The impact of level of education on adherence to breast and cervical cancer screening: Evidence from a systematic review and meta-analysis
| Autor: | Franco Sassi, D Basso, Emanuela Maria Frisicale, Caterina Bianca Neve Aurora Bianchi, Gianfranco Damiani, Walter Ricciardi, Anna Acampora, Giulia Silvestrini |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Epidemiology Population Uterine Cervical Neoplasms Breast Neoplasms Cancer prevention Education Breast cancer screening Breast cancer medicine Humans Mass Screening Pap test education Settore MED/42 - IGIENE GENERALE E APPLICATA Mass screening Early Detection of Cancer Gynecology Cervical cancer education.field_of_study medicine.diagnostic_test business.industry Obstetrics Public Health Environmental and Occupational Health Middle Aged Patient Acceptance of Health Care medicine.disease Meta-analysis Screening Educational Status Female Guideline Adherence business Papanicolaou Test Mammography |
| Popis: | Objective. To assess the inequalities in adherence to breast and cervical cancer screening according to educational level. Methods. A systematic review was carried out between 2000 and 2013 by querying an electronic database using specific keywords. Studies published in English reporting an estimation of the association between level of education and adherence to breast and/or cervical cancer screening were included in the study. Two different meta-analyses were carried out for adherence to breast and cervical cancer screening, respectively: women with the highest level of education and women with the lowest level of education were compared. The level of heterogeneity was investigated and subgroup analyses were carried out. Results. Of 1231 identified articles, 10 cross-sectional studies were included in the analysis. The meta-analyses showed that women with the highest level of education were more likely to have both screenings with an overall OR = 1.61 (95% CI 1.36–1.91; I 2 = 71%) for mammography and OR = 1.96 (95% CI 1.79–2.16; I 2 = 0%) for Pap test, respectively. Stratified meta-analysis for breast cancer screening included only studies that reported guidelines with target age of population ≥ 50 years and showed a reduction in the level of heterogeneity and an increase of 36% in the adherence (95% CI 1.19–1.55; I 2 = 0%). Conclusions. This study confirms and reinforces evidence of inequalities in breast and cervical cancer screening adherence according to educational level. |
| Databáze: | OpenAIRE |
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