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Table 3 Age-adjusted odds ratios (95% confidence intervals, CI) of participation in cervical cancer (30–59-year-olds) and breast cancer screening (50–59-year-olds) in 1998 and proportions (%) of localised cancers among 20–64-year olds (1996–1998) in three groups, formed by the rate of private gynaecologist visits in 5-year-age groups in 1999 1).

From: Use of private gynaecologist does not relate to better prevention outcomes – An ecological analysis from Finland

 

Low 3)

Middle

High

Cervical cancer screening (n = 2543) 2)

(Gynaecologist visit rate, per 100)

(< 0.17)

(0.17–0.28)

(< 0.28)

(Number of women)

(31138)

(52481)

(122585)

% participating

74.2

71.7

71.7

Age-adjusted OR (95% CI)

1.00

0.85 (0.82–0.88)

0.79 (0.77–0.81)

Breast cancer screening (n = 833)

(Gynaecologist visit rate per 100)

(<20)

(20–29)

(>29)

(Number of women)

(24163)

(30960)

(106473)

% participating

90.0

90.5

86.6

Age-adjusted OR (95% CI)

1.00

1.06 (1.00–1.12)

0.73 (0.70–0.76)

Cervical cancer (n = 852)

(Gynaecologist visit rate per 100)

(<16)

(16–27)

(>27)

(Number of cancers)

533

723

930

Local, raw %

97.2

96.0

91.2

Age-adjusted OR (95% CI)

1.00

0.87 (0.44–1.72)

0.61 (0.33–1.15)

Uterine cancer (n = 486)

(Gynaecologist visit rate per 100)

(<18)

(18–30)

(>30)

(Number of cancers)

192

272

459

Local, raw %

71.4

70.6

73.0

Age-adjusted OR (95% CI)

1.00

0.97 (0.65–1.46)

1.10 (0.75–1.62)

Ovarian cancer (n = 575)

(Gynaecologist visit rate per 100)

(<19)

(19–30)

(>30)

(Number of cancers)

213

253

511

Local, raw %

44.6

51.4

46.4

Age-adjusted OR (95% CI)

1.00

1.44 (0.98–2.12)

1.19 (0.84–1.68)

Breast cancer (n = 1519)

(Gynaecologist visit rate per 100)

(<18)

(18–29)

(>29)

(Number of cancers)

809

1551

3781

Local, raw %

57.6

53.3

59.2

Age-adjusted OR (95% CI)

1.00

0.85 (0.72–1.01)

1.07 (0.92–1.26)

  1. 1) The age groups with similar visit rates were pooled over the municipalities into three groups, see Methods, the second analysis approach. The lowest use group is the reference group. The limits of groups (gynaecologist visits per woman) vary by outcome due to different age-groups and varying lacking data in different analyses.
  2. 2) Each unit = one 5-year-interval age-group in each municipality
  3. 3) The reference group for calculating age-adjusted odds ratios by logistic regression.