The low uptake of breast screening in cities is a major public health issue and may be due to organisational factors: A Census-based record linkage study. The Breast, Oct 2011, Vol. 20(5), p.460-463
Kinnear, H. et al.
http://www.thebreastonline.com/article/PIIS0960977611000993/abstract?rss=yes
Cancer screening uptake is generally lower in UK cities but quantifying city-level effects from causes due to population composition that comprise cities is hampered by data limitations. The reduced uptake of screening in cities is a major public health issue; the effects are large and a large proportion of the population are affected, organisational factors appear to be the primary cause. Strategies to correct this imbalance might help reduce inequalities in health.