title: Reattendance in the Swiss mammography screening pilot programme.
abstract: OBJECTIVE
  To explore the patterns and determinants of reattendance among initial attendees at an organised breast cancer screening programme.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Unité d'Epidémiologie du Cancer, Institut Universitaire de Médecine Sociale et Préventive, Rue du Bugnon 17, 1005 Lausanne, Switzerland. Jean-Luc.Bulliard@hospvd.ch
authors.forename: J-L
authors.initials: JL
authors.lastname: Bulliard
authors.forename: J-P
authors.initials: JP
authors.lastname: De Landtsheer
authors.forename: F
authors.initials: F
authors.lastname: Levi
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010349:Patient Compliance; D010865:Pilot Projects; D012959:Socioeconomic Factors; D013557:Switzerland; D013997:Time Factors