify and decompose socioeconomic inequalities in mammography uptake. Results Overall concentration index for mammography was 0.2107, indicating that the mammography uptake concentration was greater in women with a higher socioeconomic status (SES). The predictor variables accounted for 44.6% of the inequality in the mammography uptake. Higher SES, living in urban areas, and age group of 51–55 years old increased the chance of having a mammogram. Available evidence supports the inequality of mammography uptake in favor of women with higher SES. Conclusions Cost-free screening services for low SES women, and the development of breast cancer prevention campaigns focusing on disadvantaged women could have an important role in mammography uptake and in the reduction of inequalities.
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spelling doaj.art-9e382aa2c3d943f285ec6e07fb4610682022-12-22T03:36:55ZengBMCGlobal Health Research and Policy2397-06422022-11-01711910.1186/s41256-022-00277-9Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish populationMehdi Mirzaei-Alavijeh0Bonnie Jerome-D”Emilia1Farid Najafi2Mehdi Moradinazar3Razieh Pirouzeh4Farzad Jalilian5Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesSchool of Nursing, Rutgers, The State University of New JerseyResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesAbstract Background Breast cancer is the most common malignant disease in women and is the leading cause of cancer deaths among women. Mammography is the best and the most available diagnostic method for breast cancer early detection. The aim of this study was to investigate the prevalence and inequality in the mammography uptake among Kurdish women in the west of Iran. Methods This cohort study was conducted using data extracted from the Ravansar Non-communicable Cohort Study among Kurdish women in the west of Iran from 2014 to 2018. The sample included 5289 women aged 35–65 years. The relative and generalized (absolute) concentration index (RC and GC, respectively) was used to quantify and decompose socioeconomic inequalities in mammography uptake. Results Overall concentration index for mammography was 0.2107, indicating that the mammography uptake concentration was greater in women with a higher socioeconomic status (SES). The predictor variables accounted for 44.6% of the inequality in the mammography uptake. Higher SES, living in urban areas, and age group of 51–55 years old increased the chance of having a mammogram. Available evidence supports the inequality of mammography uptake in favor of women with higher SES. Conclusions Cost-free screening services for low SES women, and the development of breast cancer prevention campaigns focusing on disadvantaged women could have an important role in mammography uptake and in the reduction of inequalities.https://doi.org/10.1186/s41256-022-00277-9Breast cancerMammographyInequalitiesKurdish women
spellingShingle Mehdi Mirzaei-Alavijeh
Bonnie Jerome-D”Emilia
Farid Najafi
Mehdi Moradinazar
Razieh Pirouzeh
Farzad Jalilian
Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
Global Health Research and Policy
Breast cancer
Mammography
Inequalities
Kurdish women
title Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
title_full Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
title_fullStr Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
title_full_unstemmed Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
title_short Inequality in mammography uptake: results from recruitment phase of first cohort study among Iranian Kurdish population
title_sort inequality in mammography uptake results from recruitment phase of first cohort study among iranian kurdish population
topic Breast cancer
Mammography
Inequalities
Kurdish women
url https://doi.org/10.1186/s41256-022-00277-9
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