umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effectiveness of population-based service screening with mammography for women ages 40 to 49 years with a high or low risk of breast cancer: socioeconomic status, parity, and age at birth of first child
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Umeå University, Faculty of Social Sciences, Department of Geography and Economic History. Umeå University, Faculty of Social Sciences, Centre for Population Studies (CPS).
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0002-5095-3454
Show others and affiliations
2015 (English)In: Cancer, ISSN 0008-543X, E-ISSN 1097-0142, Vol. 121, no 2, 251-258 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Invitation to mammography screening of women aged 40 to 49 years is a matter of debate in many countries and a cost-effective alternative in countries without screening among women aged 40 to 49 years could be inviting those at higher risk. The relative effectiveness of mammography screening was estimated for subgroups based on the breast cancer risk factors parity, age at time of birth of first child, and socioeconomic status (SES).

METHODS: The SCReening of Young Women (SCRY) database consists of all women aged 40 to 49 years in Sweden between 1986 and 2005 and was split into a study and control group. The study group consisted of women residing in areas in which women aged 40 to 49 years were invited to screening and the control group of women in areas in which women aged 40 to 49 years were not invited to screening. Rate ratio (RR) estimates were calculated for 2 exposures: invitation and attendance.

RESULTS: There were striking similarities noted in the RR pattern for women invited to and attending screening and no statistically significant difference or trend in the RR was noted by risk group. The RR estimates increased by increasing parity for parity of 0 to 2 and ranged from 0.55 (95% confidence interval [95% CI], 0.38-0.79) to 0.79 (95% CI, 0.65-0.95) for attending women. The RR for women with high SES was lower than that for women with low SES (RR, 0.72 [95% CI, 0.60-0.86] and RR, 0.79 [95% CI, 0.63-0.99], respectively). For women aged 20 to 24 years at the time of the birth of their first child, the RR was 0.73 (95% CI, 0.58-0.91) and estimates for other ages were similar.

CONCLUSIONS: There was no statistically significant difference noted in the relative effectiveness of mammography screening by parity, age at the time of birth of the first child, or SES. Cancer 2014.

Place, publisher, year, edition, pages
2015. Vol. 121, no 2, 251-258 p.
Keyword [en]
mammography, cancer screening, breast cancer, mortality, risk factors, socioeconomic status (SES), parity
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-95817DOI: 10.1002/cncr.29011ISI: 000347540900012PubMedID: 25242087OAI: oai:DiVA.org:umu-95817DiVA: diva2:761140
Available from: 2014-11-05 Created: 2014-11-05 Last updated: 2017-12-05Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Hellquist, Barbro NumanHjälm, AnnaNyström, LennarthJonsson, Håkan

Search in DiVA

By author/editor
Hellquist, Barbro NumanHjälm, AnnaNyström, LennarthJonsson, Håkan
By organisation
OncologyDepartment of Geography and Economic HistoryCentre for Population Studies (CPS)Epidemiology and Global Health
In the same journal
Cancer
Cancer and Oncology

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 130 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf