ArticlePreventive medicine reports2022
Socio-economic inequality of utilization of cancer testing in Europe: A cross-sectional study.
Article in Preventive medicine reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Uptake of cervical cancer screening and its associated factors in Africa: an umbrella review of systematic reviews and meta-analyses.BMC public health · 2025Pooled it
- Increasing coverage in cervical and colorectal cancer screening by leveraging attendance at breast cancer screening: A cluster-randomised, crossover trial.PLoS medicine · 2024Trial
- Patient-Centered Clinical Decision Support for Recommended Screenings in French Primary Care: Protocol for a Multicenter Mixed Methods Feasibility Study.JMIR research protocols · 2026Article
- Mailed faecal immunochemical test programmes and educational inequalities in colorectal cancer screening in Europe: a difference-in-differences analysis.International journal of epidemiology · 2026Article
- Social support and country-level factors associated with cancer screening participation in 18 European countries: a multilevel analysis of the European Health Interview Survey.Archives of public health = Archives belges de sante publique · 2026Article
- Socioeconomic Deprivation, Primary Care Physician Workload and Colorectal Cancer Screening Adherence Across Italian Regions: An Ecological Spatial Analysis.Medical sciences (Basel, Switzerland) · 2026Article
- Absolute and relative socioeconomic inequalities in cancer screening participation among adults aged 40-74 years in South Korea: a repeated cross-sectional study.BMC public health · 2026Article
- Association and risk prediction of 19 complex diseases with polygenic scores and socioeconomic status.Communications medicine · 2026Article
- Impact of social determinants on the development, diagnosis, and treatment of cancer: recommended public health interventions.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Review
- Health care utilization up to 11 years after diagnosis among patients with a hematologic malignancy and its association with socioeconomic position.Journal of cancer survivorship : research and practice · 2026Article
- Socioeconomic health equity with malaria burden: quantifying slope (Relative) index of inequity in malaria infection outcomes in the Southeastern-coastal Tanzania.BMC public health · 2026Article
- Global burden of pediatric orthopaedic fractures: an epidemiological analysis from 1990 to 2021.Archives of orthopaedic and trauma surgery · 2025Article
- Equitable colorectal cancer screening implementation framework via a modified Delphi Consensus for Romanian healthcare.Scientific reports · 2025Article
- Benchmarking progress in non-communicable diseases: a global analysis of cause-specific mortality from 2001 to 2019.Lancet (London, England) · 2025Article
- Machine learning-based risk factor analysis and prediction model construction for mortality in chronic heart failure.Journal of global health · 2025Article
- The impact of polygenic score and socioeconomic status in predicting risk for 19 complex diseases.medRxiv : the preprint server for health sciences · 2025Article
- Inequalities in cervical cancer screening use: results of the Serbian National Health Survey.Central European journal of public health · 2025Article
- Emotional, Cognitive, and Social Factors Influencing Romanian Women's Intention to Undergo Cervical Cancer Screening: A Mixed-Method Study.Healthcare (Basel, Switzerland) · 2025Article
- 'I don't know when it's my turn': reasons for low uptake of cancer-related healthcare services in Germany.BMC public health · 2025Article
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14 authors.
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Abstract
There are currently screening programmes for breast, cervical and colorectal cancer in many European countries. However, the uptake of cancer screening in general may vary within and between countries. The aim of this study is to assess the inequalities in testing utilization by socio-economic status and whether the amount of inequality varies across European regions. We conducted an analysis based on cross-sectional data from the second wave of the European Health Interview Survey from 2013 to 2015. We analysed the use of breast, cervical, and colorectal cancer testing by socio-economic position (household income, educational level and employment status), socio-demographic factors, self-perceived health and smoking behaviour, by using multinomial logistic models, and inequality measurement based on the Slope index of inequality (SII) and Relative index of inequality (RII). The results show that the utilization of mammography (Odds Ratio (OR) = 0.55, 95% confidence interval (95%CI):0.50-0.61), cervical smear tests (OR = 0.60, 95%CI:0.56-0.65) and colorectal testing (OR = 0.82, 95%CI:0.78-0.86) was overall less likely among individuals within a low household income compared to a high household income. Also, individuals with a non-EU country of birth, low educational level and being unemployed (or retired) were overall less likely to be tested. The income-based inequality in breast (SII = 0.191;RII = 1.260) and colorectal testing utilization (SII = 0.161;RII = 1.487) was the greatest in Southern Europe. For cervical smears, this inequality was greatest in Eastern Europe (SII = 0.122;RII = 1.195). We concluded that there is considerable inequality in the use of cancer tests in Europe, with inequalities associated with household income, educational level, employment status, and country of birth.
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