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Audiger C, Bovagnet T, Deghaye M, et al. Factors associated with participation in the organized cervical cancer screening program in the greater Paris area (France): An analysis among more than 200,000 women. Prev Med. 2021;153:106831doi: 10.1016/j.ypmed.2021.106831.
Audiger, C., Bovagnet, T., Deghaye, M., Kaufmanis, A., Pelisson, C., Bochaton, A., & Menvielle, G. (2021). Factors associated with participation in the organized cervical cancer screening program in the greater Paris area (France): An analysis among more than 200,000 women. Preventive medicine, 153106831. https://doi.org/10.1016/j.ypmed.2021.106831
Audiger, Céline, et al. "Factors associated with participation in the organized cervical cancer screening program in the greater Paris area (France): An analysis among more than 200,000 women." Preventive medicine vol. 153 (2021): 106831. doi: https://doi.org/10.1016/j.ypmed.2021.106831
Audiger C, Bovagnet T, Deghaye M, Kaufmanis A, Pelisson C, Bochaton A, Menvielle G. Factors associated with participation in the organized cervical cancer screening program in the greater Paris area (France): An analysis among more than 200,000 women. Prev Med. 2021 Dec;153:106831. doi: 10.1016/j.ypmed.2021.106831. Epub 2021 Oct 05. PMID: 34624389.
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Prev Med. 2021 Dec;153:106831. doi: 10.1016/j.ypmed.2021.106831. Epub 2021 Oct 05.

Factors associated with participation in the organized cervical cancer screening program in the greater Paris area (France): An analysis among more than 200,000 women.

Preventive medicine

Céline Audiger, Thomas Bovagnet, Michel Deghaye, Aldis Kaufmanis, Caroline Pelisson, Audrey Bochaton, Gwenn Menvielle

Affiliations

  1. Sorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), 27 rue Chaligny, F75012 Paris, France; Le Centre Régional de Coordination des Dépistages des Cancers- CRCDC-Région Ile de France, 8 place Adolphe Cherioux, 75015 Paris, France. Electronic address: [email protected].
  2. Sorbonne Université, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), 27 rue Chaligny, F75012 Paris, France.
  3. Le Centre Régional de Coordination des Dépistages des Cancers- CRCDC-Région Ile de France, 8 place Adolphe Cherioux, 75015 Paris, France.
  4. Université Paris Nanterre, UMR CNRS 7533 LADYSS, 200 Avenue de la République, 92000 Nanterre, France.

PMID: 34624389 DOI: 10.1016/j.ypmed.2021.106831

Abstract

We aimed to identify the contextual factors associated with participation in the organized Cervical Cancer Screening (CCS) pilot program, which includes specific interventions to reach vulnerable women, in the Greater Paris region. Study population consisted of 231,712 women aged 25-65 years, who were not up to date to their smear test and had been invited to take part in the program from July 2014 to September 2017. Using a multilevel mixed logistic regression with random effects, we investigated the effect of grassroots interventions targeting vulnerable women, healthcare provider accessibility, social environment and municipal policy-related factors. The CCS rate was two times higher in women who had received their first invitation to the program during the study period (32·9%) compared to those who were already invited before the study period (15·3%). In both populations, there were no significant trends in participation with regards to the type of grassroots interventions, level of accessibility of healthcare services or municipal commitment to healthcare. Among women invited previously and aged above 35 increased participation was seen in neighborhoods with low proportion of single women or in less deprived neighborhoods. Our results identified groups of women who participated less in the organized CCS program and suggested that additional interventions targeting the barriers faced by vulnerable women, especially those aged 35-45 years old, are needed.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: France; Greater Paris area; Healthcare accessibility; Interventions to reach vulnerable women; Organized cervical cancer screening program

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