abstract: 'Objective: Health policy in the UK is committed to tackling inequalities

  in cancer screening participation. We examined whether socioeconomic

  inequalities in breast and cervical cancer screening participation in

  England have reduced over five years.

  Methods: Cross-sectional analyses compared cervical and breast screening

  coverage between 2007/8 and 2012/13 in Primary Care Trusts (PCTs) in

  England in relation to area-level income deprivation.

  Results: At the start and the end of this five year period, there were

  socioeconomic inequalities in screening coverage for breast and cervical

  screening. Inequalities were highest for breast screening. Over time,

  the coverage gap between the highest and lowest quintiles of income

  deprivation significantly reduced for breast screening (from 12.3 to 8.3

  percentage points), but not for cervical screening (5.3 to 4.9

  percentage points).

  Conclusions: Efforts to reduce screening inequalities appear to have

  resulted in a significant improvement in equitable delivery of breast

  screening, although not of cervical screening. More work is needed to

  understand the differences, and see whether broader lessons can be

  learned from the reduction of inequalities in breast screening

  participation.'
affiliation: 'Wardle, J (Corresponding Author), UCL, Dept Epidemiol \& Publ Hlth,
  Gower St, London WC1E 6BT, England.

  Douglas, Elaine; Waller, Jo; Wardle, Jane, UCL, Dept Epidemiol \& Publ Hlth, Hlth
  Behav Res Ctr, Gower St, London WC1E 6BT, England.

  Duffy, Stephen W., Queen Mary Univ London, Wolfson Inst Prevent Med, Ctr Canc Prevent,
  London EC1M 6BQ, England.'
author: Douglas, Elaine and Waller, Jo and Duffy, Stephen W. and Wardle, Jane
author-email: j.wardle@ucl.ac.uk
author_list:
- family: Douglas
  given: Elaine
- family: Waller
  given: Jo
- family: Duffy
  given: Stephen W.
- family: Wardle
  given: Jane
da: '2023-09-28'
doi: 10.1177/0969141315600192
eissn: 1475-5793
files: []
issn: 0969-1413
journal: JOURNAL OF MEDICAL SCREENING
keywords: cancer screening; coverage; socioeconomic inequalities
keywords-plus: CANCER; HEALTH; DIAGNOSIS; PROGRAMS; EAST
language: English
month: JUN
number: '2'
number-of-cited-references: '29'
orcid-numbers: 'Waller, Jo/0000-0003-4025-9132

  Douglas, Elaine/0000-0001-8540-1126'
pages: 98-103
papis_id: bd8ad5fb93e1353a70186c4e5c240e5b
ref: Douglas2016socioeconomicinequal
researcherid-numbers: 'Waller, Jo/C-1705-2008

  '
times-cited: '56'
title: 'Socioeconomic inequalities in breast and cervical screening coverage in England:
  are we closing the gap?'
type: Article
unique-id: WOS:000378147200008
usage-count-last-180-days: '1'
usage-count-since-2013: '23'
volume: '23'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2016'