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Screening mammography uptake within Australia and Scotland in rural and urban populations

Citation
Leung J, Macleod C, McLaughlin D, Woods L, Henderson R, Watson A, Kyle R, Hubbard G, Mullen R & Atherton I (2015) Screening mammography uptake within Australia and Scotland in rural and urban populations, Preventive Medicine Reports, 2, pp. 559-562.

Abstract
Objective: To test the hypothesis that rural populations had lower uptake of screening mammography than urban populations in the Scottish and Australian setting.

Method: Scottish data are based upon information from the Scottish Breast Screening Programme Information System describing uptake among women residing within the NHS Highland Health Board area who were invited to attend for screening during the 2008 to 2010 round (N=27,416). Australian data were drawn from the 2010 survey of the 1946-51 cohort of the Australian Longitudinal Study on Women's Health (N=9890 women).

Results: Contrary to our hypothesis, results indicated that women living in rural areas were not less likely to attend for screening mammography compared to women living in urban areas in both Scotland (OR for rural=1.17, 95% CI=1.06-1.29) and Australia (OR for rural=1.15, 95% CI=1.01-1.31).

Conclusions: The absence of rural-urban differences in attendance at screening mammography demonstrates that rurality is not necessarily an insurmountable barrier to screening mammography.

Keywords
Breast neoplasms; Early detection of cancer; Healthcare disparities; Rural health; Rural health services; Rural population; Scotland; Australia; Health services; Health services accessibility

StatusPublished
AuthorsLeung Janni, Macleod Catriona, McLaughlin Deirdre, Woods Laura, Henderson Robert, Watson Angus, Kyle Richard, Hubbard Gill, Mullen Russell, Atherton Iain
Publication date2015
Publication date online24/06/2015
PublisherElsevier
ISSN No ISSN
LanguageEnglish

Journal
Preventive Medicine Reports: Volume 2 (2015)

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