Socioeconomic Disparity Trends in Cancer Screening Among Women After Introduction of National Quality Indicators

Article Figures & Data

Table 1.

Sociodemographic Characteristics and Screening Prevalences of Women Aged 35-74 Years in Israel, 2017 (N = 1,529,233)

Characteristic	Women, No. (%)	Breast Cancer Screening,^{^a} %	Colorectal Cancer Screening,^{^b} %	Cervical Cancer Screening,^{^c} %
Total	1,529,233 (100)	70.5	64.3	49.6
Age-group, y
35-39	243,001 (15.9)	…	…	51.3
40-44	244,601 (16.0)	…	…	51.5
45-49	214,874 (14.1)	…	…	50.1
50-54	193,338 (12.6)	68.7	55.2	44.5
55-59	190,668 (12.5)	69.9	62.2	…
60-64	148,113 (9.7)	71.9	66.8	…
65-69	178,259 (11.7)	73.5	70.8	…
70-74	116,379 (7.6)	67.0	69.2	…
Area-level SES^{^d}
1	221,527 (15.0)	65.7	60.5	31.0
2	444,682 (30.1)	69.1	62.8	46.2
3	535,348 (36.2)	72.3	65.5	57.1
4	275,567 (18.7)	72.9	67.2	62.2
Individual-level SES^{^e}
Exempt	256,667 (16.8)	68.5	64.8	37.4
Not exempt	1,272,566 (83.2)	71.2	64.1	51.0

SES = socioeconomic status.
↵a Percentage of women aged 50-74 years who had at least 1 mammogram in past 2 years.
↵b Percentage of women aged 50-74 years who had a fecal occult blood test during past year or a colonoscopy during past 10 years.
↵c Percentage of women aged 35-54 years having Pap tests provided for free within the universal health basket of covered procedures and medications who had at least 1 Pap test performed in past 3 years.
↵d Higher values indicate more favorable SES. Missing for 52,109 women (3.4% of total sample).
↵e Based on copayment exemption.

Table 2.

Associations Between Sociodemographic Characteristics and Cancer Screening Among Women in Israel, 2017

Characteristic	Breast Cancer Screening, OR (99.9% CI)	Colorectal Cancer Screening, OR (99.9% CI)	Cervical Cancer Screening, OR (99.9% CI)
Age-group, y
35-39	…	…	Ref
40-44	…	…	0.99 (0.98-1.01)
45-49	…	…	0.95 (0.93-0.96)
50-54	…	…	0.76 (0.75-0.78)
Age decile or quintile, y
50-59	Ref	Ref	…
60-69	1.17 (1.15-1.19)	1.54 (1.52-1.57)	…
70-74	0.90 (0.88-0.92)	1.58 (1.54-1.62)	…
Area-level SES
1	Ref	Ref	Ref
2	1.15 (1.12-1.18)	1.06 (1.04-1.09)	1.92 (1.87-1.96)
3	1.33 (1.29-1.36)	1.18 (1.15-1.21)	2.91 (2.85-2.98)
4	1.36 (1.32-1.40)	1.27 (1.23-1.30)	3.56 (3.47-3.65)
Individual-level SES^{^a}
Exempt	Ref	Ref	Ref
Not exempt	1.09 (1.07-1.11)	1.02 (1.00-1.04)	1.43 (1.39-1.47)

OR = odds ratio; Ref = reference group; SES = socioeconomic status.
Note: All models were adjusted for age, area-level SES, and individual-level SES (copayment exemption).
↵a Based on copayment exemption.