Socio-demographic characteristics of participation in the opportunistic German cervical cancer screening programme: results from the EPIC-Heidelberg cohort

Seidel, D; Becker, Nikolaus; Rohrmann, Sabine; Nimptsch, Katharina; Linseisen, Jakob

doi:10.1007/s00432-008-0485-0

Cited by 38 publications

(30 citation statements)

References 16 publications

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“…In the present study, the women who lived with their spouses were more likely to participate in cervical cancer screening. Similarly, married and cohabiting German and Norwegian women are more likely to get Pap tests than are those who are being single or living alone [24,25]. The results of this study were similar to another study of Latina women that found that those who had children were more likely to be maintainers [26].…”

Section: Discussionsupporting

confidence: 90%

Determinants of cervical cancer screening adherence in urban areas of Nakhon Ratchasima Province, Thailand

Visanuyothin

Chompikul

Mongkolchati

2015

Journal of Infection and Public Health

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Cervical cancer is the most common disease among Thai women. The cervical cancer mortality rate has increased in the previous decade. Therefore, this cross-sectional study was conducted to examine the factors associated with cervical cancer screening adherence. Stratified sampling with the proportional to size method was used to select registered women aged 30-60 years. Of the 700 self-administered questionnaires distributed during July and September of 2012, 675 were returned, resulting in a response rate of 96.2%. Approximately 65.4% of the women were considered to be adherent to cervical cancer screening (i.e., maintainers) as defined by at least one screening within the recommended 5-year screening interval and the expectation of attending a screening in the future. Chi-square tests revealed that occupation, marital status, number of children, sexual activity, health insurance scheme, history of oral contraceptive pill use, perceived barriers, perceived benefits, and knowledge about cervical cancer prevention were significantly associated with cervical cancer screening adherence. After adjusting for occupation, marital status, number of children, and health insurance in the model, perceived barriers (Adj OR=1.97, 95% CI=1.24-3.10) and knowledge (Adj OR=1.65, 95% CI=1.13-2.41) remained significant predictors of cervical cancer screening adherence. These findings suggest that the non-housewives, women of single/separated/divorced/widowed status, and women with no children should be the first priorities for getting Pap tests. Strategies for overcoming the barriers of these women, such as using mobile units for cervical cancer screening, should be promoted. Education programs should be strengthened and promoted to overcome negative perceptions and knowledge deficiencies.

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Section: Discussionsupporting

confidence: 90%

Determinants of cervical cancer screening adherence in urban areas of Nakhon Ratchasima Province, Thailand

Visanuyothin

Chompikul

Mongkolchati

2015

Journal of Infection and Public Health

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“…Lower education or income and being unmarried or widowed have been related to lower screening participation in other studies (28)(29)(30); however, much of the difference in stage by educational level was not attributable to time since last smear in this study. Likewise, a study in New Zealand found that only a small proportion of the elevated risk for advanced cervical cancer of Maoris and of women in deprived areas (nonsignificant) was attributable to lack of screening participation (31).…”

Section: Discussioncontrasting

confidence: 70%

Socioeconomic Position and Stage of Cervical Cancer in Danish Women Diagnosed 2005 to 2009

Ibfelt

Kjær

Johansen

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: To reduce social disparities in cervical cancer survival, it is important to understand the mechanisms by which social position influence cancer prognosis. We investigated the relations between socioeconomic factors, comorbidity, time since last Papanicolau smear, and stage at diagnosis in Danish women with cervical cancer. Results: The risk for advanced (stage II-IV) compared with early-stage cancer (stage I) was increased for women with short and medium education (OR ¼ 2.40; 1.67-3.45 and 1.76; 1.44-2.16), women living without a partner (OR ¼ 1.31; 1.10-1.55), and older women (OR ¼ 1.07; 1.06-1.08 increase per year). The relations between socioeconomic factors and cancer stage were partly mediated by time since last Pap smear test and to a lesser extent by comorbidity.Conclusions: Shorter education, living alone, and older age were related to advanced stage cervical cancer, due partly to Pap smear testing and less to comorbidity.Impact: It is relevant to further investigate how to decrease delay in cervical cancer diagnosis among disadvantaged groups. Cancer Epidemiol Biomarkers Prev; 21(5); 835-42. Ó2012 AACR.

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“…We found that the level of education was associated with the use of private PHEs but not with that of public PHEs, which contrasts with previous studies (Farrell and Fuchs 1982;Kenkel 2000). The level of education is thought to be an indicator of individuals' socioeconomic status (Seidel et al 2008). Indeed, inequalities in income and health status according to education level are larger in Korea than in developed countries (Khang et al 2004;Son 2004;Lee and Jeon 2005).…”

Section: Discussionmentioning

confidence: 99%

Demographic and Socioeconomic Determinants of the Use of Periodic Health Examinations: Public vs. Private Sector

Kwon

You

et al. 2009

Tohoku J. Exp. Med.

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Socio-demographic characteristics of participation in the opportunistic German cervical cancer screening programme: results from the EPIC-Heidelberg cohort

Cited by 38 publications

References 16 publications

Determinants of cervical cancer screening adherence in urban areas of Nakhon Ratchasima Province, Thailand

Determinants of cervical cancer screening adherence in urban areas of Nakhon Ratchasima Province, Thailand

Socioeconomic Position and Stage of Cervical Cancer in Danish Women Diagnosed 2005 to 2009

Demographic and Socioeconomic Determinants of the Use of Periodic Health Examinations: Public vs. Private Sector

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