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Spain Sees Drop in Breast and Cervical Screening and Growing Inequalities

The Health Ministry’s report warns falling participation could lower early detection and deepen regional and social gaps in cancer care.

Overview

  • The Ministry of Health’s monograph, using the 2023 Spanish Health Survey, finds mammography participation for women aged 50–69 fell to 68% from 81.5% in 2017, a decline of 13.5 percentage points.
  • Cervical screening coverage for women 25–64 stands at 75.6% and remains below the roughly 80% levels seen before 2017 with the largest drops among women aged 25–34 and disadvantaged groups.
  • Colorectal screening has expanded from very low baseline levels to 38.7% of people aged 50–69 reporting a fecal occult blood test in the last two years but 45.2% of that group say they have never been tested.
  • Declines and uneven uptake are concentrated in poorer social groups, people born abroad and some autonomous communities, with advantaged women showing about 75–77% coverage versus roughly 60–62% in the most disadvantaged groups.
  • The findings come from the Ministry’s 2023‑based report and media outlets have reported a proposed expansion of the breast‑screening age range from 50–69 to 45–75, a change that is reported but not clearly sourced in the ministry document.