ArticleBMC public health2024
Sociodemographic inequalities in breast cancer screening attendance in Germany following the implementation of an Organized Screening Program: Scoping Review.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- Adherence to Breast, Cervical, and Colorectal Cancer Screening Among Women in Spain: Evidence from the 2023 Spanish Health Survey.Healthcare (Basel, Switzerland) · 2026Article
- Breast cancer worry, risk level, and knowledge, attitudes, and screening practices among women attending healthy life centers in Türkiye: a cross-sectional study.BMC primary care · 2026Article
- Exploring barriers to women's participation in breast and cervical cancer screening programs: insights from national health surveys in Türkiye.BMC health services research · 2026Article
- Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026Review
- Eyes on Prevention: An Eye-Tracking Analysis of Visual Attention Patterns in Breast Cancer Screening Ads.Journal of eye movement research · 2025Article
- An Exploratory Eye-Tracking Study of Breast-Cancer Screening Ads: A Visual Analytics Framework and Descriptive Atlas.Journal of eye movement research · 2025Article
- Screen-Detected Breast Cancer Outcomes by Mammography Participation in Immediate Past Screening.JAMA network open · 2025Article
- Identifying intersectional groups at risk for missing breast cancer screening: Comparing regression- and decision tree-based approaches.SSM - population health · 2025Article
- Global Burden, Trends, and Inequalities of Gallbladder and Biliary Tract Cancer, 1990-2021: A Decomposition and Age-Period-Cohort Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2025Article
- Sociodemographic inequalities in breast cancer screening attendance in Germany following the implementation of an Organized Screening Program: Scoping Review.BMC public health · 2024Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOrganized breast cancer screening (BCS) programs are effective measures among women aged 50-69 for preventing the sixth cause of death in Germany. Although the implementation of the national screening program started in 2005, participation rates have not yet reached EU standards. It is unclear which and how sociodemographic factors are related to BCS attendance. This scoping review aims to identify sociodemographic inequalities in BCS attendance among 50-69-year-old women following the implementation of the Organized Screening Program in Germany.
methodsFollowing PRISMA guidelines, we searched the Web of Science, Scopus, MEDLINE, PsycINFO, and CINAHL following the PCC (Population, Concept and Context) criteria. We included primary studies with a quantitative study design and reviews examining BCS attendance among women aged 50-69 with data from 2005 onwards in Germany. Harvest plots depicting effect size direction for the different identified sociodemographic inequalities and last two years or less BCS attendance and lifetime BCS attendance were developed.
resultsWe screened 476 titles and abstracts and 33 full texts. In total, 27 records were analysed, 14 were national reports, and 13 peer-reviewed articles. Eight sociodemographic variables were identified and summarised in harvest plots: age, education, income, migration status, type of district, employment status, partnership cohabitation and health insurance. Older women with lower incomes and migration backgrounds who live in rural areas and lack private insurance respond more favourably to BCS invitations. However, from a lifetime perspective, these associations only hold for migration background, are reversed for income and urban residency, and are complemented by partner cohabitation. Finally, women living in the former East German states of Saxony, Mecklenburg-Western Pomerania, Saxony-Anhalt, and Thuringia, as well as in the former West German state of Lower Saxony, showed higher BCS attendance rates in the last two years.
conclusionHigh-quality research is needed to identify women at higher risk of not attending BCS in Germany to address the existing research's high heterogeneity, particularly since the overall attendance rate still falls below European standards. PROTOCOL REGISTRATION: https://osf.io/x79tq/ .
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