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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Factors associated with non-participation in cervical cancer screening - A nationwide study of nearly half a million women in Denmark
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Factors associated with non-participation in cervical cancer screening - A nationwide study of nearly half a million women in Denmark

机译:与非参与宫颈癌筛查相关的因素 - 丹麦近500万名近500万名妇女的全国性研究

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Cervical cancer occurs most often in under-screened women. In this nationwide register study, we described differences in sociodemographic characteristics between passive and active non-participants and examined socio-demographic characteristics, reproductive history, and mental and physical health as potential determinants for passive non-participation compared with participation in the Danish cervical cancer screening program. Screening history in women aged 23-49 years invited for cervical cancer screening in 2008-2009 was retrieved from the Danish Pathology Databank with information about dates of invitation and unsubscription. We identified participants (n = 402,984), active non-participants (n = 10,251) and passive non-participants (n = 63,435) within four years following baseline invitation and retrieved data about the study population from high-quality registries. We examined differences in socio-demographic characteristics of passive and active non-participants, and used multiple logistic regression analyses to identify potential determinants of passive non-participation. We found that active and passive non-participants differed in relation to socio-demography. When compared with screening participants, the odds of passive non-participation was increased in women who originated from less developed countries; were unmarried; had basic education or low income; had four or more children; smoked during pregnancy; had multiple induced abortions; or had a history of obesity, intoxicant abuse or schizophrenia or other psychoses. In conclusion, in this nationwide, prospective, population-based study, differences in socio-demographic characteristics between passive and active non-participants were found. Furthermore, sociodemography, reproductive history, and mental and physical health were determinants for passive non-participation. Addressing inequalities in screening attendance may help to further decrease the incidence of and mortality from cervical cancer.
机译:宫颈癌最常发生在筛选的女性中。在本国家注册研究中,我们描述了被动和活跃的非参与者之间的社会渗塑特征,并将其被视为被动非参与的潜在决定因素的社会人口统计特征,生殖史和身体健康与参与丹麦宫颈癌相比筛选程序。从丹麦病理数据库检索2008 - 2009年宫颈癌筛查23-49岁的女性的筛查史,并从丹麦病理数据库中获取有关邀请日期和取消订阅的信息。在基线邀请之后的四年内,我们确定了参与者(n = 402,984),积极的非参与者(n = 10,251)和被动非参与者(n = 63,435),并从高质量的注册管理机构检索有关研究人群的数据。我们检查了被动和有源非参与者的社会人口统计特征的差异,并使用了多元逻辑回归分析来识别被动不参与的潜在决定因素。我们发现主动和被动的非参与者与社会人口统计学不同。与筛选参与者相比,源于发达国家的妇女的被动非参与的几率增加;未婚;有基本的教育或低收入;有四个或更多的孩子;怀孕期间熏制;有多种诱导的堕胎;或者有肥胖,毒害虐待或精神分裂症或其他精神史的历史。总之,在全国范围内,前瞻性,基于人口的研究,发现了被动和活跃的非参与者之间的社会人口统计特征的差异。此外,社会统治,生殖史和心理健康是被动非参与的决定因素。解决筛选出席的不平等可能有助于进一步降低宫颈癌的发病率和死亡率。

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