Participation and retention in the breast cancer screening program in New Brunswick Canada
New Brunswick (NB) Canada uses its breast cancer screening service program to assess the extent to which eligible NB women are complying with mammography guidelines. While many studies have investigated factors associated with participation in periodic breast cancer screening in Canada and elsewhere...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-06-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133551730058X |
| _version_ | 1818258320044064768 |
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| author | James Ted McDonald Yunli Wang Zikuan Liu |
| author_facet | James Ted McDonald Yunli Wang Zikuan Liu |
| author_sort | James Ted McDonald |
| collection | DOAJ |
| description | New Brunswick (NB) Canada uses its breast cancer screening service program to assess the extent to which eligible NB women are complying with mammography guidelines. While many studies have investigated factors associated with participation in periodic breast cancer screening in Canada and elsewhere, most work has relied on self-reported surveys or smaller scale primary data collection. Using a longitudinal administrative dataset for NB over the period 1996–2011 of 255,789 eligible women aged 45–69, this study examined demographic, socioeconomic and geographic factors associated with initial participation in regular screening at age 50 and ongoing retention in the program. Logistic regression was used to examine correlates of initial screening, while rescreening participation was estimated using survival analysis accounting for rescreening episodes. Initial screening participation was lower for women born outside of NB, many women living farther away from screening centers, women in rural areas, and higher for married women. In contrast, retention was higher for rural women and women recently arrived in NB. For both participation and retention, regional disparities across health zone persisted after controlling for observable personal and locational factors. The analysis highlights important characteristics to be targeted to increase screening but also that how health zones operate their screening programs exerts a very significant effect on the use of screening services by eligible women. This offers lessons for the design and evaluation of any cancer screening program. |
| first_indexed | 2024-12-12T17:57:40Z |
| format | Article |
| id | doaj.art-f783fbb11e4c4ea8a2bbb2b8c360a178 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-12T17:57:40Z |
| publishDate | 2017-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-f783fbb11e4c4ea8a2bbb2b8c360a1782022-12-22T00:16:41ZengElsevierPreventive Medicine Reports2211-33552017-06-016C21422010.1016/j.pmedr.2017.03.015Participation and retention in the breast cancer screening program in New Brunswick CanadaJames Ted McDonaldYunli WangZikuan LiuNew Brunswick (NB) Canada uses its breast cancer screening service program to assess the extent to which eligible NB women are complying with mammography guidelines. While many studies have investigated factors associated with participation in periodic breast cancer screening in Canada and elsewhere, most work has relied on self-reported surveys or smaller scale primary data collection. Using a longitudinal administrative dataset for NB over the period 1996–2011 of 255,789 eligible women aged 45–69, this study examined demographic, socioeconomic and geographic factors associated with initial participation in regular screening at age 50 and ongoing retention in the program. Logistic regression was used to examine correlates of initial screening, while rescreening participation was estimated using survival analysis accounting for rescreening episodes. Initial screening participation was lower for women born outside of NB, many women living farther away from screening centers, women in rural areas, and higher for married women. In contrast, retention was higher for rural women and women recently arrived in NB. For both participation and retention, regional disparities across health zone persisted after controlling for observable personal and locational factors. The analysis highlights important characteristics to be targeted to increase screening but also that how health zones operate their screening programs exerts a very significant effect on the use of screening services by eligible women. This offers lessons for the design and evaluation of any cancer screening program.http://www.sciencedirect.com/science/article/pii/S221133551730058XBreast cancerMammographySocioeconomic statusCancer screeningAdministrative data |
| spellingShingle | James Ted McDonald Yunli Wang Zikuan Liu Participation and retention in the breast cancer screening program in New Brunswick Canada Preventive Medicine Reports Breast cancer Mammography Socioeconomic status Cancer screening Administrative data |
| title | Participation and retention in the breast cancer screening program in New Brunswick Canada |
| title_full | Participation and retention in the breast cancer screening program in New Brunswick Canada |
| title_fullStr | Participation and retention in the breast cancer screening program in New Brunswick Canada |
| title_full_unstemmed | Participation and retention in the breast cancer screening program in New Brunswick Canada |
| title_short | Participation and retention in the breast cancer screening program in New Brunswick Canada |
| title_sort | participation and retention in the breast cancer screening program in new brunswick canada |
| topic | Breast cancer Mammography Socioeconomic status Cancer screening Administrative data |
| url | http://www.sciencedirect.com/science/article/pii/S221133551730058X |
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