本研究的目的是探讨有组织的乳房 X 光检查计划对乳腺癌筛查参与的影响在不同社会经济阶层之间有何不同，以及这种关系如何通过语言差异的背景进行修改。瑞士以其多样化的语言景观为标志，反映了文化差异以及公共卫生策略的差异。本研究的目的是评估区域性乳腺 X 光检查计划的潜在社会经济差异，以提高乳腺癌筛查参与度。区域适应乳腺癌筛查年龄范围内的 14 173 名女性的数据来​​自全国代表性的五个横截面波瑞士健康访谈调查（1997-2017）。社会经济指标包括教育、家庭收入和就业状况。泊松回归用于估计最新（过去 2  年）乳房 X 线摄影摄取的调整后患病率。使用不平等的相对指数和不平等的斜率指数来评估不平等。有组织的筛查计划总体上是有效的，并且在两个地区将最新的乳房X光检查的采用率提高了近20个百分点。虽然在拉丁各州，筛查计划对筛查中的社会经济不平等没有影响，但它减少了德国各州教育程度较低的妇女的不平等。筛查计划的这种修改效应在与收入和就业相关的不平等中并未出现，并且在不同语言区域之间没有差异。公共卫生机构应考虑计划的不同文化接受程度，因为解决这些差异有助于确保乳腺癌筛查举措不仅是有效，而且在不同社会经济群体之间也具有文化公平性。版权所有 © 2024 Wolters Kluwer Health, Inc. 保留所有权利。

The objective of this study is to examine how the effect of organized mammography screening programs on breast cancer screening participation differ between socioeconomic strata and how this relationship may be modified by the context of linguistic differences. Switzerland, marked by its diverse linguistic landscape, reflects cultural variations alongside differences in public health strategies. The goal of this study was to assess potential socioeconomic differences in regional mammography screening programs effectiveness to improve breast cancer screening participation.Data on 14 173 women in the regionally adapted breast cancer screening age range was drawn from five cross-sectional waves of the nationally representative Swiss Health Interview Survey (1997-2017). Socioeconomic indicators included education, household income, and employment status. Poisson regression was used to estimate the adjusted prevalence ratios of up-to-date (last 2 years) mammography uptake. Inequality was assessed using relative index of inequality and the slope index of inequality.Organized screening programs were generally effective and increased up-to-date mammography uptake by close to 20 percentage points in both regions. While in the Latin cantons, screening programs had no impact on socioeconomic inequalities in screening, it reduced inequalities for women with lower education in the German cantons. This modification effect of screening programs was not seen for income and employment-related inequalities and did not differ across linguistic regions.Public health agencies should consider the different cultural reception of programs as addressing these differences could help ensure that breast cancer screening initiatives are not only effective, but also culturally equitable across different socioeconomic groups.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.