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Socio-economic and demographic determinants affecting participation in the Swedish cervical screening program: A population-based case-control study

Broberg, Gudrun (författare)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Department of Obstetrics and Gynaecology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg (Sweden); The Regional Cancer Centre, Western Health Care Region, Gothenburg, Sweden; Närhälsan Primary Care, Western Health Care Region, Skövde, Sweden,Sexuell och reproduktiv hälsa
Wang, J. R. (författare)
Östberg, Anna-karin, 1979 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology
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Adolfsson, A. (författare)
Nemes, S. (författare)
Sparen, P. (författare)
Strander, Björn, 1952 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology
Jiangrong, Wang (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden,Sexuell och reproduktiv hälsa
Östberg, Anna-Lena (författare)
Public Dental Service, Region Västra Götaland, Vänersborg, Sweden; Department of Behavioural and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Sexuell och reproduktiv hälsa
Adolfsson, Annsofie, 1960- (författare)
Örebro universitet,Institutionen för hälsovetenskaper,The Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud & Vestfold University College, Kongsberg, Norway,Sexuell och reproduktiv hälsa
Szilard, Nemes (författare)
The Regional Cancer Centre, Western Health Care Region, Gothenburg, Sweden; Swedish Hip Arthroplasty Register, Gothenburg, Sweden,Sexuell och reproduktiv hälsa
Björn, Strander (författare)
Department of Obstetrics and Gynaecology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg /The Regional Cancer Centre, Western Health Care Region, Gothenburg, Sweden,Sexuell och reproduktiv hälsa
Broberg, G (författare)
Adolfsson, A (författare)
Wang, JR (författare)
Karolinska Institutet
Ostberg, AL (författare)
Strander, B (författare)
Sparen, P (författare)
Karolinska Institutet
Nemes, S (författare)
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San Francisco, CA, USA : Public Library of Science, 2018
2018
Engelska.
Ingår i: Plos One. - San Francisco, CA, USA : Public Library of Science. - 1932-6203. ; 13:1
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background Cervical screening programs are highly protective for cervical cancer, but only for women attending screening procedure. Identify socio-economic and demographic determinants for non-attendance in cervical screening. Population: Source population was all women eligible for screening. Based on complete screening records, two groups of women aged 30-60 were compared. The case group, non-attending women, (N = 314,302) had no smear registered for 6-8 years. The control group (N = 266,706) attended within 90 days of invitation. Main outcome measures: Risk of non-attendance by 9 groups of socioeconomic and demographic variables. Analysis: Unadjusted odds ratios (OR) and OR after adjustment for all variables in logistic regression models were calculated. Women with low disposable family income (adjOR 2.06; 95% confidence interval (CI) 2.01-2.11), with low education (adjOR 1.77; CI 1.73-1.81) and not cohabiting (adjOR 1.47; CI 1.45-1.50) were more likely to not attend cervical screening. Other important factors for non-attendance were being outside the labour force and receiving welfare benefits. Swedish counties are responsible for running screening programs; adjusted OR for non-participation in counties ranged from OR 4.21 (CI 4.06-4.35) to OR 0.54 (CI 0.52-0.57), compared to the reference county. Being born outside Sweden was a risk factor for non-attendance in the unadjusted analysis but this disappeared in certain large groups after adjustment for socioeconomic factors. County of residence and socio-economic factors were strongly associated with lower attendance in cervical screening, while being born in another country was of less importance. This indicates considerable potential for improvement of cervical screening attendance in several areas if best practice of routines is adopted.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

randomized controlled-trial
breast-cancer
women
sweden
nonparticipation
epidemiology
distance
denmark
tests
born
Science & Technology - Other Topics
Cervical cancer
demography
mass screening
non-attendance
socioeconomic factors
Obstetrik och gynekologi
Obstetrics and Gynaecology
Hälso- och sjukvårdsforskning
Health and Medical Care Research

Publikations- och innehållstyp

ref (ämneskategori)
art (ämneskategori)

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