ArticleBritish journal of cancer2012
Major ethnic group differences in breast cancer screening uptake in Scotland are not extinguished by adjustment for indices of geographical residence, area deprivation, long-term illness and education.
Article in British journal of cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to breast and cervical cancer screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom: evidence from a mixed-methods systematic review.BMC health services research · 2023Pooled it
- Effect of invitation letter in language of origin on screening attendance: randomised controlled trial in BreastScreen Norway.BMJ (Clinical research ed.) · 2023Trial
- Has COVID-19 Exacerbated Ethnic-Related Inequalities in Cancer Care in the UK? Findings from a Narrative Review with a Systematic Search.Journal of racial and ethnic health disparities · 2026Review
- Behind the Screen: An Exploratory Study of Factors Influencing Breast Screening Uptake in Lancashire (UK).Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Concerns and coping mechanisms of breast cancer survivor women from Asia: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- The role of knowledge, primary care and community engagement to improve breast-screening access for Pakistani women in the United Kingdom: A secondary analysis of a qualitative study.Journal of health services research & policy · 2023Article
- Inequalities in colorectal cancer screening uptake in Wales: an examination of the impact of the temporary suspension of the screening programme during the COVID-19 pandemic.BMC public health · 2023Article
- Article
- Complex differences in infection rates between ethnic groups in Scotland: a retrospective, national census-linked cohort study of 1.65 million cases.Journal of public health (Oxford, England) · 2022Article
- Cascade screening for glaucoma in high-risk family members of African-Caribbean glaucoma patients in an urban population in London.The British journal of ophthalmology · 2022Article
- "Whilst you are here…" Acceptability of providing advice about screening and early detection of other cancers as part of the breast cancer screening programme.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Article
- Engagement barriers and service inequities in the NHS Breast Screening Programme: Views from British-Pakistani women.Journal of medical screening · 2020Article
- Evaluating the Integration of Genomics into Cancer Screening Programmes: Challenges and Opportunities.Current genetic medicine reports · 2019Review
- Assessment of health care, hospital admissions, and mortality by ethnicity: population-based cohort study of health-system performance in Scotland.The Lancet. Public health · 2018Article
- Breast cancer risk in a screening cohort of Asian and white British/Irish women from Manchester UK.BMC public health · 2018Article
- Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals.BMC health services research · 2015Article
- Attitudes towards cytology and human papillomavirus self-sample collection for cervical screening among Hindu women in London, UK: a mixed methods study.The journal of family planning and reproductive health care · 2015Article
- A Peer Health Educator Program for Breast Cancer Screening Promotion: Arabic, Chinese, South Asian, and Vietnamese Immigrant Women's Perspectives.Nursing research and practice · 2015Article
- Breast cancer screening uptake among women from different ethnic groups in London: a population-based cohort study.BMJ open · 2014Article
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Abstract
backgroundBreast cancer screening data generally show lower uptake in minority ethnic groups. We investigated whether such variations occur in Scotland.
methodsUsing non-disclosive computerised linkage we combined Scottish breast screening and Census 2001 data. Non-attendance at first breast-screening invitation (2002-2008) was compared between 11 ethnic groups using age-adjusted risk ratios (RR) with 95% confidence intervals (CI), multiplied by 100, using Poisson regression.
resultsCompared with the White Scottish (RR=100), non-attendance was similar for Other White British (99.5, 95% CI 96.1-103.2) and Chinese (112.8, 95% CI 96.3-132.2) and higher for Pakistani (181.7, 95% CI 164.9-200.2), African (162.2, 95% CI 130.8-201.1), Other South Asian (151.7, 95% CI 118.9-193.7) and Indian (141.7, 95% CI 121.1-165.7) groups. Adjustment for rural vs urban residence, long-term illness, area deprivation and education, associated with risk of non-attendance, increased the RR for non-attendance except for Pakistani women where it was modestly attenuated (RR=164.9, 149.4-182.1).
conclusionOur data show important inequality in breast cancer screening uptake, not attenuated by potential confounding factors. Ethnic inequalities in breast screening attendance are of concern especially given evidence that the traditionally lower breast cancer rates in South Asian groups are converging towards the risks in the White UK population. Notwithstanding the forthcoming review of breast cancer screening, these data call for urgent action.
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