德国实施有组织筛查计划后乳腺癌筛查参与的社会人口统计学不平等：范围综述。

Sociodemographic inequalities in breast cancer screening attendance in Germany following the implementation of an Organized Screening Program: Scoping Review.

机构信息

Institute for Public Health and Nursing Research, University of Bremen, Bremen, Germany.

出版信息

BMC Public Health. 2024 Aug 14;24(1):2211. doi: 10.1186/s12889-024-19673-6.

DOI:10.1186/s12889-024-19673-6

PMID:39143595

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11323608/

Abstract

BACKGROUND

Organized breast cancer screening (BCS) programs are effective measures among women aged 50-69 for preventing the sixth cause of death in Germany. Although the implementation of the national screening program started in 2005, participation rates have not yet reached EU standards. It is unclear which and how sociodemographic factors are related to BCS attendance. This scoping review aims to identify sociodemographic inequalities in BCS attendance among 50-69-year-old women following the implementation of the Organized Screening Program in Germany.

METHODS

Following PRISMA guidelines, we searched the Web of Science, Scopus, MEDLINE, PsycINFO, and CINAHL following the PCC (Population, Concept and Context) criteria. We included primary studies with a quantitative study design and reviews examining BCS attendance among women aged 50-69 with data from 2005 onwards in Germany. Harvest plots depicting effect size direction for the different identified sociodemographic inequalities and last two years or less BCS attendance and lifetime BCS attendance were developed.

RESULTS

We screened 476 titles and abstracts and 33 full texts. In total, 27 records were analysed, 14 were national reports, and 13 peer-reviewed articles. Eight sociodemographic variables were identified and summarised in harvest plots: age, education, income, migration status, type of district, employment status, partnership cohabitation and health insurance. Older women with lower incomes and migration backgrounds who live in rural areas and lack private insurance respond more favourably to BCS invitations. However, from a lifetime perspective, these associations only hold for migration background, are reversed for income and urban residency, and are complemented by partner cohabitation. Finally, women living in the former East German states of Saxony, Mecklenburg-Western Pomerania, Saxony-Anhalt, and Thuringia, as well as in the former West German state of Lower Saxony, showed higher BCS attendance rates in the last two years.

CONCLUSION

High-quality research is needed to identify women at higher risk of not attending BCS in Germany to address the existing research's high heterogeneity, particularly since the overall attendance rate still falls below European standards.

PROTOCOL REGISTRATION

https://osf.io/x79tq/ .

摘要

背景

在 50-69 岁的女性中，有组织的乳腺癌筛查（BCS）计划是预防德国第六大死因的有效措施。尽管 2005 年开始实施国家筛查计划，但参与率尚未达到欧盟标准。目前尚不清楚哪些和哪些社会人口因素与 BCS 参与有关。本范围综述旨在确定在德国实施有组织的筛查计划后，50-69 岁女性 BCS 参与的社会人口不平等现象。

方法

根据 PRISMA 指南，我们按照 PCC（人群、概念和背景）标准，在 Web of Science、Scopus、MEDLINE、PsycINFO 和 CINAHL 中进行了搜索。我们纳入了具有定量研究设计的原始研究和综述，这些研究检查了 2005 年以来德国 50-69 岁女性的 BCS 参与情况，并提供了数据。我们开发了描绘不同确定的社会人口不平等和最近两年或更少 BCS 参与和终身 BCS 参与的效应大小方向的收割图。

结果

我们筛选了 476 篇标题和摘要以及 33 篇全文。总共分析了 27 条记录，其中 14 条是国家报告，13 条是同行评议文章。确定并总结了 8 个社会人口变量，包括年龄、教育、收入、移民状况、地区类型、就业状况、伴侣同居和医疗保险。年龄较大、收入较低、移民背景的女性，居住在农村地区，缺乏私人保险，对 BCS 邀请的反应更为积极。然而，从终身的角度来看，这些关联仅适用于移民背景，收入和城市居住情况则相反，并且与伴侣同居有关。最后，居住在萨克森、梅克伦堡-前波莫瑞、萨克森-安哈尔特和图林根等前东德州以及下萨克森等前西德州的女性在过去两年中的 BCS 参与率较高。