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The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office

BACKGROUND: Cervical cancer screening rates are known to be strongly associated with socioeconomic status. Our objective was to assess whether the rate is also associated with an aggregated deprivation marker, defined by the location of family doctors’ offices. METHODS: To access this association, w...

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Autores principales: Serman, Fanny, Favre, Jonathan, Deken, Valérie, Guittet, Lydia, Collins, Claire, Rochoy, Michaël, Messaadi, Nassir, Duhamel, Alain, Launay, Ludivine, Berkhout, Christophe, Raginel, Thibaut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228108/
https://www.ncbi.nlm.nih.gov/pubmed/32413044
http://dx.doi.org/10.1371/journal.pone.0232814
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author Serman, Fanny
Favre, Jonathan
Deken, Valérie
Guittet, Lydia
Collins, Claire
Rochoy, Michaël
Messaadi, Nassir
Duhamel, Alain
Launay, Ludivine
Berkhout, Christophe
Raginel, Thibaut
author_facet Serman, Fanny
Favre, Jonathan
Deken, Valérie
Guittet, Lydia
Collins, Claire
Rochoy, Michaël
Messaadi, Nassir
Duhamel, Alain
Launay, Ludivine
Berkhout, Christophe
Raginel, Thibaut
author_sort Serman, Fanny
collection PubMed
description BACKGROUND: Cervical cancer screening rates are known to be strongly associated with socioeconomic status. Our objective was to assess whether the rate is also associated with an aggregated deprivation marker, defined by the location of family doctors’ offices. METHODS: To access this association, we 1) collected data from the claim database of the French Health Insurance Fund about the registered family doctors and their enlisted female patients eligible for cervical screening; 2) carried out a telephone survey with all registered doctors to establish if they were carrying out Pap-smears in their practices; 3) geotracked all the doctors’ offices in the smallest existing blocks of socioeconomic homogenous populations (IRIS census units) that were assigned a census derived marker of deprivation, the European Deprivation Index (EDI), and a binary variable of urbanization; and 4) we used a multivariable linear mixed model with IRIS as a random effect. RESULTS: Of 348 eligible doctors, 343 responded to the telephone survey (98.6%) and were included in the analysis, encompassing 88,152 female enlisted patients aged 25–65 years old. In the multivariable analysis (adjusted by the gender of the family doctor, the practice of Pap-smears by the doctor and the urbanization of the office location), the EDI of the doctor’s office was strongly associated with the cervical cancer screening participation rate of eligible patients (p<0.001). CONCLUSION: The EDI linked to the location of the family doctor’s office seems to be a robust marker to predict female patients’ participation in cervical cancer screening.
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spelling pubmed-72281082020-06-01 The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office Serman, Fanny Favre, Jonathan Deken, Valérie Guittet, Lydia Collins, Claire Rochoy, Michaël Messaadi, Nassir Duhamel, Alain Launay, Ludivine Berkhout, Christophe Raginel, Thibaut PLoS One Research Article BACKGROUND: Cervical cancer screening rates are known to be strongly associated with socioeconomic status. Our objective was to assess whether the rate is also associated with an aggregated deprivation marker, defined by the location of family doctors’ offices. METHODS: To access this association, we 1) collected data from the claim database of the French Health Insurance Fund about the registered family doctors and their enlisted female patients eligible for cervical screening; 2) carried out a telephone survey with all registered doctors to establish if they were carrying out Pap-smears in their practices; 3) geotracked all the doctors’ offices in the smallest existing blocks of socioeconomic homogenous populations (IRIS census units) that were assigned a census derived marker of deprivation, the European Deprivation Index (EDI), and a binary variable of urbanization; and 4) we used a multivariable linear mixed model with IRIS as a random effect. RESULTS: Of 348 eligible doctors, 343 responded to the telephone survey (98.6%) and were included in the analysis, encompassing 88,152 female enlisted patients aged 25–65 years old. In the multivariable analysis (adjusted by the gender of the family doctor, the practice of Pap-smears by the doctor and the urbanization of the office location), the EDI of the doctor’s office was strongly associated with the cervical cancer screening participation rate of eligible patients (p<0.001). CONCLUSION: The EDI linked to the location of the family doctor’s office seems to be a robust marker to predict female patients’ participation in cervical cancer screening. Public Library of Science 2020-05-15 /pmc/articles/PMC7228108/ /pubmed/32413044 http://dx.doi.org/10.1371/journal.pone.0232814 Text en © 2020 Serman et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Serman, Fanny
Favre, Jonathan
Deken, Valérie
Guittet, Lydia
Collins, Claire
Rochoy, Michaël
Messaadi, Nassir
Duhamel, Alain
Launay, Ludivine
Berkhout, Christophe
Raginel, Thibaut
The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title_full The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title_fullStr The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title_full_unstemmed The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title_short The association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
title_sort association between cervical cancer screening participation and the deprivation index of the location of the family doctor’s office
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228108/
https://www.ncbi.nlm.nih.gov/pubmed/32413044
http://dx.doi.org/10.1371/journal.pone.0232814
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