England has the worst mortality rate for breast cancer in the developed world.
Using area-level data for 145 health districts in England, this study seeks to explain variations in breast cancer mortality among women aged 50-64 years in the period before the National Breast Screening Programme became operational.
It is found that socioeconomic and behavioural factors had a larger effect on mortality than did health care inputs.
This might be explained both by inadequacies in the data, and by the fact that, in the absence of screening, cancers tend to be detected at a later stage, by which time the chances of a successful outcome are reduced.
It is suggested that the impact of health care services in reducing mortality will increase in the future as screening becomes widespread and results in earlier detection and treatment.
The prioritization of screening is central to achieving the reductions in mortality from breast cancer specified in the Health of the Nation targets.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Femelle, Homme, Mortalité, Royaume Uni, Europe, Etude socioéconomique, Politique sanitaire, Soin santé primaire, Dépistage, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Female, Human, Mortality, United Kingdom, Europe, Socioeconomic study, Health policy, Primary health care, Medical screening, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0006598
Code Inist : 002B20E02. Création : 17/04/1998.