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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1811230381108625408 |
---|---|
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. |
first_indexed | 2024-04-12T10:28:31Z |
format | Article |
id | doaj.art-9e382aa2c3d943f285ec6e07fb461068 |
institution | Directory Open Access Journal |
issn | 2397-0642 |
language | English |
last_indexed | 2024-04-12T10:28:31Z |
publishDate | 2022-11-01 |
publisher | BMC |
record_format | Article |
series | Global Health Research and Policy |
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 |
work_keys_str_mv | AT mehdimirzaeialavijeh inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation AT bonniejeromedemilia inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation AT faridnajafi inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation AT mehdimoradinazar inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation AT raziehpirouzeh inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation AT farzadjalilian inequalityinmammographyuptakeresultsfromrecruitmentphaseoffirstcohortstudyamongiraniankurdishpopulation |