title: Breast cancer screening uptake among women from different ethnic groups in London: a population-based cohort study.
abstract: OBJECTIVE
  To use newly available self-assigned ethnicity information to investigate variation in breast cancer screening uptake for women from the 16 specific ethnic groups within the broad Asian, Black and White groups that previous studies report.
  
  
  METHODS
  National cancer screening programme services within London.
  
  
  METHODS
  655,516 female residents aged 50-69, invited for screening between March 2006 and December 2009. Ethnicity information was available for 475,478 (72.5%). White British women were the largest group (306,689, 46.8%), followed by Indian (34,687, 5.3%), White Other (30,053, 4.6%), Black Caribbean (25,607, 3.9%), White Irish (17,271, 2.6%), Black African (17,071, 2.6%) and Asian Other (10,579, 1.6%).
  
  
  METHODS
  Uptake for women in different ethnic groups aged 50-52 for a first call invitation to the programme, and for women aged 50-69 for a routine recall invitation after a previous mammography. Uptake is reported (1) for London overall, adjusted using logistic regression, for age at invitation, socioeconomic deprivation and geographical screening area, and (2) for individual areas, adjusted for age and deprivation.
  
  
  RESULTS
  White British women attended their first call (67%) and routine recall (78%) invitations most often. Indian women were more likely to attend their first (61%) or routine recall (74%) than Bangladeshi women (43% and 61%, respectively), and Black Caribbean women were more likely than Black African women to attend first call (63% vs 49%, respectively) and routine recall (74% vs 64%, respectively). There was less variation between ethnic groups in some screening areas.
  
  
  CONCLUSIONS
  Breast cancer screening uptake in London varies by specific ethnic group for first and subsequent invitations, with White British women being more likely to attend. The variation in the uptake for women from the same ethnic groups in different geographical areas suggests that collaboration about the successful engagement of services with different communities could improve uptake for all women.
authors.affiliation: Public Health England, Knowledge and Intelligence Team, London, UK.|King's College London, Cancer Epidemiology and Population Health, London, UK.
authors.forename: Ruth H
authors.initials: RH
authors.lastname: Jack
authors.affiliation: King's College London, Cancer Epidemiology and Population Health, London, UK.
authors.forename: Henrik
authors.initials: H
authors.lastname: Møller
authors.affiliation: London Quality Assurance Reference Centre, London, UK.
authors.forename: Tony
authors.initials: T
authors.lastname: Robson
authors.affiliation: Public Health England, Knowledge and Intelligence Team, London, UK.|King's College London, Cancer Epidemiology and Population Health, London, UK.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Davies
mesh_terms: D000349:Africa / Q000208:ethnology; D000367:Age Factors; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data; D001459:Bangladesh / Q000208:ethnology; D044383:Black People / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D017691:Caribbean Region / Q000208:ethnology; D015331:Cohort Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007194:India / Q000208:ethnology; D007494:Ireland / Q000208:ethnology; D016015:Logistic Models; D008131:London; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D044465:White People / Q000706:statistics & numerical data
keywords: PREVENTIVE MEDICINE; PUBLIC HEALTH