{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:26:49Z","timestamp":1786112809487,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100019287","name":"Barts Health NHS Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019287","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To provide descriptive analysis of observational data on breast screening uptake and coverage in North East London with a focus on health inequalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Areas in North East London with amongst the lowest breast screening uptake, coverage and breast cancer survival in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We investigated screening uptake and coverage for 163 general practices (GPs) served by the NHS Central &amp; East London Breast Screening Service retrieved from Public Health England's Fingertips resource. The 10 highest and 10 lowest GPs by uptake and by coverage were identified. We summarised pre-treatment T-stage (tumour size) over time and by age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, uptake and coverage were lowest in City &amp; Hackney, Newham and Tower Hamlets, with uptake of 7\u201326%, 13\u201326% and 24\u201328% respectively. GPs with the highest uptake and coverage rates tended to be in Waltham Forest (uptake 56\u201365%). The maximum uptake observed in 2022 was 72%, above the national uptake target of 70%, for one practice.<\/jats:p>\n                    <jats:p>For women receiving a breast cancer diagnosis, the proportion of larger-sized tumours seemed to increase during the 2020\u20132021 Covid-19 pandemic period (implying later diagnoses), eventually returning to pre-pandemic levels. Smaller tumours were identified at the screening ages 50\u201370 (&lt;20% T3\/T4, implying earlier diagnoses) compared to younger (\u223c25% T3\/T4) and older (\u223c30% T3\/T4) women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Breast screening uptake varied between areas and GPs. City &amp; Hackney, Tower Hamlets and Newham were identified as areas with low screening uptake and coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261473166","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:53:13Z","timestamp":1785765193000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ecological analysis of breast screening uptake and coverage in East London"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7856-5931","authenticated-orcid":false,"given":"Helen A","family":"Blake","sequence":"first","affiliation":[{"name":"NIHR Applied Research Collaboration North Thames, University College London, UCL Institute of Epidemiology and Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4362-4230","authenticated-orcid":false,"given":"Shuping Joy","family":"Li","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4663-1882","authenticated-orcid":false,"given":"Christina","family":"Derksen","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loubna","family":"Bijdiguen","sequence":"additional","affiliation":[{"name":"Public Involvement &amp; Engagement Representative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasim","family":"Patel","sequence":"additional","affiliation":[{"name":"Public Involvement &amp; Engagement Representative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Haig","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Basnett","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4156-6401","authenticated-orcid":false,"given":"Garth","family":"Funston","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0904-749X","authenticated-orcid":false,"given":"Rosalind","family":"Raine","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration North Thames, University College London, UCL Institute of Epidemiology and Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4901-7922","authenticated-orcid":false,"given":"Stephen","family":"Duffy","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5604-1635","authenticated-orcid":false,"given":"Judith","family":"Offman","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health, Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Cancer Research UK. 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