2023-09-28 14:46:10 +00:00
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abstract: 'Organised mammography screening programmes may reduce socioeconomic
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inequalities in breast cancer screening, but evidence is contradictory.
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Switzerland has no national organised mammography screening programme,
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but regional programmes were progressively introduced since 1999, giving
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the opportunity to conduct a nationwide quasi-experimental study. We
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examined the evolution of socioeconomic inequalities in mammography
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screening in Switzerland and if exposure to regional organised
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programmes reduced socioeconomic inequalities. Data of 10,927 women aged
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50 to 70 years old were collected from the Swiss Health Interview
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Survey, a nationally representative cross-sectional survey repeated 5
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times (1992-2012). Socioeconomic characteristics were assessed using
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education, income, employment status, and occupational class. Adjusted
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prevalence ratios of up-to-date mammography screening were estimated
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with Poisson regressions and weighted for sampling strategy and
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non-participation bias. In the absence of organised screening programmes
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(1992-1997), prevalence of mammography screening increased by 23\% and
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was associated with tertiary education and working part time. During the
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period of progressive introduction of regionally organised programmes
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(2002-2012), prevalence of mammography screening increased by 19\% every
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5 years and was associated with exposure to regional programmes and with
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independent/artisan occupations. Tertiary education and working part
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time were no longer associated. Exposure to organised programmes did not
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modify socioeconomic inequalities except for employment status: not
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employed women benefitted more from organised programmes compared to
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women working full time. In conclusion, socioeconomic inequalities in
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mammography screening decreased over time but organised programmes did
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not greatly modify them, except women not employed whose prevalence
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passed employed women.'
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affiliation: 'Cullati, S (Corresponding Author), Univ Geneva, Inst Demog \& Socioecon,
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Blvd Pont Arve 40, CH-1211 Geneva, Switzerland.
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Cullati, Stephane; Sandoval, Jose Luis; Guessous, Idris, Geneva Univ Hosp, Dept
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Community Med Primary Care \& Emergency Med, Unit Populat Epidemiol, Geneva, Switzerland.
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Cullati, Stephane; Burton-Jeangros, Claudine, Univ Geneva, Swiss NCCR LIVES Overcoming
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Vulnerabil Life Cours, Geneva, Switzerland.
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Cullati, Stephane; Courvoisier, Delphine S.; Sandoval, Jose Luis, Univ Geneva, Dept
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Gen Internal Med Rehabil \& Geriatr, Geneva, Switzerland.
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Cullati, Stephane; von Arx, Martina; Burton-Jeangros, Claudine, Univ Geneva, Inst
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Demog \& Socioecon, Blvd Pont Arve 40, CH-1211 Geneva, Switzerland.
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Manor, Orly, Hebrew Univ Jerusalem Hadassah Hosp \& Med Sch, Sch Publ Hlth \& Community
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Med, Jerusalem, Israel.
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Bouchardy, Christine, Univ Geneva, Global Hlth Inst, Geneva Canc Registry, Geneva,
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Switzerland.
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Guessous, Idris, Univ Lausanne, Dept Ambulatory Care \& Community Med, Lausanne,
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Switzerland.'
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author: Cullati, Stephane and von Arx, Martina and Courvoisier, Delphine S. and Sandoval,
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Jose Luis and Manor, Orly and Burton-Jeangros, Claudine and Bouchardy, Christine
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and Guessous, Idris
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author-email: stephane.cullati@unige.ch
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author_list:
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- family: Cullati
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given: Stephane
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- family: von Arx
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given: Martina
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- family: Courvoisier
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given: Delphine S.
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- family: Sandoval
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given: Jose Luis
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- family: Manor
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given: Orly
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- family: Burton-Jeangros
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given: Claudine
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- family: Bouchardy
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given: Christine
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- family: Guessous
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given: Idris
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da: '2023-09-28'
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doi: 10.1016/j.ypmed.2018.08.012
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eissn: 1096-0260
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files: []
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issn: 0091-7435
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journal: PREVENTIVE MEDICINE
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keywords: 'Breast screening; Opportunistic screening; Organised screening;
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Mammography screening programmes; Socioeconomic inequalities;
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Switzerland'
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keywords-plus: 'SOCIAL INEQUALITIES; CANCER INCIDENCE; BREAST; EUROPE; PARTICIPATION;
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MORTALITY; HEALTH; IMPACT; ASSOCIATION; SWITZERLAND'
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language: English
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month: NOV
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number-of-cited-references: '46'
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orcid-numbers: 'Cullati, Stephane/0000-0002-3881-446X
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Courvoisier, Delphine Sophie/0000-0002-1956-2607
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Sandoval, José Luis/0000-0002-6256-7083'
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pages: 19-26
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papis_id: a6256ad5991a5fa0a8a9e874b0a0dab0
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ref: Cullati2018organisedpopulationb
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researcherid-numbers: 'Cullati, Stephane/F-7991-2011
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Courvoisier, Delphine Sophie/AGI-4432-2022
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Sandoval, José Luis/ABE-5022-2020'
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times-cited: '9'
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title: 'Organised population-based programmes and change in socioeconomic inequalities
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in mammography screening: A 1992-2012 nationwide quasi-experimental study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000446486700004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '9'
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volume: '116'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Medicine,
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General \&
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Internal'
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year: '2018'
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