Universität zu Köln

Fritz, Ulrike Annette Anja, Pfaff, Holger ORCID: 0000-0001-9154-6575, Roth, Lena, Swora, Micheal and Gross, Sophie Elisabeth (2020). Influence of Sociodemographic Factors on Type of and Stage at Diagnosis in Breast Cancer. Gesundheitswesen, 82 (08/09). S. 684 - 691. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4421

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Abstract

This study examines the influence of sociodemographic factors on the type of and stage at diagnosis in breast cancer in Germany. Method As part of the certification of the breast cancer centers by the German Cancer Society (DGK), the Institute of Medical Sociology, Health Services and Rehabilitation Science (IMVR) conducted nationwide post-stationary postal patient surveys (n = 852). The influence of sociodemographic factors on the type of diagnosis and on the stage at diagnosis were each analyzed using a multinomial logistic regression. Results 45.5 % palpated the tumor by themselves, 33.4 % were diagnosed by mammography screening and 16.6 % by gynecological check-up. Being diagnosed by screening was associated with an early stage cancer. Furthermore, breast cancer patients without private health insurance or with a low educational level were less likely to be diagnosed by a gynecological check-up. Patients within screening age (50-69) had higher odds for an early stage breast cancer. Patients with a low educational level had lower odds for an early stage breast cancer. Conclusion Fifty percent of the breast cancer patients were not diagnosed by screening. Mammography screening appears to be more sensitive in detecting early stage cancer, since we found an association between diagnosis by screening and an early stage cancer. Age outside of the screening range and a low educational level might be risk factors for an advanced stage breast cancer. High screening rates, especially for these risk groups, seem to be important for early detection of breast cancer.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fritz, Ulrike Annette Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Roth, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Swora, Micheal UNSPECIFIED UNSPECIFIED UNSPECIFIED Gross, Sophie Elisabeth UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-321124
DOI:	10.1055/a-0938-4111
Journal or Publication Title:	Gesundheitswesen
Volume:	82
Number:	08/09
Page Range:	S. 684 - 691
Date:	2020
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4421
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SCREENING BEHAVIOR; WOMEN; AGE Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32112