Abstract:
BACKGROUND:Screening is intended to advance diagnosis thereby shifting the stage distribution towards more locally confined stages. Consequently we aimed to estimate trends in stage-specific breast cancer in relation to the introduction of population-based screening. METHODS:From the Cancer Registry of Norway we retrieved cancer stage, age and year of diagnosis on all women aged 20 or older diagnosed with breast cancer during the period 1987-2010 in Norway (approximate source population: 1.8 million). Three calendar-time periods were defined: before (1987-95), during (1996-2004), and after (2005-10) screening was introduced; and two age groups: women eligible for screening (50-69 years) or younger (20-49 years). Poisson regression was used to estimate the incidence of localized (stage I) and more advanced cancer (stages II+), respectively, and logistic regression to estimate the proportion of localized cancer. RESULTS:The annual incidence of localized breast cancer among women aged 50-69 years rose from 63.9 per 100 000 before the introduction of screening to 141.2 afterwards, corresponding to a ratio of 2.21 (95% confidence interval: 2.10; 2.32). The incidence of more advanced cancers increased from 86.9 to 117.3 per 100 000 afterwards, corresponding to a 1.35 (1.29; 1.42)-fold increase. Advanced cancers also increased among younger women not eligible for screening, whereas their incidence of localized cancers remained nearly constant. CONCLUSION:Incidence of localized breast cancer increased significantly among women aged 50-69 years old after introduction of screening, while the incidence of more advanced cancers was not reduced in the same period when compared to the younger unscreened age group.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Lousdal ML,Kristiansen IS,Møller B,Støvring Hdoi
10.1093/eurpub/cku015subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1017-22issue
6eissn
1101-1262issn
1464-360Xpii
cku015journal_volume
24pub_type
杂志文章abstract:Background:Food insecurity is a major concern in homeless population, however nutritional consequences remain poorly documented, especially for children. The objective of this study was to assess the prevalence of anaemia and to investigate the relation between both food insecurity and dietary intake to moderate-to-sev...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx192
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Multimorbidity is a growing concern for healthcare systems, with many countries experiencing demographic transition to older population profiles. A simple multisource comorbidity score (MCS) has been recently developed and validated. A very large real-world investigation was conducted with the aim of measuri...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa063
更新日期:2020-10-01 00:00:00
abstract::The effect of cannabis and cocaine use on non-fatal traffic injuries and use of motorcycle helmets or car seatbelts was assessed in a nationwide sample of 17,484 car or motorcycle drivers surveyed in 2005 in Spain. Logistic regression was used to adjust for distance driven and potential confounders. Cocaine use ≥ 1 da...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq161
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Partial implementation may explain modest effectiveness of many school-based preventive programmes against substance use. We studied whether specific characteristics of the class could predict the level of implementation of a curriculum delivered by class teachers in schools from some European countries. ME...
journal_title:European journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.1093/eurpub/cks191
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Smoke-free laws aim at protecting against second-hand smoke and at contributing to change smoking behaviors. Impact evaluation studies can help understand to what extent they reach their goals. Simple before and after designs are often used but cannot isolate the effect of the policy of interest. METHODS:Th...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky160
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:This study has been carried out in order to explore the effect of the growing appearance of IPV in television news items on deaths by this cause. METHODS:Ecological study based on 340 deaths by intimate partner violence (IPV) and 3733 television news items covering this topic on Spanish television channels ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp086
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Effective management of acute myocardial infarction (AMI) is limited by patient delay in calling an ambulance. We aimed to assess knowledge related to a patient-dependant phase of AMI and its determinants in adults. METHODS:Questionnaire survey was conducted among a random sample of 942 men (48%) and women ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq110
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Although in the last decade several studies have addressed the protective role of black and green tea on several diseases, including cancer, there are only few and controversial studies on the effect of tea on benign and malignant thyroid diseases. METHODS:An age and gender group matched case-control study ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv063
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Adolescent alcohol use varies across Europe. Differences in use might be due to variations in social drinking norms. These norms become apparent, e.g. in different proportions of alcohol drinking types per country. This study's purpose is to cluster European countries according to prevalence rates of alcohol...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw033
更新日期:2016-08-01 00:00:00
abstract::The optimal way to display constituent levels (e.g. tar) on tobacco packaging has not received adequate attention but has important policy implications. Adult smokers and non-smokers (n = 836) were surveyed in France using Computer Assisted Personal Interviewing to assess perceptions of constituent levels displayed nu...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq087
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:The study was carried out in order to examine the effect of unemployment on the incidence of disability pension in Iceland by examining changes in this relationship from 1992 to 2007. METHODS:The annual incidence of disability pension for the period 1992-2007 was calculated. Correlations and significance te...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq186
更新日期:2012-02-01 00:00:00
abstract:Background:To reduce the effect of antimicrobial resistance and to preserve antibiotic effectiveness, clinical guidelines and health policy documents call for the rational use of antibiotics, which aims to reduce unnecessary or minimally effective antibiotic use. Methods:Through ethical analysis, we show that rational...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx165
更新日期:2018-04-01 00:00:00
abstract:Background:The Second European Union Minorities and Discrimination Survey recently demonstrated widespread discrimination across EU countries, with high discrimination rates observed in countries like Finland. Discrimination is known to negatively impact health, but fewer studies have examined how different types of pe...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky100
