ArticlePloS one2015
Does the Neighborhood Area of Residence Influence Non-Attendance in an Urban Mammography Screening Program? A Multilevel Study in a Swedish City.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with attendance at screening for breast cancer: a systematic review and meta-analysis.BMJ open · 2021Pooled it
- The breast cancer paradox: A systematic review of the association between area-level deprivation and breast cancer screening uptake in Europe.Cancer epidemiology · 2019Pooled it
- Factors influencing participation in breast cancer screening in an urban setting. A study of organized and individual opportunistic screening among potentially active and retired women in the city of Nice.Preventive medicine reports · 2023Article
- Built Environment and HIV Linkage to Care in Rural South Africa.Community health equity research & policy · 2023Article
- Change in mammography screening attendance after removing the out-of-pocket fee: a population-based study in Sweden (2014-2018).Cancer causes & control : CCC · 2021Article
- Albuminuria measurement in diabetic care: a multilevel analysis measuring the influence of accreditation on institutional performance.BMJ open quality · 2019Article
- Spatial distribution of mammography adherence in a Swiss urban population and its association with socioeconomic status.Cancer medicine · 2018Article
- Intraclass correlation values for adolescent health outcomes in secondary schools in 21 European countries.SSM - population health · 2016Article
- Living in "Cold Spot" Communities Is Associated with Poor Health and Health Quality.Journal of the American Board of Family Medicine : JABFMArticle
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4 authors.
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Abstract
BACKGROUND AND
aimThe public health impact of population-based mammography screening programs depends on high participation rates. Thus, monitoring participation rates, as well as understanding and considering the factors influencing attendance, is important. With the goal to acquire information on the appropriate level of intervention for increasing screening participation our study aimed to (1) examine whether, over and above individual factors, the neighborhood of residence influences a woman's mammography non-attendance, and (2) evaluate, whether knowing a woman's neighborhood of residence would be sufficient to predict non-attendance.
methodsWe analyze all women invited to mammography screening in 2005-09, residing in the city of Malmö, Sweden. Information regarding mammography screening attendance was linked to data on area of residence, demographic and socioeconomic characteristics available from Statistics Sweden. The influence of individual and neighborhood factors was assessed by multilevel logistic regression analysis with 29,901 women nested within 212 neighborhoods.
resultsThe prevalence of non-attendance among women was 18.3%. After adjusting for individual characteristics, the prevalence in the 212 neighborhoods was 3.6%. Neighborhood of residence had little influence on non-attendance. The multilevel analysis indicates that 8.4% of the total individual differences in the propensity of non-attendance were at the neighborhood level. However, when adjusting for specific individual characteristics this general contextual effect decreased to 1.8%. This minor effect was explained by the sociodemographic characteristic of the neighborhoods. The discriminatory accuracy of classifying women according to their non-attendance was 0.747 when considering only individual level variables, and 0.760 after including neighborhood level as a random effect.
conclusionOur results suggest that neighborhoods of residence in Malmö, Sweden (as defined by small-area market statistics (SAMS) areas) do not condition women's participation in population based mammography screening. Thus, interventions should be directed to the whole city and target women with a higher risk of non-attendance.
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