The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France)

Abstract

To cite this version:Julie Vallée, Emmanuelle Cadot, Francesca Grillo, Isabelle Parizot, Pierre Chauvin. The combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities: The case of cervical screening in the Paris metropolitan area (France).. Health Place, Elsevier, 2010, 16 (5) AbstractEstimates from multilevel regression of 1768 women living in the Paris metropolitan area showed that women who reported concentrating their daily activities in their perceived neighbourhood of residence had a statistically greater likelihood of not having undergone cervical screening during the previous two years. Furthermore, the characteristics of the administrative neighbourhood of residence (such as the practitioner density or the proportion of residents with a recent preventive consultation) had a statistically greater impact in terms of delayed cervical screening on women who concentrated the vast majority of their daily activities within their perceived neighbourhood of residence than among those who did not.The residential environment might promote or damage, to a greater extent, the health behaviour of people whose daily activities are concentrated within their perceived neighbourhood, since we can assume that their exposure to their neighbourhood characteristics is stronger.It could thus be useful to study more often the combined effects of activity space and neighbourhood of residence on participation in preventive health-care activities.Keywords activity space; daily mobility; neighbourhood of residence; cross-level interaction; preventive health care.2

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

“…Although the same trend between screening participation and the four care accessibility profiles was observed regardless of the category of agglomeration, we were probably therefore not able to specifically take context effects into account, in particular, in large cities, in which there is significant intra-urban care supply heterogeneity. Furthermore, it is possible that the area of residence alone is not a relevant datum and that it should be analyzed in conjunction with other characteristics, such as women's mobility, which has been shown to be a determining factor in cervical cancer screening participation in the Paris area (16). As well, an increasing number of studies point to the importance of no longer considering only the area of residence alone, but also individuals' places of activity, in particular, occupational activity (25).…”

“…Studies that have taken them into account simultaneously are rare (9, 10,16), yet evaluating their combined effect in addition to their individual effect provides a better understanding of the mechanisms underlying screening participation. To our knowledge, only one analysis has documented the combined effect of contextual variables.…”

Cervical cancer screening among homeless women in the Greater Paris Area (France): results of the ENFAMS survey

“…In the French-speaking general population in the Greater Paris area, 8% of concerned women had never been screened for cervical cancer in 2010 (Rondet et al, 2014). Multiple factors associated with an increased risk of no lifetime screening have been reported, such as socioeconomic status and origin (Vallée et al, 2010;Grillo et al, 2012;Rondet et al, 2014), but it has never been studied among homeless women in France.…”

Gender, socio-economic status, migration origin and neighbourhood of residence are barriers to HIV testing in the Paris metropolitan area

“…More recent studies have focused on the neighbourhood factors associated with health (Silhol, Zins, Chauvin, & Chaix, 2011) or health care (Vallée, Cadot, Grillo, Parizot, & Chauvin, 2010), after adjustment for individuals' SES.…”