Predictors of non-participation in cervical screening in Denmark |
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| Affiliation: | 1. Department of Prevention and Cancer Control, Cancer Care Ontario, 505 University Ave, Toronto, ON M5G 1X3, Canada;2. Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, Ontario M5T 3M7, Canada;3. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology University of Toronto, Sunnybrook Health Sciences Centre, etc., 2075 Bayview Ave, Toronto, Ontario M4N 3M5, Canada;1. Department of Public Health, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy;2. Health Care Walkers'' Cooperative (OSA), Via Lucio Volumnio 1, 00178 Rome, Italy;3. Health Division, Directorate for Employment, Labour and Social Affairs, OECD-Organization for economic Cooperation and Development, 2 rue André Pascal, 75775 Paris, Cedex 16, France;1. Department of Obstetrics and Gynaecology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands;2. Department of Pathology, VU University Medical Centre, PO Box 7057, 1007 MB, Amsterdam, The Netherlands;3. Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands |
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| Abstract: | PurposeThe aims of this study were to identify demographic and socio-economic predictors of non-participation in cervical screening in Denmark, and to evaluate the influence of health care use on screening participation.MethodsA population based register study was undertaken using data from the Central Population Register, the national Patobank, and Statistics Denmark. The study included women aged 25–54 years on 1st of January 2002, living in Denmark during the next 5 years, and without a history of total hysterectomy, N = 1,052,447. Independent variables included age, civil status, nationality, level of education, and use of health care. Associations with non-participation in screening were determined with logistic regression.ResultsMain predictors of non-participation were limited or no contact with dental services (odds ratio (OR) = 2.36), general practitioners (OR = 1.75), and high age (OR = 1.98). Other important factors for non-participation were primary school education only (OR = 1.53), not being married (OR = 1.49), and foreign nationality (OR = 1.32).ConclusionA 2–1.5-fold difference in non-participation in cervical screening in Denmark was found across various population sub-groups. Increased screening compliance among women with primary school education only, and limited or no use of primary health care services in general could potentially diminish the current social inequalities in cervical cancer incidence, and thus decrease the overall high incidence of this disease in Denmark. |
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| Keywords: | Mass screening Uterine cervical neoplasms Socioeconomic factors Health behavior Denmark |
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