Metadatas
2019
Copyright PERSEE 2003-2023. Works reproduced on the PERSEE website are protected by the general rules of the Code of Intellectual Property. For strictly private, scientific or teaching purposes excluding all commercial use, reproduction and communication to the public of this document is permitted on condition that its origin and copyright are clearly mentionned.
Keywords
cervical cancer screening ; territorial inequalities ; mixed ; hierarchical or multilevel models hiérarchiques ou multiniveaux ; modèles mixtes ; inégalités territoriales ; dépistage du cancer du col utérinSimilar subjects
Cancers Néoplasme malin Tumeurs malignesCite this document
Anne-Marie Konopka et al., « Les déterminants du recours au dépistage du cancer du col de l’utérus : une analyse départementale », Économie & prévision, ID : 10.3406/ecop.2019.8263
Metrics
Share / Export
Abstract
The goal of this study is to analyse the drivers of geographic disparities in cervical cancer screening in France. The studied sample consisted of women aged 25 to 65 enrolled in the statutory health insurance scheme (and possibly the complementary scheme) with MGEN, a French non-for-profit health insurance institution (“ mutuelle”), from 1 January 2012 to 31 December 2014. Multilevelmodels confirm territorial inequalities in cervical cancer screening. Moreover, they show that age, the cost of gynecological appointment, and residence in a deprived area are all associated with a decrease of the likelihood of being screened. On the contrary, living in a couple, coverage by statutory and complementary health insurance, medical monitoring for contraception or pregnancy, being screened for breast cancer, and the density of health professionals are associated with increased cervical cancer screening uptake. Different policy levers are discussed in relation to the major role played by health professionals in screening access.