Trends in socioeconomic inequalities in cervical, breast, and colorectal cancer screening participation among women in Japan, 2010-2019

被引：6

作者：

Ishii, Kanako ^{[1
]}

Tabuchi, Takahiro ^{[2
]}

Iso, Hiroyasu ^{[1
,3
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Social Med, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan

[2] Osaka Int Canc Inst, Canc Control Ctr, 3-1-69 Otemae, Chuo Ku, Osaka 5418567, Japan

[3] Natl Ctr Global Hlth & Med, Inst Global Hlth Policy, Bur Int Hlth Cooperat, Res Ctr, 1-21-1 Toyama Shinjuku Ku, Tokyo 1628655, Japan

来源：

CANCER EPIDEMIOLOGY | 2023年 / 84卷

基金：

日本学术振兴会;

关键词：

Cervical cancer screening; Breast cancer screening; Colorectal cancer screening; Socioeconomic inequality; Employment status; ATTENDANCE; COVERAGE;

D O I：

10.1016/j.canep.2023.102353

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: It is known that socioeconomic status (SES) influences the outcome of cancer treatment and this could partly be explained by decreased use of cancer screening services by people of lower SES. Many studies have indicated that low SES, including low educational attainment or unstable employment, was related to nonparticipation in cancer screening. However, studies investigating trends in SES inequalities within cancer screening participation are limited. Our objective was to examine trends in SES inequalities in cervical, breast, and colorectal cancer screening participation among women in Japan between 2010 and 2019.Methods: We analyzed 189,442, 168,571, 163,341, and 150,828 women in 2010, 2013, 2016, and 2019 respectively, using nationally representative cross-sectional surveys. The main outcome variables are participation in each cancer screening. We used educational attainment and employment status as measures for SES. Multivariable logistic regression analysis, adjusted for age, marital status, educational attainment, and employment status was performed to evaluate the associations between SES and nonparticipation in each cancer screening.Results: Overall participation rates in each cancer screening increased between 2010 and 2019. Low educational attainment and non-permanent employment status were related to nonparticipation in each cancer screening and inequality according to employment status increased within each screening participation during the study period. For example, dispatched workers were more likely to not participate in cervical cancer screening than permanent workers: in 2010, [aOR 1.11 95 %CI: 1.01 -1.21], and in 2019, [aOR 1.46 95 %CI: 1.34-1.60]. The inequality was greatest in colorectal cancer screening nonparticipation, followed by breast and cervical screening.Conclusions: Although the participation rates in each cancer screening have increased, inequality in participation in terms of employment status widened among women in Japan between 2010 and 2019. Reducing inequalities in cancer screening participation is essential for cancer screening intervention policies.

引用

页数：7