Abstract
Objective
To analyse participation in the German cervical cancer screening programme by socio-demographic characteristics.
Methods
In the EPIC-Heidelberg cohort study 13,612 women aged 35–65 years were recruited between 1994 and 1998. Follow-up questionnaires were used to analyse participation in cervical cancer screening. Subjects were categorised according to age (birth cohort), education, vocational training, employment status, marital status and household size. Associations between socio-demographic characteristics and participation in cervical cancer screening were analysed using multinomial logistic regression.
Results
Females of the oldest and middle birth cohort were less likely to be screened compared to the youngest birth cohort. Less-educated women and those with a low-level secondary school degree had a decreased likelihood of undergoing screening in comparison to better educated women. Married women and women living in households with four or more persons were more likely to participate in the screening programme than single women or women living alone. Employment status did not modify participation in cervical cancer screening.
Conclusions
Knowledge on the characteristics of women with a lower attendance to cervical cancer screening could be used to improve the effectiveness of the current (opportunistic) programme by dedicated health promotion programmes. However, an organized screening programme with written invitation of all eligible women would be the preferred option.
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Notes
Low-level secondary school form of 5 years.
Medium-level secondary school form of 6 years.
High-level secondary school form of 8–9 years; qualifies for admission to technical college/university.
Can be attended after graduation from Gymnasium with at least 8 years of education.
Can be attended after graduation from Gymnasium.
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Acknowledgments
We thank all women of the EPIC-Heidelberg cohort study for providing the information used for the present study.
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Seidel, D., Becker, N., Rohrmann, S. et al. Socio-demographic characteristics of participation in the opportunistic German cervical cancer screening programme: results from the EPIC-Heidelberg cohort. J Cancer Res Clin Oncol 135, 533–541 (2009). https://doi.org/10.1007/s00432-008-0485-0
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DOI: https://doi.org/10.1007/s00432-008-0485-0