Inequalities in cervical cancer screening for women with or without a regular consulting in primary care for gynaecological health, in Paris, France

Neighborhood deprivation and risk of cervical cancer morbidity and mortality: A multilevel analysis from Sweden

“…safe places to exercise, decent housing) and services. For example, a French study showed that risk factors, such as low socioeconomic status (education and household income), unemployment, and living in middle-, or lower-class neighborhoods were associated with increased risks of lack of cervical screening [5]. Similar results were found in another neighborhood study on cervical cancer mortality in a New York population [20]; the mortality was 32% higher among women living in high poverty neighborhoods than among women living in high-income neighborhoods.…”

“…This number was replaced by a serial number for each person in order to provide anonymity. 5 The follow-up period started on January 1, 1990 and proceeded until hospitalization for cervical cancer, death, emigration or the end of the study period on December 31, 2008.…”

“…To further reduce the burden of this cancer, vaccination against HPV infection has recently been introduced in Sweden and other western countries. However, socioeconomic disparities, and physical, and social characteristics may influence health-related behaviors, screening behaviors and health conditions in Sweden [2,3] and other countries [1,[4][5][6][7][8].…”

Contextual determinants of participation in cervical cancer screening in France, 2010

“…At the same time, studies have shown a relationship between screening participation and the characteristics of the area of residence, namely agglomeration category, socioeconomic level and accessibility to care, after taking individual characteristics into account. Studies have found overall that women living in urban or socially advantaged areas are more up to date with their screening in France (6)(7)(8) as elsewhere (9-13). Most studies have found a higher screening rate in areas with a higher health care accessibility in France (numerous medical and paramedical facilities (8)) and elsewhere (high medical density (9, 10), short distances to physicians (14, 15)).…”

The pattern of cervical smear abnormalities in marginalised women in Hong Kong

“…This shows that there are inequalities in our community in the access to cervical screening, similar to most metropolitan cities worldwide. 17,18 The resultant under-screening of high-risk women and over-screening of low-risk women are clearly demonstrated by the significant difference in prevalence of cervical smear abnormalities between our study group and comparison group. To ensure that cervical screening services reach these marginalised women, it is imperative to understand the barriers to screening.…”