ArticleInternational journal of health geographics2020
Risk of late cervical cancer screening in the Paris region according to social deprivation and medical densities in daily visited neighborhoods.
Article in International journal of health geographics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Multiple Dimensions of Social Vulnerability and Cervical Cancer Screening Uptake.JAMA network open · 2026Article
- Impact of commune level social inequalities on time to diagnosis and follow-up in women with high-grade cervical lesions in Isère, France: Evidence from the French cervical cancer screening program.Preventive medicine reports · 2026Article
- Observational
- The challenging journey of cervical cancer diagnosis and treatment at the second largest hospital in Indonesia.Gynecologic oncology reports · 2024Review
- Cervical cancer screening pathways in France in 2015-2021, a nationwide study based on medico-administrative data.Preventive medicine reports · 2023Article
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3 authors.
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Abstract
backgroundSocial and physical characteristics of the daily visited neighborhoods have gained an extensive interest in analyzing socio-territorial inequalities in health and healthcare. The objective of the present paper is to estimate and discuss the role of individual and contextual factors on participation in preventive health-care activities (smear screening) in the Greater Paris area focusing on the characteristics of daily visited neighborhoods in terms of medical densities and social deprivation.
methodsThe study included 1817 women involved in the SIRS survey carried out in 2010. Participants could report three neighborhoods they regularly visit (residence, work/study, and the next most regularly visited). Two "cumulative exposure scores" have been computed from household income and medical densities (general practitioners and gynecologists) in these neighborhoods. Multilevel logistic regression models were used to measure association between late cervical screening (> 3 years) and characteristics of daily visited neighborhoods (residential, work or study, visit).
resultsOne-quarter of the women reported that they had not had a smear test in the previous 3 years. Late smear test was found to be more frequent among younger and older women, among women being single, foreigners and among women having a low-level of education and a limited activity space. After adjustment on individual characteristics, a significant association between the cumulative exposure scores and the risk of a delayed smear test was found: women who were exposed to low social deprivation and to low medical densities in the neighborhoods they daily visit had a significantly higher risk of late cervical cancer screening than their counterparts.
conclusionsFor a better understanding of social and territorial inequalities in healthcare, there is a need for considering multiple daily visited neighborhoods. Cumulative exposure scores may be an innovative approach for analyzing contextual effects of daily visited neighborhoods rather than focusing on the sole residential neighborhood.
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