Department of General Medicine, Université de Reims Champagne-Ardenne, Reims, Marne, France.
Médecine générale, Maison de Santé Pluriprofessionnelle de la Forêt d'Orient, Piney, Aube, France.
Cancer Med. 2024 Aug;13(16):e7444. doi: 10.1002/cam4.7444.
Delays in detection and treatment of breast cancer can lead to increased mortality. To date, participation in organized breast cancer screenings (OBCS) has been suboptimal worldwide. The objective of this study was to investigate the factors associated with deferral or non-performance of mammography during the COVID-19 pandemic for women who had previously participated in OBCS.
A retrospective observational study was conducted on a cohort of 6282 women from the Aube Department of France, who were invited to an OBCS in 2020. Participants were divided into women who promptly underwent screening after receiving an invitation (between 22 and 25 months elapsed since the last mammogram), women who underwent late screening (≥26 months since the last mammogram), and those who were never screened. Data were collected from a self-reported questionnaire. Comparative and multivariable analyses modeling the probability of each type of attendance were performed using these data.
In total, 2301 women (aged 50-74 years) returned a valid questionnaire. Compared to women who promptly underwent mammography, non- and late-screening participants were younger, had less frequent gynecological follow-up and a less frequent history of colorectal cancer screening. Women with higher education status and those residing in socially disadvantaged areas were more likely to attend late.
The absence of regular gynecological follow-up and the absence of colorectal cancer screening were significant factors associated with deferral of or non-attendance at OBCS.
乳腺癌的检测和治疗延迟会导致死亡率增加。迄今为止，全球范围内参与有组织的乳腺癌筛查（OBCS）的人数仍不理想。本研究的目的是调查在 COVID-19 大流行期间，先前参与 OBCS 的女性推迟或不进行乳房 X 光检查的相关因素。
对法国奥布省的 6282 名女性进行了一项回顾性观察性研究，这些女性在 2020 年被邀请参加 OBCS。参与者分为三类：及时接受筛查的女性（在最后一次乳房 X 光检查后 22-25 个月内）、延迟接受筛查的女性（最后一次乳房 X 光检查后≥26 个月）和从未接受筛查的女性。数据来自一份自我报告的调查问卷。使用这些数据进行比较和多变量分析模型，以评估每种类型的参与率。
共有 2301 名（年龄在 50-74 岁之间）女性返回了有效的问卷。与及时接受乳房 X 光检查的女性相比，未进行和延迟进行筛查的女性年龄较小，妇科随访较少，结直肠癌筛查较少。受教育程度较高和居住在社会劣势地区的女性更有可能延迟筛查。
缺乏定期的妇科随访和缺乏结直肠癌筛查是导致 OBCS 推迟或不参加的重要因素。
