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dc.contributor.authorLe, Mary Thuy An
dc.contributor.authorHofvind, Solveig
dc.contributor.authorTsuruda, Kaitlyn
dc.contributor.authorBraaten, Tonje
dc.contributor.authorBhargava, Sameer
dc.date.accessioned2019-01-11T12:34:36Z
dc.date.available2019-01-11T12:34:36Z
dc.date.issued2018-06-03
dc.description.abstract<i>Background:</i> Several studies have shown that immigrants attend mammographic screening less frequently than non-immigrants. Studies have also shown that attendance is influenced by socio-demographic factors. We aimed to describe the relationship between socio-demographic factors and first attendance among immigrant and non-immigrant women invited to BreastScreen Norway.<p> <p><i>Methods:</i> Our cohort consisted of 885,979 women invited to BreastScreen Norway for their first time between 1996 and 2015. We merged individual-level socio-demographic data to attendance data corresponding to women’s first invitation to the program. Using Poisson regression, we calculated rate ratios with 95% confidence intervals (95% CI) for attendance, stratified by region of origin. Covariates of interest included age, income, education level, employment status, marital status, citizenship and years since immigration, among others.<p> <p><i>Results:</i> Fifty-three percent of immigrants and 76% of non-immigrants attended mammographic screening after their first invitation; immigrants as a whole had lower attendance rates across all socio-demographic factors. However, the association between socio-demographic factors and attendance varied between immigrant groups. For all immigrants, no recorded education demonstrated the strongest association with non-attendance compared with ≤ 10 years recorded education (RRadj: 0.69, 95% CI: 0.67–0.71). Other factors associated with non-attendance were low income, living in Oslo, not being employed and being a recent immigrant.<p> <p><i>Conclusion:</i> The association between socio-demographic factors and mammographic screening attendance differed between immigrant groups. Further studies and preventive health measures should take into account that considering immigrants as a homogeneous group may lead to less effective interventions.<p>en_US
dc.description.sponsorshipNorwegian Breast Cancer Societyen_US
dc.descriptionAccepted manuscript version. Published version available at <a href=https://doi.org/10.1007/s10389-018-0937-1>https://doi.org/10.1007/s10389-018-0937-1.</a>en_US
dc.identifier.citationLe, M., Hofvind, S., Tsuruda, K, Braaten, T. & Bhargava, S. (2018). Lower attendance rates in BreastScreen Norway among immigrants across all levels of socio-demographic factors: a population-based study. <i>Journal of Public Health</i>. https://doi.org/10.1007/s10389-018-0937-1en_US
dc.identifier.issn0943-1853
dc.identifier.issn1613-2238
dc.identifier.otherFRIDAID 1600644
dc.identifier.other10.1007/s10389-018-0937-1
dc.identifier.urihttps://hdl.handle.net/10037/14426
dc.language.isoengen_US
dc.publisherSpringer Verlagen_US
dc.relation.journalJournal of Public Health
dc.relation.urihttps://link.springer.com/article/10.1007/s10389-018-0937-1
dc.rights.accessRightsopenAccessen_US
dc.subjectBreast Canceren_US
dc.subjectEthnicityen_US
dc.subjectHealth inequalitiesen_US
dc.subjectScreeningen_US
dc.subjectMigrationen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleLower attendance rates in BreastScreen Norway among immigrants across all levels of socio-demographic factors: a population-based studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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