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

To 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.Of the 1,746 municipalities in 2010,...

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Main Authors: Hiroshi Sano, Rei Goto, Chisato Hamashima
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5509210?pdf=render
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author Hiroshi Sano
Rei Goto
Chisato Hamashima
author_facet Hiroshi Sano
Rei Goto
Chisato Hamashima
author_sort Hiroshi Sano
collection DOAJ
description To 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.Of 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.The 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).Lack 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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spelling doaj.art-a5a0756b735c4de9ab63a8a682dc5cab2022-12-21T19:05:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01127e018081910.1371/journal.pone.0180819Does lack of resources impair access to breast and cervical cancer screening in Japan?Hiroshi SanoRei GotoChisato HamashimaTo 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.Of 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.The 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).Lack 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.http://europepmc.org/articles/PMC5509210?pdf=render
spellingShingle Hiroshi Sano
Rei Goto
Chisato Hamashima
Does lack of resources impair access to breast and cervical cancer screening in Japan?
PLoS ONE
title Does lack of resources impair access to breast and cervical cancer screening in Japan?
title_full Does lack of resources impair access to breast and cervical cancer screening in Japan?
title_fullStr Does lack of resources impair access to breast and cervical cancer screening in Japan?
title_full_unstemmed Does lack of resources impair access to breast and cervical cancer screening in Japan?
title_short Does lack of resources impair access to breast and cervical cancer screening in Japan?
title_sort does lack of resources impair access to breast and cervical cancer screening in japan
url http://europepmc.org/articles/PMC5509210?pdf=render
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