Izvorni znanstveni članak
Urban-rural differences in a population-based breast cancer screening program in Croatia
Valerija Stamenić
; Department for Projects and Programmes, Directorate for Medical Affairs, Ministry of Health and Social Welfare, Zagreb, Croatia
Marija Strnad
; Andrija Štampar School of Public Health, Medical School, University of Zagreb, Zagreb, Croatia
Sažetak
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.
Ključne riječi
breast cancer screening program; risk factors; Croatia; urban-rural areas
Hrčak ID:
78195
URI
Datum izdavanja:
15.2.2011.
Posjeta: 1.261 *