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Similarly, in areas with the highest deprivation, uptake ranged from only 33% in London to 47.6% in the North East.
On the basis of the predictive margins not adjusting for region, between quintiles of area-level deprivation, uptake varied between 86.4 and 89.5% (Table 2); adjusting for region the range was 86.3 89.5% in both models there was little variation between quintiles.
While uptake was generally lower in areas with greater deprivation, uptake in the North-East region was 3 5% higher for each quintile of IMD score as shown in figure 4. In contrast uptake was substantially lower throughout the London region for each IMD quintile.
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There is a weak correlation between the Index of Multiple Deprivation and uptake.
Race, religion and deprivation predicted uptake in a catch-up campaign in the Netherlands [ 10].
5 6 A study from England found no association between deprivation and uptake of HPV vaccine.
Associations between deprivation and uptake of HPV vaccine have previously been investigated in other countries with publicly funded immunisation programmes.
Postcode sectors were grouped into quintiles of Townsend scores to examine the association between area-level deprivation and uptake using the χ test for linear trend.
Following the announcement of the Cancer Reform Strategy and the anticipated introduction of digital mammography, the South West London Breast Screening Service has investigated the effect of accessibility and deprivation on uptake of screening invitation in order to inform decisions on where to site static and mobile screening facilities in future.
In general, plants respond to nutrient deprivation by increasing uptake affinity as well as uptake capacity [ 50].
A similar effect was acknowledged in the US and UK using area-based indexes of deprivation, where lower uptake has been recorded in socially deprived areas [ 19- 21].
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