Evidence map›Paper›PMID 29063122›Full record

ArticleInternational journal of public health2018

The education gradient in cancer screening participation: a consistent phenomenon across Europe?

Barbara Willems, Piet Bracke

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Article in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A systematic review of the cost-effectiveness of interventions to increase cervical cancer screening among underserved women in Europe.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
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  18. Sex and income inequalities in preventive services in diabetes.The European journal of general practice · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Barbara WillemsGhent University, Ghent, Belgium. Barbara.Willems@UGent.be.ORCID 0000-0002-6797-9191
Piet BrackeGhent University, Ghent, Belgium.

Funding

Bijzonder Onderzoeksfonds BOFDoc2016001401
6 · The paper itself

Abstract

objectivesTo extend the literature on educational inequalities in cancer screening participation (1) by simultaneously focusing on participation in screening for cervical, breast and colorectal cancer across 27 European countries and (2) by statistically testing whether these educational inequalities vary according to country-specific screening strategies: organised or opportunistic.

methodsSelf-reported data from Eurobarometer 66.2 (2006) on cancer screening participation in the preceding 12 months were used to outline cross-national variations in screening strategies, target populations and participation rates. Multilevel logistic regressions were applied.

resultsIndividuals with higher levels of education were more likely to participate in screening for cervical, breast and colorectal cancer than were those with less education. Educational inequalities in cancer screening participation were significantly smaller in countries with organised screening for cervical (OR = 0.696, 95% CI 0.531–0.912), breast (OR = 0.628, 95% CI 0.438–0.900) and colorectal (OR = 0.531, 95% CI 0.303–0.932) cancer than they were in countries with opportunistic screening. The same interaction was observed for participation in screening for breast and colorectal cancer, albeit with marginal significance.

conclusionsThis study clearly highlights the crucial role of educational level in the likelihood of participating in cancer screening. Countries can reduce educational inequalities by applying organised screening programmes.

Indexed as

Educational StatusAdultAgedBreast NeoplasmsColorectal NeoplasmsEarly Detection of CancerEuropeFemaleHumansMaleMiddle AgedUterine Cervical NeoplasmsCancer screening participationCancer screening strategyComparative health researchEducational inequalitiesEurope

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.