Stuart Geoffrey W, Chamberlain James A, Milne Roger L
Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, VIC, Australia.
Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
Front Oncol. 2022 Nov 29;12:980879. doi: 10.3389/fonc.2022.980879. eCollection 2022.
To examine the socio-economic and ethnocultural characteristics of geographical areas that may influence variation in breast cancer screening participation.
In a cross-sectional analysis breast cancer screening participation for statistical areas in Victoria, Australia (2015-2017) was linked with data from the 2016 Australian Census. We selected four commonly used area-level measures of socio-economic status from the Australian Census (i) income (ii) educational level (iii) occupational status and (iv) employment profile. To assess the ethnocultural characteristics of statistical areas we used the Census measures (i) country of birth (ii) language spoken at home (iii) fluency in English (iv) religion and (v) the proportion of immigrants in an area, together with their recency of migration.
All the selected measures were related to screening participation. There was a high degree of association both within and between socio-economic and ethnocultural characteristics of areas as they relate to screening. Ethnocultural characteristics alone accounted for most of the explained geographical disparity in screening participation.
Geographical disparities in breast cancer screening participation may be due to ethnocultural factors that are confounded with socio-economic factors.
研究可能影响乳腺癌筛查参与率差异的地理区域的社会经济和种族文化特征。
在一项横断面分析中，将澳大利亚维多利亚州统计区域（2015 - 2017年）的乳腺癌筛查参与情况与2016年澳大利亚人口普查数据相关联。我们从澳大利亚人口普查中选取了四个常用的区域层面社会经济地位衡量指标：（i）收入；（ii）教育水平；（iii）职业地位；（iv）就业概况。为评估统计区域的种族文化特征，我们使用了人口普查指标：（i）出生国家；（ii）在家中使用的语言；（iii）英语流利程度；（iv）宗教；（v）一个地区的移民比例及其移民时间。
所有选定指标均与筛查参与情况相关。区域的社会经济和种族文化特征在内部以及相互之间与筛查的相关性都很高。仅种族文化特征就占了筛查参与情况中地理差异解释的大部分。
乳腺癌筛查参与情况的地理差异可能是由于与社会经济因素相互混淆的种族文化因素。
