Role of mammography accessibility, deprivation and spatial effect in breast cancer screening participation in France: an observational ecological study

Autor: Nirmala Prajapati, Patricia Soler-Michel, Verónica M. Vieira, Cindy M. Padilla
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Health Geographics, Vol 21, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 1476-072X
DOI: 10.1186/s12942-022-00320-5
Popis: Abstract Background The detection of cancer in its early latent stages can improve patients’ chances of recovery and thereby reduce the overall burden of the disease. Our objectives were to investigate factors (geographic accessibility and deprivation level) affecting mammography screening participation variation and to determine how much geographic variation in participation rates can be explained by spillover effects between adjacent areas, while controlling for covariates. Methods Mammography screening participation rates between 2015 and 2016 were calculated by census blocks (CB), for women aged 50–74 years, residing in Lyon metropolitan area. Global spatial autocorrelation tests were applied to identify the geographic variation of participation. Spatial regression models were used to incorporate spatial structure to estimate associations between mammography participation rate and the combined effect (geographic accessibility and deprivation level) adjusting for modes of travel and social cohesion. Results The mammography participation rate was found to have a statistically significant and positive spatial correlation. The participation rate of one CB was significantly and positively associated with the participation rates of neighbouring CB. The participation was 53.2% in residential and rural areas and 46.6% in urban areas, p
Databáze: Directory of Open Access Journals
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