Inequality in mammography uptake:results from recruitment phase of first cohort study among Iranian Kurdish population  

作　　者：Mehdi Mirzaei-Alavijeh Bonnie Jerome-D" Emilia Farid Najafi Mehdi Moradinazar Razieh Pirouzeh Farzad Jalilian 

机构地区：[1]Social Development and Health Promotion Research Center,Health Institute,Kermanshah University of Medical Sciences,Kermanshah,Iran [2]School of Nursing,Rutgers,The State University of New Jersey,Camden,USA [3]Research Center for Environmental Determinants of Health,Health Institute,Kermanshah University of Medical Sciences,Kermanshah,Iran

出　　处：《Global Health Research and Policy》2022年第1期81-89,共9页全球健康研究与政策（英文）

基　　金：funded by the Iranian Ministry of Health and Medical Education and also Kermanshah University of Medical Sciences。

摘　　要：Background:Breast cancer is the most common malignant disease in women and is the leading cause of cancer deaths among women.Mammography is the best and the most available diagnostic method for breast cancer early detection.The aim of this study was to investigate the prevalence and inequality in the mammography uptake among Kurdish women in the west of Iran.Methods:This cohort study was conducted using data extracted from the Ravansar Non-communicable Cohort Study among Kurdish women in the west of Iran from 2014 to 2018.The sample included 5289 women aged 35-65 years.The relative and generalized(absolute)concentration index(RC and GC,respectively)was used to quantify and decompose socioeconomic inequalities in mammography uptake.Results:Overall concentration index for mammography was 0.2107,indicating that the mammography uptake concentration was greater in women with a higher socioeconomic status(SES).The predictor variables accounted for 44.6%of the inequality in the mammography uptake.Higher SES,living in urban areas,and age group of 51-55 years old increased the chance of having a mammogram.Available evidence supports the inequality of mammography uptake in favor of women with higher SES.Conclusions:Cost-free screening services for low SES women,and the development of breast cancer prevention campaigns focusing on disadvantaged women could have an important role in mammography uptake and in the reduction of inequalities.

关 键 词：Breast cancer MAMMOGRAPHY INEQUALITIES Kurdish women 

分 类 号：O17[理学—数学]