Do social inequalities in cervical cancer screening persist among patients who use primary care? The Paris Prevention in General Practice survey.
Prev Med
; 53(3): 199-202, 2011 Sep.
Article
en En
| MEDLINE
| ID: mdl-21726576
ABSTRACT
OBJECTIVE:
Social inequalities in cervical cancer screening may be related to either lack of access to care or inadequate delivery of preventive care by providers. We sought to characterize social inequalities among women consulting general practitioners with a wide range of social position indicators.METHODS:
In 2005-06, 59 randomly recruited general practitioners from the Paris metropolitan area enrolled every woman aged 50-69 years seen during a two-week period. Cervical cancer screening status (overdue if the last cervical cancer screening had been more than 3 years earlier) was analyzed for 858 women in a logistic mixed model that considered occupational class (in 5 levels, based on last occupation), education, income, characteristics related to family, housing, neighborhood, household wealth (social allocations, perceived financial difficulties in 4 levels, income tax), employment status, supplementary health insurance, and social network (4 levels).RESULTS:
The rate of overdue patients did not vary between general practitioners (21%). social position indicators associated with overdue status (odds ratio between 2 adjacent decreasing social levels) were occupational class (1.20, 95% CI 1.03-1.41), social network (1.52, 95% CI 1.18-1.94), financial difficulties (1.42, 95% CI 1.07-1.88), neighborhood safety (2.15, 95% CI 1.10-4.20), and allocations (3.34, 95% CI 1.12-9.96).CONCLUSIONS:
Even among women visiting general practitioners we observed marked social inequalities that persist above and beyond occupational class.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atención Primaria de Salud
/
Neoplasias del Cuello Uterino
/
Disparidades en el Estado de Salud
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Detección Precoz del Cáncer
/
Médicos Generales
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Aged
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Prev Med
Año:
2011
Tipo del documento:
Article
País de afiliación:
Francia