Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France)
Objectives: We aimed to examine social inequalities in participation in cervical cancer screening (CCS) in a metropolitan area by implementing a pilot organised screening programme. The pilot programme consisted of sending invitations to women who did not perform a pap smear within the past 3 years,...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | International Journal of Public Health |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604562/full |
| _version_ | 1811242919553662976 |
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| author | Céline Audiger Céline Audiger Thomas Bovagnet Julia Bardes Gaëlle Abihsera Jérôme Nicolet Michel Deghaye Audrey Bochaton Gwenn Menvielle |
| author_facet | Céline Audiger Céline Audiger Thomas Bovagnet Julia Bardes Gaëlle Abihsera Jérôme Nicolet Michel Deghaye Audrey Bochaton Gwenn Menvielle |
| author_sort | Céline Audiger |
| collection | DOAJ |
| description | Objectives: We aimed to examine social inequalities in participation in cervical cancer screening (CCS) in a metropolitan area by implementing a pilot organised screening programme. The pilot programme consisted of sending invitations to women who did not perform a pap smear within the past 3 years, managing interventions to reach vulnerable women, training healthcare professionals, and organising follow-ups of abnormal pap smears.Methods: We studied participation in CCS between January 2014 and December 2016 among 241,257 women aged 25–63 years old. To assess relative inequalities, Odds Ratios were computed using multilevel logistic regression. To assess absolute inequalities, the CCS coverage and the rate difference were calculated. Inequalities were computed by age and neighbourhood characteristics (social deprivation and proportion of single women).Results: Disparities in participation in CCS were observed by age and social deprivation. For overall screening compared to opportunistic screening, disparities by age were larger (OR25-35_vs._55–64 = 2.13 [2.08–2.19] compared to 2.02 [1.96–2.07]), but disparities by social deprivation were decreased (OR10%_most_vs._10%_least_deprived = 2.09 [1.90–2.30] compared to 2.22 [2.02–2.44]).Conclusion: Disparities in CCS participation remain despite the organised programme. To reduce these inequalities, free screening should be proposed and evaluated. |
| first_indexed | 2024-04-12T13:58:13Z |
| format | Article |
| id | doaj.art-c69cea23080a4e66b7837e6cb9480cc1 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-12T13:58:13Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-c69cea23080a4e66b7837e6cb9480cc12022-12-22T03:30:18ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-07-016710.3389/ijph.2022.16045621604562Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France)Céline Audiger0Céline Audiger1Thomas Bovagnet2Julia Bardes3Gaëlle Abihsera4Jérôme Nicolet5Michel Deghaye6Audrey Bochaton7Gwenn Menvielle8Le Centre Régional de Coordination des Dépistages des Cancers-CRCDC, Paris, FranceSorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS), Paris, FranceSorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS), Paris, FranceLe Centre Régional de Coordination des Dépistages des Cancers-CRCDC, Paris, FranceLe Centre Régional de Coordination des Dépistages des Cancers-CRCDC, Paris, FranceLe Centre Régional de Coordination des Dépistages des Cancers-CRCDC, Paris, FranceLe Centre Régional de Coordination des Dépistages des Cancers-CRCDC, Paris, FranceUniversité Paris Nanterre, UMR CNRS 7533 LADYSS, Nanterre, FranceSorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS), Paris, FranceObjectives: We aimed to examine social inequalities in participation in cervical cancer screening (CCS) in a metropolitan area by implementing a pilot organised screening programme. The pilot programme consisted of sending invitations to women who did not perform a pap smear within the past 3 years, managing interventions to reach vulnerable women, training healthcare professionals, and organising follow-ups of abnormal pap smears.Methods: We studied participation in CCS between January 2014 and December 2016 among 241,257 women aged 25–63 years old. To assess relative inequalities, Odds Ratios were computed using multilevel logistic regression. To assess absolute inequalities, the CCS coverage and the rate difference were calculated. Inequalities were computed by age and neighbourhood characteristics (social deprivation and proportion of single women).Results: Disparities in participation in CCS were observed by age and social deprivation. For overall screening compared to opportunistic screening, disparities by age were larger (OR25-35_vs._55–64 = 2.13 [2.08–2.19] compared to 2.02 [1.96–2.07]), but disparities by social deprivation were decreased (OR10%_most_vs._10%_least_deprived = 2.09 [1.90–2.30] compared to 2.22 [2.02–2.44]).Conclusion: Disparities in CCS participation remain despite the organised programme. To reduce these inequalities, free screening should be proposed and evaluated.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604562/fullsocial inequalities and health inequalitiescervical cancer screeningorganised programmeabsolute and relative inequalitiesParis area |
| spellingShingle | Céline Audiger Céline Audiger Thomas Bovagnet Julia Bardes Gaëlle Abihsera Jérôme Nicolet Michel Deghaye Audrey Bochaton Gwenn Menvielle Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) International Journal of Public Health social inequalities and health inequalities cervical cancer screening organised programme absolute and relative inequalities Paris area |
| title | Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) |
| title_full | Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) |
| title_fullStr | Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) |
| title_full_unstemmed | Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) |
| title_short | Social Inequalities in Participation in Cervical Cancer Screening in a Metropolitan Area Implementing a Pilot Organised Screening Programme (Paris Region, France) |
| title_sort | social inequalities in participation in cervical cancer screening in a metropolitan area implementing a pilot organised screening programme paris region france |
| topic | social inequalities and health inequalities cervical cancer screening organised programme absolute and relative inequalities Paris area |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604562/full |
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