Jack Ruth H, Møller Henrik, Robson Tony, Davies Elizabeth A
Public Health England, Knowledge and Intelligence Team, London, UK.
King's College London, Cancer Epidemiology and Population Health, London, UK.
BMJ Open. 2014 Oct 16;4(10):e005586. doi: 10.1136/bmjopen-2014-005586.
To use newly available self-assigned ethnicity information to investigate variation in breast cancer screening uptake for women from the 16 specific ethnic groups within the broad Asian, Black and White groups that previous studies report.
National cancer screening programme services within London.
655,516 female residents aged 50-69, invited for screening between March 2006 and December 2009. Ethnicity information was available for 475,478 (72.5%). White British women were the largest group (306,689, 46.8%), followed by Indian (34,687, 5.3%), White Other (30,053, 4.6%), Black Caribbean (25,607, 3.9%), White Irish (17,271, 2.6%), Black African (17,071, 2.6%) and Asian Other (10,579, 1.6%).
Uptake for women in different ethnic groups aged 50-52 for a first call invitation to the programme, and for women aged 50-69 for a routine recall invitation after a previous mammography. Uptake is reported (1) for London overall, adjusted using logistic regression, for age at invitation, socioeconomic deprivation and geographical screening area, and (2) for individual areas, adjusted for age and deprivation.
White British women attended their first call (67%) and routine recall (78%) invitations most often. Indian women were more likely to attend their first (61%) or routine recall (74%) than Bangladeshi women (43% and 61%, respectively), and Black Caribbean women were more likely than Black African women to attend first call (63% vs 49%, respectively) and routine recall (74% vs 64%, respectively). There was less variation between ethnic groups in some screening areas.
Breast cancer screening uptake in London varies by specific ethnic group for first and subsequent invitations, with White British women being more likely to attend. The variation in the uptake for women from the same ethnic groups in different geographical areas suggests that collaboration about the successful engagement of services with different communities could improve uptake for all women.
利用最新可得的自我认定种族信息，调查先前研究报告的广义亚洲、黑人及白人组内16个特定种族女性乳腺癌筛查接受情况的差异。
伦敦市内的国家癌症筛查项目服务。
655,516名年龄在50 - 69岁之间的女性居民，于2006年3月至2009年12月期间受邀参加筛查。475,478人（72.5%）有可用的种族信息。英国白人女性是最大群体（306,689人，46.8%），其次是印度人（34,687人，5.3%）、其他白人（30,053人，4.6%）、加勒比黑人（25,607人，3.9%）、爱尔兰白人（17,271人，2.6%）、非洲黑人（17,071人，2.6%）和其他亚洲人（10,579人，1.6%）。
50 - 52岁女性首次接到项目邀请时的接受情况，以及50 - 69岁女性在之前乳房X光检查后接到常规召回邀请时的接受情况。报告的接受情况为：（1）伦敦总体情况，使用逻辑回归进行调整，考虑邀请时的年龄、社会经济剥夺程度和地理筛查区域；（2）各个区域的情况，调整年龄和剥夺程度。
英国白人女性最常接受首次邀请（67%）和常规召回邀请（78%）。印度女性比孟加拉女性更有可能接受首次邀请（分别为61%和43%）或常规召回邀请（分别为74%和61%），加勒比黑人女性比非洲黑人女性更有可能接受首次邀请（分别为63%和49%）和常规召回邀请（分别为74%和64%）。在一些筛查区域，不同种族之间的差异较小。
伦敦乳腺癌筛查的接受情况因特定种族群体在首次及后续邀请时存在差异，英国白人女性更有可能接受筛查。同一种族女性在不同地理区域接受情况的差异表明，就与不同社区成功开展服务合作进行协作，可能会提高所有女性的筛查接受率。
