Faculty of Public Health, Academy of Medicine, Lithuanian University of Health Sciences, LT47181 Kaunas, Lithuania.
Int J Environ Res Public Health. 2019 Nov 16;16(22):4535. doi: 10.3390/ijerph16224535.
In Lithuania, a Nationwide Breast Cancer (BC) Screening Program was launched in 2005, offering mammography for women aged 50 to 69 years, every other year. This study aimed to determine the trend in the attendance for mammography screening during 2006-2014 and to identify the factors that are predictive for participation in it. The study sample consisted of 1941 women aged 50-64 years, who participated in five cross-sectional biennial postal surveys of Lithuanian Health Behavior Monitoring, carried out in independent national random samples. The attendance for screening was identified if women reported having had a mammogram within the last two years. The proportion of women attending the screening was continuously increasing from 20.0% in 2006 up to 65.8% in 2014. The attendance for BC screening was associated with the participation in cervical cancer screening. A higher level of education, living in a city, frequent contact with a doctor, and healthy behaviors (fresh-vegetable consumption, physical activity, and absence of alcohol abuse) were associated with higher participation rates in BC screening. To increase BC screening uptake and to reduce inequalities in attendance, new strategies of organized BC screening program using systematic personal invitations are required in Lithuania.
在立陶宛，2005 年启动了全国乳腺癌（BC）筛查计划，为 50 至 69 岁的女性提供每两年一次的乳房 X 光检查。本研究旨在确定 2006 年至 2014 年期间乳房 X 光筛查的参与趋势，并确定参与筛查的预测因素。研究样本由 1941 名 50-64 岁的女性组成，她们参加了立陶宛健康行为监测的五次独立全国随机抽样的两年一次的横断面邮政调查。如果女性报告在过去两年内进行过乳房 X 光检查，则确定其参加了筛查。从 2006 年的 20.0%到 2014 年的 65.8%，参加筛查的女性比例持续增加。BC 筛查的参与与宫颈癌筛查的参与有关。较高的教育水平、居住在城市、经常与医生接触以及健康的行为（食用新鲜蔬菜、体育活动和不酗酒）与更高的 BC 筛查参与率相关。为了提高 BC 筛查的参与率并减少参与率的不平等，立陶宛需要采用有组织的 BC 筛查计划的新策略，通过系统的个人邀请来实施。
