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Araujo M., Franck J. E., Cadot Emmanuelle, Gautier A., Chauvin P., Rigal L., Ringa V., Menvielle G. (2017). Contextual determinants of participation in cervical cancer screening in France, 2010. Cancer Epidemiology, 48, 117-123. ISSN 1877-7821

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Lien direct chez l'éditeur doi:10.1016/j.canep.2017.04.014

Titre
Contextual determinants of participation in cervical cancer screening in France, 2010
Année de publication2017
Type de documentArticle référencé dans le Web of Science WOS:000405151500018
AuteursAraujo M., Franck J. E., Cadot Emmanuelle, Gautier A., Chauvin P., Rigal L., Ringa V., Menvielle G.
SourceCancer Epidemiology, 2017, 48, p. 117-123. ISSN 1877-7821
RésuméBackground: Some contextual factors associated with participation in cervical cancer screening are reported in the literature, but few studies have examined their combined effect. Our objective was to assess the role of contextual characteristics, separately and in combination, in participation in cervical cancer screening in France. Methods: Marginal Poisson regression models - taking into account the correlation between women in a given commune - were conducted using data from the Barometre Sante 2010 survey. The characteristics of the commune of residence of the women studied were the potential spatial accessibility to general practitioners (GP) and gynecologists, the agglomeration category, and the socioeconomic level. Results: The analyses were performed in 3380 women, 88.2% of whom were up to date with their cervical cancer screening. Once the individual characteristics were taken into account, the screening participation rate was similar in all the communes, with the exception of those with poor access to a gynecologist and good access to a GP, where the rate was 6% lower (95% CI: 0.5-11%) than in the communes with good access to both GP and gynecologist. The same association with accessibility was observed in small agglomerations. Compared to women living in the more advantaged communes, the screening participation rate was 8% (2-12%) lower in those living in the more disadvantaged ones, except when accessibility to both types of physician was high. Discussion: We observed an association between potential spatial accessibility to care in women's residential communities and their cervical cancer screening practices, in particular in small agglomerations, rural communes, and more disadvantaged communes.
Plan de classementSanté : généralités [050] ; Santé : aspects socioculturels, économiques et politiques [056]
Descr. géo.FRANCE
LocalisationFonds IRD [F B010070283]
Identifiant IRDfdi:010070283
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010070283

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