Geographic access to mammography screening centre and participation of women in the Quebec Breast Cancer Screening Programme

Background This study evaluated the impact of distance between women's residences and designated screening centres (DSC) on participation in the Quebec Breast Cancer Screening Programme, whether this impact varied according to the rural–urban classification and the proportion of participants who used the DSC nearest to their home. Methods Travel distance between the residence of 833 856 women and the nearest DSC (n=85) was estimated. Data were obtained from administrative and screening programme databases. The analysis made use of a log-binomial regression model adjusting for age and material and social deprivation. The proportions of participants who used the DSC nearest to their residence were measured. Results Compared to women living