ArticleAnnals of family medicine
Socioeconomic Disparity Trends in Cancer Screening Among Women After Introduction of National Quality Indicators.
Article in Annals of family medicine. 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 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Test performance metrics for breast, cervical, colon, and lung cancer screening: a systematic review.Journal of the National Cancer Institute · 2023Pooled it
- Factors affecting compliance with pancreas surveillance in patients with familial/genetic risk.Familial cancer · 2026Article
- Racial and ethnic differences in HPV-related cancer incidence in the United States, 2001-2020.Journal of the National Cancer Institute · 2025Article
- Primary care physicians' perceptions of Israel's national program for quality indicators in community healthcare- 2010 and 2020.Israel journal of health policy research · 2025Article
- Review
- Neighborhood Factors Related to Cancer Screening in Texas: A Spatioecological Study.American journal of preventive medicine · 2025Article
- Prevalence and associated factors of mammography uptake among the women aged 45 years and above: policy implications from the longitudinal ageing study in India wave I survey.BMC public health · 2025Article
- Cancer screening adherence among e-cigarette users in the United States.Tobacco prevention & cessation · 2025Article
- Socioeconomic inequality in organized and opportunistic screening for breast cancer: results from the Korean National Cancer Screening Survey, 2009-2021.Epidemiology and health · 2025Article
- Association between the social vulnerability index and breast, cervical, and colorectal cancer screening rates in Rhode Island.Cancer causes & control : CCC · 2024Article
- Deprivation as a fundamental cause of morbidity and reduced life expectancy: an observational study using German statutory health insurance data.International journal of health economics and management · 2024Observational
- Effect of GP visits in the compliance of preventive services: a cross-sectional study in Europe.BMC primary care · 2024Article
- Article
- Region of origin and cervical cancer stage in multiethnic Hispanic/Latinx patients living in the United States.Cancer medicine · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePrimary care physicians have an important role in encouraging adequate cancer screening. Disparities in cancer screening by socioeconomic status (SES) may affect presentation stage and cancer survival. This study aimed to examine whether breast, colorectal, and cervical cancer screening rates in women differed by SES and age, and whether screening rates and SES disparities changed after introduction of a primary care-based national quality indicator program.
methodsThis repeated cross-sectional study spanning 2002-2017 included all female Israeli residents in age ranges appropriate for each cancer screening assessed. SES was measured both as an individual-level variable based on exemption from copayments and as an area-level variable using census data.
resultsIn 2017, the most recent year in the study period, screening rates among 1,529,233 women were highest for breast cancer (70.5%), followed by colorectal cancer (64.3%) and cervical cancer (49.6%). Women in the highest area-level SES were more likely to undergo cervical cancer screening compared with those in the lowest (odds ratio = 3.56; 99.9% CI, 3.47-3.65). Temporal trends showed that after introduction of quality indicators for breast and colorectal cancer screening in 2004 and 2005, respectively, rates of screening for these cancers increased, with greater reductions in disparities for the former. The quality indicator for cervical cancer screening was introduced in 2015, and no substantial changes have occurred yet for this screening.
conclusionsWe found increased uptake and reduced socioeconomic disparities after introduction of cancer screening indicators. Recent introduction of a cervical cancer screening indicator may increase participation and reduce disparities, as has occurred for breast and colorectal cancer screening. These findings related to Israel's quality indicators program highlight the importance of primary care clinicians in increasing cancer screening rates to improve outcomes and reduce disparities.
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