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Reattendance in the Swiss mammography screening pilot programme
J-L Bulliard1, J-P De Landtsheer, F Levi
1Unité d'Epidémiologie du Cancer, Institut Universitaire de Médecine Sociale et Préventive, Rue du Bugnon 17, 1005 Lausanne, Switzerland. Jean-Luc.Bulliard@hospvd.ch
Objectives:
To explore the patterns and determinants of reattendance among initial attendees at an organised breast cancer screening programme.
Setting:
Swiss mammography screening pilot programme, based on first-round enrollment in 1993-1995.
Methods:
Data on socio-demographic features, health preventive behaviour and history, prior screening round and referring physicians' attributes were collected at initial attendance. First-round attendees (n=4162) were followed prospectively through next screening round. Determinants of reattendance were identified by multivariate logistic regression.
Results:
Reattendance rate was high (80%). Women most likely to reattend were urban, Swiss residents with a true-negative first-round screening result. The more intensive the initial recruitment efforts, the lesser were the odds of reattendance. Mammography screening prior to screening enrolment increased reattendance. Having a gynaecologist, a female and a younger doctor as a referring physician was positively associated with reattendance.
Conclusion:
Mammography screening attendance is not only influenced by women-related factors but also by structural factors, and thus requires a global approach. For strategies aimed at improving performances of organised cancer screening programmes, understanding and quantification of determinants of (re)attendance are key elements to consider.