abstract: 'Organised mammography screening programmes may reduce socioeconomic

  inequalities in breast cancer screening, but evidence is contradictory.

  Switzerland has no national organised mammography screening programme,

  but regional programmes were progressively introduced since 1999, giving

  the opportunity to conduct a nationwide quasi-experimental study. We

  examined the evolution of socioeconomic inequalities in mammography

  screening in Switzerland and if exposure to regional organised

  programmes reduced socioeconomic inequalities. Data of 10,927 women aged

  50 to 70 years old were collected from the Swiss Health Interview

  Survey, a nationally representative cross-sectional survey repeated 5

  times (1992-2012). Socioeconomic characteristics were assessed using

  education, income, employment status, and occupational class. Adjusted

  prevalence ratios of up-to-date mammography screening were estimated

  with Poisson regressions and weighted for sampling strategy and

  non-participation bias. In the absence of organised screening programmes

  (1992-1997), prevalence of mammography screening increased by 23\% and

  was associated with tertiary education and working part time. During the

  period of progressive introduction of regionally organised programmes

  (2002-2012), prevalence of mammography screening increased by 19\% every

  5 years and was associated with exposure to regional programmes and with

  independent/artisan occupations. Tertiary education and working part

  time were no longer associated. Exposure to organised programmes did not

  modify socioeconomic inequalities except for employment status: not

  employed women benefitted more from organised programmes compared to

  women working full time. In conclusion, socioeconomic inequalities in

  mammography screening decreased over time but organised programmes did

  not greatly modify them, except women not employed whose prevalence

  passed employed women.'
affiliation: 'Cullati, S (Corresponding Author), Univ Geneva, Inst Demog \& Socioecon,
  Blvd Pont Arve 40, CH-1211 Geneva, Switzerland.

  Cullati, Stephane; Sandoval, Jose Luis; Guessous, Idris, Geneva Univ Hosp, Dept
  Community Med Primary Care \& Emergency Med, Unit Populat Epidemiol, Geneva, Switzerland.

  Cullati, Stephane; Burton-Jeangros, Claudine, Univ Geneva, Swiss NCCR LIVES Overcoming
  Vulnerabil Life Cours, Geneva, Switzerland.

  Cullati, Stephane; Courvoisier, Delphine S.; Sandoval, Jose Luis, Univ Geneva, Dept
  Gen Internal Med Rehabil \& Geriatr, Geneva, Switzerland.

  Cullati, Stephane; von Arx, Martina; Burton-Jeangros, Claudine, Univ Geneva, Inst
  Demog \& Socioecon, Blvd Pont Arve 40, CH-1211 Geneva, Switzerland.

  Manor, Orly, Hebrew Univ Jerusalem Hadassah Hosp \& Med Sch, Sch Publ Hlth \& Community
  Med, Jerusalem, Israel.

  Bouchardy, Christine, Univ Geneva, Global Hlth Inst, Geneva Canc Registry, Geneva,
  Switzerland.

  Guessous, Idris, Univ Lausanne, Dept Ambulatory Care \& Community Med, Lausanne,
  Switzerland.'
author: Cullati, Stephane and von Arx, Martina and Courvoisier, Delphine S. and Sandoval,
  Jose Luis and Manor, Orly and Burton-Jeangros, Claudine and Bouchardy, Christine
  and Guessous, Idris
author-email: stephane.cullati@unige.ch
author_list:
- family: Cullati
  given: Stephane
- family: von Arx
  given: Martina
- family: Courvoisier
  given: Delphine S.
- family: Sandoval
  given: Jose Luis
- family: Manor
  given: Orly
- family: Burton-Jeangros
  given: Claudine
- family: Bouchardy
  given: Christine
- family: Guessous
  given: Idris
da: '2023-09-28'
doi: 10.1016/j.ypmed.2018.08.012
eissn: 1096-0260
files: []
issn: 0091-7435
journal: PREVENTIVE MEDICINE
keywords: 'Breast screening; Opportunistic screening; Organised screening;

  Mammography screening programmes; Socioeconomic inequalities;

  Switzerland'
keywords-plus: 'SOCIAL INEQUALITIES; CANCER INCIDENCE; BREAST; EUROPE; PARTICIPATION;

  MORTALITY; HEALTH; IMPACT; ASSOCIATION; SWITZERLAND'
language: English
month: NOV
number-of-cited-references: '46'
orcid-numbers: 'Cullati, Stephane/0000-0002-3881-446X

  Courvoisier, Delphine Sophie/0000-0002-1956-2607

  Sandoval, José Luis/0000-0002-6256-7083'
pages: 19-26
papis_id: a6256ad5991a5fa0a8a9e874b0a0dab0
ref: Cullati2018organisedpopulationb
researcherid-numbers: 'Cullati, Stephane/F-7991-2011

  Courvoisier, Delphine Sophie/AGI-4432-2022

  Sandoval, José Luis/ABE-5022-2020'
times-cited: '9'
title: 'Organised population-based programmes and change in socioeconomic inequalities
  in mammography screening: A 1992-2012 nationwide quasi-experimental study'
type: Article
unique-id: WOS:000446486700004
usage-count-last-180-days: '0'
usage-count-since-2013: '9'
volume: '116'
web-of-science-categories: 'Public, Environmental \& Occupational Health; Medicine,
  General \&

  Internal'
year: '2018'