title: Results of breast cancer screening in first generation migrants in Northwest Netherlands.
abstract: To determine breast cancer screening results according to country of birth data were used from the breast cancer screening organization of the Comprehensive Cancer Centre Amsterdam, The Netherlands. Overall (age-adjusted) attendance of the breast cancer screening was 76% for women aged 50-69. Attendance was significantly lower for women born in non-western countries (Surinam 59%, Turkey 44% and Morocco 37%) and for women with residence in Amsterdam (68%). Referral and detection rates for women from non-western countries were 5.1 and 2.2 per 1000 screened women, respectively, compared with 8.8 and 4.0 for women born in The Netherlands (P<0.05). The positive predictive value was 45% for women born in The Netherlands and western countries and 43% for women born in non-western countries. Although women born in non-western countries attend breast cancer screening less frequently than women born in The Netherlands, they also have a low detection rate. The latter finding justifies a passive attitude towards the low attendance.
authors.affiliation: Comprehensive Cancer Centre Amsterdam, PO Box 9236, 1006 AE Amsterdam, The Netherlands. o.visser@ikca.nl
authors.forename: O
authors.initials: O
authors.lastname: Visser
authors.forename: A M
authors.initials: AM
authors.lastname: van Peppen
authors.forename: F G
authors.initials: FG
authors.lastname: Ory
authors.forename: F E
authors.initials: FE
authors.lastname: van Leeuwen
mesh_terms: D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D010349:Patient Compliance; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity