@article{fdi:010070283,
  title = {{C}ontextual determinants of participation in cervical cancer screening in {F}rance, 2010},
  author = {{A}raujo, {M}. and {F}ranck, {J}. {E}. and {C}adot, {E}mmanuelle and {G}autier, {A}. and {C}hauvin, {P}. and {R}igal, {L}. and {R}inga, {V}. and {M}envielle, {G}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {S}ome contextual factors associated with participation in cervical cancer screening are reported in the literature, but few studies have examined their combined effect. {O}ur objective was to assess the role of contextual characteristics, separately and in combination, in participation in cervical cancer screening in {F}rance. {M}ethods: {M}arginal {P}oisson regression models - taking into account the correlation between women in a given commune - were conducted using data from the {B}arometre {S}ante 2010 survey. {T}he 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. {R}esults: {T}he analyses were performed in 3380 women, 88.2% of whom were up to date with their cervical cancer screening. {O}nce 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. {T}he same association with accessibility was observed in small agglomerations. {C}ompared 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. {D}iscussion: {W}e 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.},
  keywords = {{C}ervical cancer screening ; {C}ontextual factors ; {M}arginal {P}oisson ; regression model ; {P}otential spatial accessibility to care ; {S}ocioeconomic level ; {FRANCE}},
  booktitle = {},
  journal = {{C}ancer {E}pidemiology},
  volume = {48},
  numero = {},
  pages = {117--123},
  ISSN = {1877-7821},
  year = {2017},
  DOI = {10.1016/j.canep.2017.04.014},
  URL = {https://www.documentation.ird.fr/hor/fdi:010070283},
}