Socioeconomic inequalities to accessing vaccination against human papillomavirus in France: Results of the Health, Health Care and Insurance Survey, 2012

Guthmann, Jean-Paul; Pelat, Camille; Célant, Nicolas; Châtelet, Isabelle Parent du; Duport, Nicolas; Rochereau, Thierry; Lévy-Brühl, Daniel

doi:10.1016/j.respe.2017.01.100

Cited by 14 publications

(10 citation statements)

References 20 publications

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“…Both in the database and in the interviews, it appears that a very small number of inmates are vaccinated against HPV. The literature does indeed identify poorer vaccination coverage in disadvantaged and less educated areas 21 , 22 from which our population comes.…”

Section: Discussionmentioning

confidence: 84%

Cervical Dysplasia and Treatments Barrier in Jail: A Study in Marseille's Detention Center—Les Baumettes, France

Luget

Jauffret

Faust

et al. 2022

Women's Health Reports

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Introduction: The main objective was to estimate the prevalence of cervical dysplasia among incarcerated women. The secondary objective was to identify obstacles to the possible management of a cervical dysplasia in detention by assessing their knowledge of screening for cervical cancer (CC), the existence of vaccination, and the management of precancerous lesions. Materials and Methods: The first part of the study was descriptive and retrospective, studying pap-smear results in women's correctional facility at the Baumettes prison center (PC) in Marseille, France. The second part of the study was qualitative and prospective and took place at the Baumettes PC. Voluntary and French-speaking inmates aged 25–65 years answered an short-form 12 quality-of-life questionnaire and a more targeted questionnaire on CC screening and cervical dysplasia treatments. Results: In total, 201 pap-smear tests were assessed, 135 were normal (66.8%) and 33 unsatisfactory (16.3%). There were 33 abnormal pap-smear tests (16%). The patients were 38.9 years (±9.5 years), had 4.05 pregnancies (±2.7), and 2.29 children (±1.85). Seventy-five percent were smokers. Psychiatric disorders were found in 52.2% inmates. In the second part of the study, among the 35 inmates questioned, the SF-12 questionnaire's analysis shows that the physical health component score was on average 43.6 and the mental health component score (MCS) was 36.5. Analysis demonstrated that the uncertainty of the exact day of hospitalization is an obstacle to treatment for 15 patients presenting significantly a lower MCS score ( p = 0.047). Conclusion: Prevalence of pathological pap-smear tests is higher within a prison population, screening is accepted and the inmates are receptive to information about CC prevention, delivered during individual interviews. Mental health's management and care system's reorganization in detention are essentials factors for care acceptance.

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Section: Discussionmentioning

confidence: 84%

Cervical Dysplasia and Treatments Barrier in Jail: A Study in Marseille's Detention Center—Les Baumettes, France

Luget

Jauffret

Faust

et al. 2022

Women's Health Reports

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“… 24 Along the same lines, the increase in female participation after age 50 observed in our study coincides with the decline of cervical cancer screening rates after age 50. 25 In addition, the age of 50 corresponds to the mean menopausal age, which is associated with a decrease in the rate of gynecologist visits.…”

Section: Discussionmentioning

confidence: 99%

“…A potential explanation of this finding could be that women with a higher socioeconomic status have higher rates of participation in cervical cancer screening and are also likely to have more frequent visits to gynecologist and other specialist doctors. 25 …”

Section: Discussionmentioning

confidence: 99%

Gender gap in annual preventive care services in France

et al. 2022

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“…Implementing new health interventions could increase health inequalities [49], and the role of EquIR is to diminish current health inequalities, not to increase the current ones, or at least, to diminish the potential negative impact on health inequalities when new interventions are implemented. It is not possible to punish new technologies because they will increase inequalities.…”

Section: Discussionmentioning

confidence: 99%

Conceptual framework of equity-focused implementation research for health programs (EquIR)

Eslava-Schmalbach

Garzón‐Orjuela

Elias

et al. 2019

Int J Equity Health

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Background Implementation research is increasingly used to identify common implementation problems and key barriers and facilitators influencing efficient access to health interventions. Objective To develop and propose an equity-based framework for Implementation Research (EquIR) of health programs, policies and systems. Methods A systematic search of models and conceptual frameworks involving equity in the implementation of health programs, policies and systems was conducted in Medline (PubMed), Embase, LILACS, Scopus and grey literature. Key characteristics of models and conceptual frameworks were summarized. We identified key aspects of equity in the context of seven Latin American countries-focused health programs We gathered information related to the awareness of inequalities in health policy, systems and programs, the potential negative impact of increasing inequalities in disadvantaged populations, and the strategies used to reduce them. Results A conceptual framework of EquIR was developed. It includes elements of equity-focused implementation research, but it also links the population health status before and after the implementation, including relevant aspects of health equity before, during and after the implementation. Additionally, health sectors were included, linked with social determinants of health through the “health in all policies” proposal affecting universal health and the potential impact of the public health and public policies. Conclusion EquIR is a conceptual framework that is proposed for use by decision makers and researchers during the implementation of programs, policies or health interventions, with a focus on equity, which aims to reduce or prevent the increase of existing inequalities during implementation.

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Socioeconomic inequalities to accessing vaccination against human papillomavirus in France: Results of the Health, Health Care and Insurance Survey, 2012

Cited by 14 publications

References 20 publications

Cervical Dysplasia and Treatments Barrier in Jail: A Study in Marseille's Detention Center—Les Baumettes, France

Cervical Dysplasia and Treatments Barrier in Jail: A Study in Marseille's Detention Center—Les Baumettes, France

Gender gap in annual preventive care services in France

Conceptual framework of equity-focused implementation research for health programs (EquIR)

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