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Breast screening in NSW, Australia: predictors of non-attendance and irregular attendance

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Author Info

  • Minh Vu

    ()
    (CHERE, University of Technology, Sydney)

  • Kees van Gool

    ()
    (CHERE, University of Technology, Sydney)

  • Elizabeth Savage

    ()
    (CHERE, University of Technology, Sydney)

  • Marion Haas

    ()
    (CHERE, University of Technology, Sydney)

  • Stephen Birch

Abstract

BreastScreen Australia provides free mammography services to women in the target age group of 50 to 69 years. The program uses a variety of measures to recruit women to the service and, subsequently, encourage them to screen at two year intervals. One of the stated aims of the program is to provide equitable access to all women in the target age group. This paper analyses the extent to which systematic variation can be observed amongst women in terms of their screening behaviour, focusing on those who have never screened or are irregular screeners. Data on self reported utilisation of breast screening services was obtained from the 2002/04 NSW Health Surveys. A multinomial logit (MNL) model was used to examine the role of socioeconomic status, cultural background, education and region of residence on breast screening behaviour. The results show that lower income is associated with a woman never screening or screening irregularly. Region of residence is an important predictor of screening behaviour, although the degree of remoteness was not influential in determining participation. A higher number of hours worked was associated with women being more likely to screen irregularly. These results provide evidence of persistent and systematic variation in screening uptake and regular participation. The results also point towards targeted recruitment and retainment strategies that may provide the greatest potential benefits.

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File URL: http://www.chere.uts.edu.au/pdf/wp2008_6.pdf
File Function: First version, October 2008
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Bibliographic Info

Paper provided by CHERE, University of Technology, Sydney in its series Working Papers with number 2008/6.

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Date of creation: Oct 2008
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Handle: RePEc:her:chewps:2008/6

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Postal: Level 4, 645 Harris Street, Ultimo, NSW 2007
Phone: +61 2 9514 9799
Fax: 61 2 9514 4730
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Web page: http://www.chere.uts.edu.au
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Keywords: breast screening; mammography; NSW; Australia;

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  1. Lantz, Paula M. & Lynch, John W. & House, James S. & Lepkowski, James M. & Mero, Richard P. & Musick, Marc A. & Williams, David R., 2001. "Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors," Social Science & Medicine, Elsevier, vol. 53(1), pages 29-40, July.
  2. Denise Doiron & Glenn Jones & Elizabeth Savage, 2008. "Healthy, wealthy and insured? The role of self-assessed health in the demand for private health insurance," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 317-334.
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