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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Inequalities in cervical cancer screening for women with or without a regular consulting in primary care for gynaecological health, in Paris, France
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Inequalities in cervical cancer screening for women with or without a regular consulting in primary care for gynaecological health, in Paris, France

机译：在法国巴黎，有或没有定期就妇科健康进行常规咨询的女性，宫颈癌筛查的不平等性

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Objectives: To describe the individual characteristics associated with the absence of cervical smear (CCST); to investigate the role of residential neighbourhood, particularly practitioner density; and to explore changes in individual and contextual determinants after taking regular consulting in primary care for gynaecological health (RCGH) into account. Methods: Data: 1843 adult women from the SIRS survey conducted in 2005 in the Paris metropolitan area. Multilevel logistic regressions analysed factors associated with never-screening. Results: 10% of the women had never undergone CCST. Being single, less educated, of foreign origin, with no children, and without health insurance, having never worked, having never undergone a serious health problem and/or having nobody in their circle with cancer were associated with no CCST. Once adjusted on individual characteristics, living in a middle- (OR = 1.95; IC = 1.05-3.62) or in a lower-class neighbourhood (OR = 2.31; IC = 1.26-4.25) was associated with increased risks of never-screening, but neighbourhood physician density was not. Interactions were found between socioeconomic status and RCGH. Individual- and neighbourhood-level associations with CCST were different for women with or without an RCGH. Conclusion: This study analysed individual and contextual inequalities in CCST practice in the Paris metropolitan area. To benefit from an RCGH did not seem to reduce all the social inequalities in CCST practice.
机译：目的：描述与无宫颈涂片（CCST）相关的个体特征;调查居民区的作用，特别是从业者密度;并在考虑妇科健康初级保健（RCGH）定期咨询后探索个体和背景决定因素的变化。方法：数据：2005年在巴黎市区进行的SIRS调查中的1843名成年女性。多级逻辑回归分析与永不筛选相关的因素。结果：10％的女性从未接受过CCST。由于没有工作，从未经历过严重的健康问题和/或没有一个患癌症的人，单身，受教育程度低，没有儿童，没有健康保险，从未工作过，所以没有CCST。一旦对个人特征进行了调整，则居住在中层（OR = 1.95; IC = 1.05-3.62）或下层阶级社区（OR = 2.31; IC = 1.26-4.25）与从未接受筛查的风险增加有关，但是社区医生的密度却没有。发现社会经济地位与RCGH之间存在相互作用。有或没有RCGH的妇女与CCST的个人和社区级协会有所不同。结论：本研究分析了巴黎大都市地区CCST实践中的个人和背景不平等。受益于RCGH似乎并没有减少CCST实践中的所有社会不平等现象。

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