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Urban-rural differences in a population-based breast cancer screening program in Croatia
AIM: To investigate urban-rural differences in the distribution of risk factors for breast cancer. METHODS: We analyzed the data from the first round of the “Mamma” population based-screening program conducted in Croatia between 2007 and 2009 and self-reported questionnaire results for 924 patients...
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Formato: | Texto |
Lenguaje: | English |
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Croatian Medical Schools
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046496/ https://www.ncbi.nlm.nih.gov/pubmed/21328724 http://dx.doi.org/10.3325/cmj.2011.52.76 |
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author | Stamenić, Valerija Strnad, Marija |
author_facet | Stamenić, Valerija Strnad, Marija |
author_sort | Stamenić, Valerija |
collection | PubMed |
description | AIM: To investigate urban-rural differences in the distribution of risk factors for breast cancer. METHODS: We analyzed the data from the first round of the “Mamma” population based-screening program conducted in Croatia between 2007 and 2009 and self-reported questionnaire results for 924 patients with histologically verified breast cancer. Reproductive and anthropometric characteristics, family history of breast cancer, history of breast disease, and prior breast screening history were compared between participants from the city of Zagreb (n = 270) and participants from 13 counties with more than 50% of rural inhabitants (n = 654). RESULTS: The screen-detected breast cancer rate was 4.5 per 1000 mammographies in rural counties and 4.6 in the city of Zagreb, while the participation rate was 61% in rural counties and 59% in Zagreb. Women from Zagreb had significantly more characteristics associated with an increased risk of breast cancer (P < 0.001 in all cases): no pregnancies (15% vs 7%), late age of first pregnancy (≥30 years) (10% vs 4%), and the most recent mammogram conducted 2-3 years ago (32% vs 14%). Women from rural counties were more often obese (41% vs 28%) and had early age of first live birth (<20 years) (20% vs 7%, P < 0.001 for both). CONCLUSION: Identification of rural-urban differences in mammography use and their causes at the population level can be useful in designing and implementing interventions targeted at the reduction of inequalities and modifiable risk factors. |
format | Text |
id | pubmed-3046496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Croatian Medical Schools |
record_format | MEDLINE/PubMed |
spelling | pubmed-30464962011-03-01 Urban-rural differences in a population-based breast cancer screening program in Croatia Stamenić, Valerija Strnad, Marija Croat Med J Public Health AIM: To investigate urban-rural differences in the distribution of risk factors for breast cancer. METHODS: We analyzed the data from the first round of the “Mamma” population based-screening program conducted in Croatia between 2007 and 2009 and self-reported questionnaire results for 924 patients with histologically verified breast cancer. Reproductive and anthropometric characteristics, family history of breast cancer, history of breast disease, and prior breast screening history were compared between participants from the city of Zagreb (n = 270) and participants from 13 counties with more than 50% of rural inhabitants (n = 654). RESULTS: The screen-detected breast cancer rate was 4.5 per 1000 mammographies in rural counties and 4.6 in the city of Zagreb, while the participation rate was 61% in rural counties and 59% in Zagreb. Women from Zagreb had significantly more characteristics associated with an increased risk of breast cancer (P < 0.001 in all cases): no pregnancies (15% vs 7%), late age of first pregnancy (≥30 years) (10% vs 4%), and the most recent mammogram conducted 2-3 years ago (32% vs 14%). Women from rural counties were more often obese (41% vs 28%) and had early age of first live birth (<20 years) (20% vs 7%, P < 0.001 for both). CONCLUSION: Identification of rural-urban differences in mammography use and their causes at the population level can be useful in designing and implementing interventions targeted at the reduction of inequalities and modifiable risk factors. Croatian Medical Schools 2011-02 /pmc/articles/PMC3046496/ /pubmed/21328724 http://dx.doi.org/10.3325/cmj.2011.52.76 Text en Copyright © 2011 by the Croatian Medical Journal. All rights reserved. http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Public Health Stamenić, Valerija Strnad, Marija Urban-rural differences in a population-based breast cancer screening program in Croatia |
title | Urban-rural differences in a population-based breast cancer screening program in Croatia |
title_full | Urban-rural differences in a population-based breast cancer screening program in Croatia |
title_fullStr | Urban-rural differences in a population-based breast cancer screening program in Croatia |
title_full_unstemmed | Urban-rural differences in a population-based breast cancer screening program in Croatia |
title_short | Urban-rural differences in a population-based breast cancer screening program in Croatia |
title_sort | urban-rural differences in a population-based breast cancer screening program in croatia |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046496/ https://www.ncbi.nlm.nih.gov/pubmed/21328724 http://dx.doi.org/10.3325/cmj.2011.52.76 |
work_keys_str_mv | AT stamenicvalerija urbanruraldifferencesinapopulationbasedbreastcancerscreeningprogramincroatia AT strnadmarija urbanruraldifferencesinapopulationbasedbreastcancerscreeningprogramincroatia |