Aye Phyu Sin, Bartholomew Karen, Walsh Michael, Pritchard Kathy, Pierce Maree, Richards Jenny, Chambers Erin, Haggie Aroha, Solomon Jesse, Lord Gabrielle, Soloai Tiffany, Symons Lorraine, Tipene Roimata, Jansen Rawiri McKree
Te Whatu Ora (Health New Zealand) Service Improvement and Innovation, Auckland, New Zealand.
University of Auckland, Auckland, New Zealand.
BMC Health Serv Res. 2025 Jan 13;25(1):64. doi: 10.1186/s12913-024-12186-3.
Breast cancer screening in Aotearoa New Zealand (NZ) still has persistent inequitable coverage by ethnicity, especially for Indigenous Māori women. This project aimed to undertake systematic data linkage to identify and invite eligible Māori women to participate in breast screening.
This is a cross-sectional observational study conducted in Northern New Zealand between 1/01/2020 and 30/06/2021. The BreastScreen Aotearoa (BSA) register was linked with the primary care data to identify and invite eligible Māori women (aged 45-69 years) to breast screening, who were not currently enrolled in BSA, and who were enrolled in BSA but had not been screened or overdue for breast screening. Invitations were sent through invitation letters, text messages and phone calls. Enrolment to BSA and screening participation at 15 and 18 months from the project's start date were reported.
Through the data linkage, 2295 women who were not enrolled in BSA were identified eligible for breast screening. Approximately half (n = 1086) of the women were contactable within 5 contact attempts. Of these contactable, 345 (32%) women were enrolled in BSA, 421 (39%) were screened at 15 months, increasing to 441 (41%) at 18 months from the project start. Among women who were previously enrolled but never screened or overdue for screening, 1470 women were eligible. Their contact details were updated through the data linkage, which facilitated BSA to contact them successfully for breast screening. Consequently, 305 (21%) of these eligible were screened at 15 months, and increased to 332 (23%) at 18 months.
The data linkage approach has evidenced the benefit of a population register to facilitate equitable access to breast screening services. Further work is needed on choices of combined approaches for optimising screening uptake equitably.
在新西兰奥特亚罗瓦（NZ），乳腺癌筛查在不同种族间的覆盖情况仍持续存在不平等现象，尤其是对毛利族原住民女性而言。该项目旨在通过系统的数据关联来识别并邀请符合条件的毛利族女性参与乳腺癌筛查。
这是一项于2020年1月1日至2021年6月30日在新西兰北部开展的横断面观察性研究。将奥特亚罗瓦乳腺癌筛查（BSA）登记册与初级保健数据进行关联，以识别并邀请符合条件的毛利族女性（年龄在45至69岁之间）参加乳腺癌筛查，这些女性目前未登记在BSA中，或已登记在BSA中但尚未接受筛查或筛查逾期。邀请通过邀请函、短信和电话发出。报告了从项目开始日期起15个月和18个月时在BSA的登记情况以及筛查参与情况。
通过数据关联，识别出2295名未登记在BSA中的女性符合乳腺癌筛查条件。在进行5次联系尝试内，约一半（n = 1086）的女性能够取得联系。在这些能够取得联系的女性中，345名（32%）女性登记加入了BSA，421名（39%）在项目开始后的15个月接受了筛查，到18个月时增至441名（41%）。在之前已登记但从未接受筛查或筛查逾期的女性中，有1470名符合条件。她们的联系方式通过数据关联得到更新，这便于BSA成功联系她们进行乳腺癌筛查。因此，这些符合条件的女性中有305名（21%）在15个月时接受了筛查，到18个月时增至332名（23%）。
数据关联方法证明了人口登记册在促进公平获得乳腺癌筛查服务方面的益处。需要进一步开展工作，选择优化公平筛查参与率的联合方法。
