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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Do social inequalities in cervical cancer screening persist among patients who use primary care? The Paris Prevention in General Practice survey.
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Do social inequalities in cervical cancer screening persist among patients who use primary care? The Paris Prevention in General Practice survey.

机译：在使用初级保健的患者中，宫颈癌筛查中的社会不平等现象是否仍然存在？巴黎预防普通实践调查。

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OBJECTIVE: Social inequalities in cervical cancer screening may be related to either lack of access to care or inadequate delivery of preventive care by providers. We sought to characterize social inequalities among women consulting general practitioners with a wide range of social position indicators. METHODS: In 2005-06, 59 randomly recruited general practitioners from the Paris metropolitan area enrolled every woman aged 50-69 years seen during a two-week period. Cervical cancer screening status (overdue if the last cervical cancer screening had been more than 3 years earlier) was analyzed for 858 women in a logistic mixed model that considered: occupational class (in 5 levels, based on last occupation), education, income, characteristics related to family, housing, neighborhood, household wealth (social allocations, perceived financial difficulties in 4 levels, income tax), employment status, supplementary health insurance, and social network (4 levels). RESULTS: The rate of overdue patients did not vary between general practitioners (21%). social position indicators associated with overdue status (odds ratio between 2 adjacent decreasing social levels) were occupational class (1.20, 95% CI: 1.03-1.41), social network (1.52, 95% CI: 1.18-1.94), financial difficulties (1.42, 95% CI: 1.07-1.88), neighborhood safety (2.15, 95% CI: 1.10-4.20), and allocations (3.34, 95% CI: 1.12-9.96). CONCLUSIONS: Even among women visiting general practitioners we observed marked social inequalities that persist above and beyond occupational class.
机译：目的：宫颈癌筛查中的社会不平等可能与提供者无法获得医疗服务或预防性医疗服务不足有关。我们试图通过广泛的社会地位指标来描述咨询全科医生的女性之间的社会不平等。方法：在2005-06年度，从巴黎大都会地区随机招募的59名全科医生从两周内招募了每名年龄在50-69岁之间的女性。在Logistic混合模型中分析了858名妇女的子宫颈癌筛查状态（如果上次子宫颈癌筛查已超过3年，则为时过早），该模型考虑了以下因素：职业等级（基于上次职业分为5个等级），教育程度，收入，与家庭，住房，邻里，家庭财富（社会分配，4个级别的财务困难，所得税），就业状况，补充健康保险和社交网络（4个级别）相关的特征。结果：全科医师之间的逾期患者发生率没有差异（21％）。与过期状态相关的社会地位指标（两个相邻的下降的社会水平之间的比值比）是职业类别（1.20，95％CI：1.03-1.41），社会网络（1.52，95％CI：1.18-1.94），财务困难（1.42 ，95％CI：1.07-1.88），邻里安全性（2.15、95％CI：1.10-4.20）和分配（3.34、95％CI：1.12-9.96）。结论：即使在来访全科医生的女性中，我们也观察到了明显的社会不平等现象，这种不平等现象在职业阶层之上和之外仍然存在。

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