Age and Ageing, Vol 29, 131-135, Copyright © 2000 by British Geriatrics Society
N Edwards and D Jones
Objectives. To determine breast screening uptake in
older women and to ascertain from previous non-attenders whether they would
accept screening if invited.Design. A random sample of
older women randomly selected from three Family Health Service Authorities
were interviewed in their homes.Participants. 1604
women aged 65 years and over living at home, a response rate of
94%.Results. 120 respondents (8%) had previously been
screened. Rates were higher among those who were married, separated or
divorced than those who were single (P<0.01).
Of those who had not previously been screened, 742 (50%) reported that they
would attend if invited. Age influenced potential attendance: 67% of those
aged 65-69 would accept compared with 27% of those aged 80 and over
(P<0.0001). Future attenders were significantly
more likely to belong to the upper social class and to be currently
married, and were significantly less likely to be disabled or depressed,
but more likely to be anxious
(P<0.05).Conclusion. It is
unjustifiable to exclude women over 65 from breast screening on the basis
of assumed low uptake rates. Certain categories of women - such as those
who were physically disabled, depressed, single or from lower social
classes - could be targeted to achieve maximum uptake
rates.Keywords: breast cancer, mortality, screening
ARTICLES
Uptake of breast cancer screening in older women
University Department of Geriatric Medicine, Glan Clwyd Hospital, Rhyl, Denbighshire, North Wales LL18 5UJ, UK; University Department of Geriatric Medicine, University of Wales College of Medicine, Academic Centre, Llandough Hospital, Penlan Road, Cardiff, South Glamorgan CF64 2XX, UK; Corresponding author; Fax: (+44) 1745 534668
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