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Congress: ECR25
Poster Number: C-16052
Type: Poster: EPOS Radiologist (scientific)
Authorblock: N. Moshina, S. Sagstad, M. B. Bergan, M. Larsen, Å. S. Holen, J. Gjesvik, S. Hofvind; Oslo/NO
Disclosures:
Nataliia Moshina: Nothing to disclose
Silje Sagstad: Nothing to disclose
Marie Burns Bergan: Nothing to disclose
Marthe Larsen: Nothing to disclose
Åsne Sørlien Holen: Nothing to disclose
Jonas Gjesvik: Nothing to disclose
Solveig Hofvind: Nothing to disclose
Keywords: Breast, Mammography, Screening, Epidemiology, Quality assurance
Purpose Several studies have shown substantially lower attendance in mammographic screening among immigrants versus non-immigrants, particularly among immigrants from non-Western compared to Western countries (1, 2). The general recommendations for breast cancer screening do not take into account immigrant status of the invited women (1, 3). Differences in screening participation by immigrant status represent a potential for inequalities in healthcare access (2, 4). However, to address the issue and plan intervention measures to reduce the inequalities, the main immigrant groups and...
Read more Methods and materials The study population included 766,770 women invited to the organized breast cancer screening program BreastScreen Norway between 2018 and 2023. The program offers all female residents aged 50-69 years biennial screening mammography to a fee of 25 Euro (5). The women receive an invitation letter with stated time and place for the screening examination and an information leaflet describing various aspects of breast cancer screening. The invitation letter and leaflet have been available in Arabic, English, Polish, Somali, and Urdu...
Read more Results During the study period, 1,819,211 invitations to attend BreastScreen Norway were sent to the women in the study population (Figure 1). The attendance rate was 75% for all women. Among non-immigrants, the attendance rate was 78%. In the immigrant groups, the attendance rate was 66% among women born in Western countries and 49% among women born in non-Western countries. During the study period, the attendance increased from 77% to 80% among non-immigrants, and from 62% to 68% among immigrants born...
Read more Conclusion Immigrants, particularly those from non-Western countries, showed consistently lower attendance in BreastScreen Norway compared to non-immigrant women during the period 2018-2023. Language barriers, personal income and unequal possibilities for patient guidance are factors that might have affected access to mammographic screening for immigrants from non-Western countries (7). Furthermore, discrepancies in health perception and breast cancer awareness could have contributed to the lower attendance among non-Western immigrants (2). A qualitative assessment of the needs of immigrant groups might help improve access...
Read more References Bhargava S, Moen K, Qureshi SA, Hofvind S. Mammographic screening attendance among immigrant and minority women: a systematic review and meta-analysis. Acta Radiol. 2018;59(11):1285-91. Bhargava S, Tsuruda K, Moen K, Bukholm I, Hofvind S. Lower attendance rates in immigrant versus non-immigrant women in the Norwegian Breast Cancer Screening Programme. J Med Screen. 2018;25(3):155-61. Recommendations on Breast Cancer Screening 2016 [updated 24/11/2016. Available from: http://ecibc.jrc.ec.europa.eu/recommendations/details/4. Bhargava S, Mangerud G, Hofvind S. Attendance in BreastScreen Norway among immigrant and Norwegian-born women. Tidsskr Nor Laegeforen. 2021;141(2). Screening....
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