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Self-assessed health, perceived stress and non-participation in breast cancer screening: A Danish cohort study

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Objective
Population-based cancer screening is offered in many countries to detect early stages of cancer and reduce mortality. Screening efficiency and equality is susceptible due to a group of non-participants. We investigated associations between self-assessed health, perceived stress and subsequent non-participation in breast cancer screening.

Methods
This population-based cohort study included 4512 women who had participated in a Health Survey in 2006 and who were also the target group (aged 50–69 years) for the first organised breast cancer screening programme -3 years later in the Central Denmark Region in 2008–2009.

Results
A U-shaped association was observed for physical health assessment as women with the highest (PR = 1.28, 95% CI: 1.06–1.55), and the lowest (PR = 1.41, 95% CI: 1.18–1.68) physical health scores were less likely to participate in the programme than women with physical health scores in the middle range. Women with low mental health assessment were more likely not to participate than women with mental health scores in the middle range (PR = 1.44, 95% CI: 1.22–1.69). Higher non-participation propensity was also observed for women with the highest perceived stress scores (PR = 1.27, 95% CI: 1.07–1.51) compared with women scoring in the middle range.

Original languageEnglish
JournalPreventive Medicine
ISSN0091-7435
DOIs
Publication statusPublished - 19 Oct 2015

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