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Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study

BACKGROUND: Chronic diseases and multimorbidity are common in western countries and associated with increased breast cancer mortality. This study aims to investigate non-participation in breast cancer screening among women with chronic diseases and multimorbidity and the role of time in this associa...

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Autores principales: Jensen, L. F., Pedersen, A. F., Andersen, B., Vestergaard, M., Vedsted, P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623919/
https://www.ncbi.nlm.nih.gov/pubmed/26502879
http://dx.doi.org/10.1186/s12885-015-1829-1
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author Jensen, L. F.
Pedersen, A. F.
Andersen, B.
Vestergaard, M.
Vedsted, P.
author_facet Jensen, L. F.
Pedersen, A. F.
Andersen, B.
Vestergaard, M.
Vedsted, P.
author_sort Jensen, L. F.
collection PubMed
description BACKGROUND: Chronic diseases and multimorbidity are common in western countries and associated with increased breast cancer mortality. This study aims to investigate non-participation in breast cancer screening among women with chronic diseases and multimorbidity and the role of time in this association. METHOD: This population-based cohort study used regional and national registries. Women who were invited to the first breast cancer screening round in the Central Denmark Region in 2008–09 were included (n = 149,234). Selected chronic diseases and multimorbidity were assessed up to 10 years before the screening date. Prevalence ratios (PR) were used as an association measure. RESULTS: The results indicated that women with at least one chronic condition were significantly more likely not to participate in breast cancer screening. In adjusted analysis, a significantly higher likelihood of non-participation was found for women with cancer (PR = 1.50, 95 % CI: 1.40–1.60), mental illness (PR = 1.51, 95 % CI: 1.42–1.60), chronic obstructive pulmonary disease (PR = 1.51, 95 % CI: 1.42–1.62), neurological disorders (PR = 1.24, 95 % CI: 1.12–1.37) and kidney disease (PR = 1.70, 95 % CI 1.49–1.94), whereas women with chronic bowel disease (PR = 0.75, 95 % CI 0.65–0.88) were more likely to participate than women without these disease. Multimorbidity was associated with increased non-participation likelihood. E.g. having 3 or more diseases was associated with 58 % increased non-participation likelihood (95 % CI: 27–96 %). Higher non-participation was also observed for women with severe multimorbidity (PR = 1.53, 95 % CI: 1.23–1.90) and mental-physical multimorbidity (PR = 1.54, 95 % CI: 1.36–1.75). CONCLUSION: In conclusion, we found a strong association between non-participation in breast cancer screening for some chronic diseases and for multimorbidity. The highest propensity not to participate was observed for women with hospital contacts related to the chronic disease in the period closest to the screening date. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12885-015-1829-1) contains supplementary material, which is available to authorized users.
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spelling pubmed-46239192015-10-29 Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study Jensen, L. F. Pedersen, A. F. Andersen, B. Vestergaard, M. Vedsted, P. BMC Cancer Research Article BACKGROUND: Chronic diseases and multimorbidity are common in western countries and associated with increased breast cancer mortality. This study aims to investigate non-participation in breast cancer screening among women with chronic diseases and multimorbidity and the role of time in this association. METHOD: This population-based cohort study used regional and national registries. Women who were invited to the first breast cancer screening round in the Central Denmark Region in 2008–09 were included (n = 149,234). Selected chronic diseases and multimorbidity were assessed up to 10 years before the screening date. Prevalence ratios (PR) were used as an association measure. RESULTS: The results indicated that women with at least one chronic condition were significantly more likely not to participate in breast cancer screening. In adjusted analysis, a significantly higher likelihood of non-participation was found for women with cancer (PR = 1.50, 95 % CI: 1.40–1.60), mental illness (PR = 1.51, 95 % CI: 1.42–1.60), chronic obstructive pulmonary disease (PR = 1.51, 95 % CI: 1.42–1.62), neurological disorders (PR = 1.24, 95 % CI: 1.12–1.37) and kidney disease (PR = 1.70, 95 % CI 1.49–1.94), whereas women with chronic bowel disease (PR = 0.75, 95 % CI 0.65–0.88) were more likely to participate than women without these disease. Multimorbidity was associated with increased non-participation likelihood. E.g. having 3 or more diseases was associated with 58 % increased non-participation likelihood (95 % CI: 27–96 %). Higher non-participation was also observed for women with severe multimorbidity (PR = 1.53, 95 % CI: 1.23–1.90) and mental-physical multimorbidity (PR = 1.54, 95 % CI: 1.36–1.75). CONCLUSION: In conclusion, we found a strong association between non-participation in breast cancer screening for some chronic diseases and for multimorbidity. The highest propensity not to participate was observed for women with hospital contacts related to the chronic disease in the period closest to the screening date. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12885-015-1829-1) contains supplementary material, which is available to authorized users. BioMed Central 2015-10-26 /pmc/articles/PMC4623919/ /pubmed/26502879 http://dx.doi.org/10.1186/s12885-015-1829-1 Text en © Jensen et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Jensen, L. F.
Pedersen, A. F.
Andersen, B.
Vestergaard, M.
Vedsted, P.
Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title_full Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title_fullStr Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title_full_unstemmed Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title_short Non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
title_sort non-participation in breast cancer screening for women with chronic diseases and multimorbidity: a population-based cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623919/
https://www.ncbi.nlm.nih.gov/pubmed/26502879
http://dx.doi.org/10.1186/s12885-015-1829-1
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