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The threat of an influenza pandemic has led to stockpiling of antiviral drugs in order to mitigate a plausible outbreak. If the stockpile would be used in relation to the recent pandemic alert, an investment decision about renewing the stock for a possible subsequent pandemic is essential. The decision shoul...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp119
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Fruit and vegetable consumption is linked to many positive health outcomes, nevertheless many adolescents do not consume fruit and vegetables on a daily basis. METHODS:Data of 488,951 adolescents, aged 11-, 13- and 15- years, from 33 mainly European and North American countries/regions participating in the ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv012
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To describe the pattern and determinants of working during pregnancy in rural China. METHODS:A cross-sectional survey was carried out in 2009 in three provinces (Anhui, Chongqing and Shaanxi) in rural China among 3966 mothers who had recently given birth. Multilevel logistic regression was used to examine t...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt135
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:The world was hit hard by the 2008 recession which led to increased unemployment and financial strain. However, how the recession affected people with pre-existing mental health problems has been understudied. This study investigates the effect of the 2008 recession in Iceland on stress, well-being and emplo...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckz192
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:In this study, aimed to determine the frequency of participation in colorectal cancer (CRC) screenings, the factors affecting participation and the association between CRC screening behaviors and health literacy (HL). METHODS:This community-based cross-sectional study was carried out with 408 people residin...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa227
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:In the year 2006, Australia introduced graphic cigarette packet warnings. Previous warnings were text only. New warnings include one of 14 pictures, many depicting tobacco-related pathology. METHODS:This study monitored the roll-out of the health policy initiative using multiple methodologies. Print media c...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp089
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Patterns of risk behaviour during teenage years may vary by socio-economic status (SES). We aimed to examine possible associations between individual and multiple risk behaviours and three measures of SES in mid-adolescence. METHODS:The sample (n = 6406) comprised participants from the Avon Longitudinal Stu...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku078
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Although vaccination against tick-borne encephalitis (TBE) was introduced in 1986, Slovenia remains one of the countries with the highest reported incidence rates. For exposed occupationally or during education/training, vaccination is reimbursed by employer or within mandatory health insurance, while others...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckr018
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Few studies investigate predictors of intentional self-injury over time in non-clinical samples. By using longitudinal data from the whole population of the county of Scania, Sweden, aged 18 years and over (N = 936 449), we aim to identify risk factors for non-fatal diagnosed intentional self-injury. Groups ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt066
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Annually, 100 people die as a result of residential fires in Sweden and almost a third of the fatal fires are known to be caused by smoking. In an attempt to reduce the occurrence of these events, reduced ignition propensity (RIP) cigarettes have been developed. They are designed to reduce the risk of fire b...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv180
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:In the Netherlands, managed competition between health plans has been introduced. For Dutch health plans this implies that they need to collect data about their own performance and that of the care providers they contract. To that end, Consumer Assessment of Health Plan Surveys (CAHPS) instruments have recen...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl023
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:To improve our understanding of the problematic labour market position of people with a chronic disease, this paper describes the participation rates of several subgroups of the chronically ill in the Netherlands, as well as the aspects by which the working chronically ill differ from those who are fully wor...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/12.2.124
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:The objective of this paper is to explore the connection between self-reported health and religiosity among Israeli Jews, using several self-reported health measures. METHODS:Data were collected by two health surveys covering 1999 individuals in 1993 and 2505 individuals in 2000, representing the population...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl105
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Programmes to educate media professionals about suicide are increasingly established, but information about which suicide cases are most likely to be reported in the mass media is sparse. METHODS:We applied binomial tests to compare frequencies of social characteristics of all domestic suicides in the 13 la...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp034
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Few cross-national studies have compared the relationship between socio-economic status (SES) and health among East Asian countries. This study elucidates the relationship between SES and self-rated health (SRH) in four societies of East Asia: China, Japan, South Korea and Taiwan. METHODS:We used the data f...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckq174
更新日期:2012-02-01 00:00:00
abstract::Amendments to the Danish Health Act were introduced in 2018 that stated immigrant patients who have resided in Denmark for more than 3 years have to pay user fees for interpretation in health care. The aim of the study was to explore, how the use of interpreters was affected by the introduction of user fees for interp...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa254
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND:The objective of this study is to analyse gender inequalities in the combination of job and family life and their effect on health status and use of health care services. METHODS:The data come from the Navarra Survey of Working Conditions (Spain, 1997) carried out on a sample of 2185 workers. The analysis w...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.1.43
更新日期:2004-03-01 00:00:00