Approaches to improving breast screening uptake: evidence and experience from Tower Hamlets

This paper reports on an innovative whole-systems approach to improving uptake of breast screening in Tower Hamlets, a deprived borough in the East End of London with a large minority ethnic population. The approach, developed by the public health team at NHS Tower Hamlets, draws on analysis of needs and existing literature about effective interventions to promote breast screening. Social marketing research led to a campaign targeted at Bangladeshi women, together with a range of initiatives to promote breast screening through primary care services and community outreach through local well-known organisations. The breast screening service itself was upgraded and a new service specification is being introduced from April 2009.

[1]  I. Andersson.  Comment on "The frequency of breast cancer screening: results from the UKCCCR Randomised Trial". , 2002, European journal of cancer.

[2]  F J Gilbert,et al.  Improving Breast Screening Uptake: Persuading Initial Non-Attenders to Attend , 1994, Journal of medical screening.

[3]  Rinal B. Shah,et al.  Asian Indian women: knowledge, attitudes and behaviors toward breast cancer early detection. , 2001, Public health nursing.

[4]  J. Robson,et al.  Improving uptake of breast screening in multiethnic populations: a randomised controlled trial using practice reception staff to contact non-attenders , 1997, BMJ.

[5]  M. Wallis,et al.  Improving uptake in non-attenders of breast screening: selective use of second appointment , 1998, Journal of medical screening.

[6]  V. Box.  Cervical screening: the knowledge and opinions of black and minority ethnic women and of health advocates in East London , 1998 .

[7]  V. Champion,et al.  Reliability and validity of breast cancer screening belief scales in African American women. , 1997, Nursing research.

[8]  R. Blamey,et al.  The frequency of breast cancer screening: results from the UKCCCR Randomised Trial. United Kingdom Co-ordinating Committee on Cancer Research. , 2002, European journal of cancer.

[9]  M. Livingston,et al.  Population turnover and area deprivation , 2007 .

[10]  H. Raja-Jones.  Breast screening and ethnic minority women: a literature review. , 1999, British journal of nursing.

[11]  M. Desai,et al.  Implementing academic detailing for breast cancer screening in underserved communities , 2007, Implementation science : IS.

[12]  J. Gray.  Breast screening programme. , 1989, BMJ.

[13]  B. Rimer,et al.  The effectiveness of interventions to promote mammography among women with historically lower rates of screening. , 2002, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[14]  Susan Halabi,et al.  Effects of a mammography decision-making intervention at 12 and 24 months. , 2002, American journal of preventive medicine.

[15]  S. Sutton,et al.  Prospective study of predictors of attendance for breast screening in inner London. , 1994, Journal of epidemiology and community health.