PDF(Pubmed)
Abstract：
BACKGROUND: Organized 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.
METHODS: Following 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.
RESULTS: We 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.
CONCLUSIONS: High-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.
BACKGROUND: https://osf.io/x79tq/ .
METHODS: Following 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.
RESULTS: We 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.
CONCLUSIONS: High-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.
BACKGROUND: https://osf.io/x79tq/ .
摘要：
背景：有组织的乳腺癌筛查（BCS）计划是50-69岁女性预防德国第六大死亡原因的有效措施。尽管国家筛查计划的实施始于2005年，但参与率尚未达到欧盟标准。目前尚不清楚哪些社会人口统计学因素以及如何与BCS出勤率相关。这项范围审查旨在确定在德国实施有组织的筛查计划后，50-69岁女性在BCS出勤率方面的社会人口统计学不平等。
方法：遵循PRISMA指南，我们搜索了科学网，Scopus,MEDLINE,PsycINFO,跟随PCC的CINAHL(人口，概念和上下文)标准。我们纳入了定量研究设计的主要研究，并审查了50-69岁女性的BCS出勤率，并收集了2005年以来德国的数据。制定了收获图，描绘了不同的社会人口统计学不平等以及最近两年或更少的BCS出勤率和终身BCS出勤率的影响大小方向。
结果：我们筛选了476篇标题和摘要以及33篇全文。总的来说,分析了27条记录，14是国家报告，和13篇同行评议的文章。在收获地块中确定并总结了八个社会人口统计学变量：年龄，教育,收入,迁移状态,区的类型,就业状况,合伙同居和健康保险。生活在农村地区且缺乏私人保险的低收入和移民背景的老年妇女对BCS邀请的反应更积极。然而,从一生的角度来看，这些协会只适用于移民背景，在收入和城市居住权方面被逆转，并辅以伴侣同居。最后,生活在前东德萨克森州的妇女，梅克伦堡-西波美拉尼亚,萨克森-安哈尔特,和图林根,以及前西德下萨克森州，在过去两年中，BCS出勤率较高。
结论：需要高质量的研究来确定在德国没有参加BCS的风险较高的女性，以解决现有研究的高异质性，特别是因为整体出勤率仍然低于欧洲标准。
背景：https://osf.io/x79tq/。
方法：遵循PRISMA指南，我们搜索了科学网，Scopus,MEDLINE,PsycINFO,跟随PCC的CINAHL(人口，概念和上下文)标准。我们纳入了定量研究设计的主要研究，并审查了50-69岁女性的BCS出勤率，并收集了2005年以来德国的数据。制定了收获图，描绘了不同的社会人口统计学不平等以及最近两年或更少的BCS出勤率和终身BCS出勤率的影响大小方向。
结果：我们筛选了476篇标题和摘要以及33篇全文。总的来说,分析了27条记录，14是国家报告，和13篇同行评议的文章。在收获地块中确定并总结了八个社会人口统计学变量：年龄，教育,收入,迁移状态,区的类型,就业状况,合伙同居和健康保险。生活在农村地区且缺乏私人保险的低收入和移民背景的老年妇女对BCS邀请的反应更积极。然而,从一生的角度来看，这些协会只适用于移民背景，在收入和城市居住权方面被逆转，并辅以伴侣同居。最后,生活在前东德萨克森州的妇女，梅克伦堡-西波美拉尼亚,萨克森-安哈尔特,和图林根,以及前西德下萨克森州，在过去两年中，BCS出勤率较高。
结论：需要高质量的研究来确定在德国没有参加BCS的风险较高的女性，以解决现有研究的高异质性，特别是因为整体出勤率仍然低于欧洲标准。
背景：https://osf.io/x79tq/。
