The association between cervical cancer screening participation and the deprivation index of the location of the family doctor's office
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. To access this association, we 1) collected d...
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| creator | Serman, Fanny Favre, Jonathan Deken, Valérie Guittet, Lydia Collins, Claire Rochoy, Michaël Messaadi, Nassir Duhamel, Alain Launay, Ludivine Berkhout, Christophe Raginel, Thibaut |
| description | 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.
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.
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 |
| doi_str_mv | 10.1371/journal.pone.0232814 |
| format | Article |
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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.
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).
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0232814</identifier><identifier>PMID: 32413044</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Ambulatory care facilities ; Cancer ; Cancer screening ; Census ; Cervical cancer ; Cervix ; Deprivation ; Diagnosis ; Doctors ; Early Detection of Cancer ; Family ; Family medicine ; Female ; Food Deprivation - physiology ; Gender ; General practitioners ; Gynecology and obstetrics ; Health ; Health care services accessibility ; Health insurance ; Human health and pathology ; Human papillomavirus ; Humans ; Insurance, Health ; Interviews as Topic ; Life Sciences ; Location ; Location of offices ; Markers ; Medical practice ; Medical research ; Medical societies ; Medicine and Health Sciences ; Middle Aged ; Mortality ; Papanicolaou Test ; Patient compliance ; People and Places ; Physicians ; Physicians' Offices ; Physicians, Family - statistics & numerical data ; Polls & surveys ; Research and Analysis Methods ; Santé publique et épidémiologie ; Social Class ; Social Sciences ; Socio-economic aspects ; Socioeconomic factors ; Socioeconomics ; Studies ; Surveys ; Urbanization ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - epidemiology ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - therapy ; Vaginal Smears ; Women's health ; Womens health</subject><ispartof>PloS one, 2020-05, Vol.15 (5), p.e0232814</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Serman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2020 Serman et al 2020 Serman et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c729t-b963d88d45f29e80eddb1d40b86865015c149a373798ec8208af3f64e3bc3ef43</citedby><cites>FETCH-LOGICAL-c729t-b963d88d45f29e80eddb1d40b86865015c149a373798ec8208af3f64e3bc3ef43</cites><orcidid>0000-0003-1598-9221 ; 0000-0002-9354-1505 ; 0000-0002-6507-9667 ; 0000-0002-8865-3748</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228108/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228108/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32413044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://inserm.hal.science/inserm-02894844$$DView record in HAL$$Hfree_for_read</backlink></links><search><contributor>Shah, Tayyab Ikram</contributor><creatorcontrib>Serman, Fanny</creatorcontrib><creatorcontrib>Favre, Jonathan</creatorcontrib><creatorcontrib>Deken, Valérie</creatorcontrib><creatorcontrib>Guittet, Lydia</creatorcontrib><creatorcontrib>Collins, Claire</creatorcontrib><creatorcontrib>Rochoy, Michaël</creatorcontrib><creatorcontrib>Messaadi, Nassir</creatorcontrib><creatorcontrib>Duhamel, Alain</creatorcontrib><creatorcontrib>Launay, Ludivine</creatorcontrib><creatorcontrib>Berkhout, Christophe</creatorcontrib><creatorcontrib>Raginel, Thibaut</creatorcontrib><title>The association between cervical cancer screening participation and the deprivation index of the location of the family doctor's office</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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.
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).
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.</description><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care facilities</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Census</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Deprivation</subject><subject>Diagnosis</subject><subject>Doctors</subject><subject>Early Detection of Cancer</subject><subject>Family</subject><subject>Family medicine</subject><subject>Female</subject><subject>Food Deprivation - physiology</subject><subject>Gender</subject><subject>General practitioners</subject><subject>Gynecology and obstetrics</subject><subject>Health</subject><subject>Health care services accessibility</subject><subject>Health insurance</subject><subject>Human health and pathology</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Insurance, Health</subject><subject>Interviews as Topic</subject><subject>Life Sciences</subject><subject>Location</subject><subject>Location of offices</subject><subject>Markers</subject><subject>Medical practice</subject><subject>Medical research</subject><subject>Medical societies</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Papanicolaou Test</subject><subject>Patient compliance</subject><subject>People and Places</subject><subject>Physicians</subject><subject>Physicians' Offices</subject><subject>Physicians, Family - statistics & numerical data</subject><subject>Polls & surveys</subject><subject>Research and Analysis Methods</subject><subject>Santé publique et épidémiologie</subject><subject>Social Class</subject><subject>Social Sciences</subject><subject>Socio-economic aspects</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Studies</subject><subject>Surveys</subject><subject>Urbanization</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - epidemiology</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - therapy</subject><subject>Vaginal Smears</subject><subject>Women's health</subject><subject>Womens 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association between cervical cancer screening participation and the deprivation index of the location of the family doctor's office</title><author>Serman, Fanny ; Favre, Jonathan ; Deken, Valérie ; Guittet, Lydia ; Collins, Claire ; Rochoy, Michaël ; Messaadi, Nassir ; Duhamel, Alain ; Launay, Ludivine ; Berkhout, Christophe ; Raginel, Thibaut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c729t-b963d88d45f29e80eddb1d40b86865015c149a373798ec8208af3f64e3bc3ef43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory care facilities</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Census</topic><topic>Cervical cancer</topic><topic>Cervix</topic><topic>Deprivation</topic><topic>Diagnosis</topic><topic>Doctors</topic><topic>Early Detection of Cancer</topic><topic>Family</topic><topic>Family 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Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Serman, Fanny</au><au>Favre, Jonathan</au><au>Deken, Valérie</au><au>Guittet, Lydia</au><au>Collins, Claire</au><au>Rochoy, Michaël</au><au>Messaadi, Nassir</au><au>Duhamel, Alain</au><au>Launay, Ludivine</au><au>Berkhout, Christophe</au><au>Raginel, Thibaut</au><au>Shah, Tayyab Ikram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between cervical cancer screening participation and the deprivation index of the location of the family doctor's office</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-05-15</date><risdate>2020</risdate><volume>15</volume><issue>5</issue><spage>e0232814</spage><pages>e0232814-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
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.
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).
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32413044</pmid><doi>10.1371/journal.pone.0232814</doi><tpages>e0232814</tpages><orcidid>https://orcid.org/0000-0003-1598-9221</orcidid><orcidid>https://orcid.org/0000-0002-9354-1505</orcidid><orcidid>https://orcid.org/0000-0002-6507-9667</orcidid><orcidid>https://orcid.org/0000-0002-8865-3748</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-05, Vol.15 (5), p.e0232814 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2403302144 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Aged Ambulatory care facilities Cancer Cancer screening Census Cervical cancer Cervix Deprivation Diagnosis Doctors Early Detection of Cancer Family Family medicine Female Food Deprivation - physiology Gender General practitioners Gynecology and obstetrics Health Health care services accessibility Health insurance Human health and pathology Human papillomavirus Humans Insurance, Health Interviews as Topic Life Sciences Location Location of offices Markers Medical practice Medical research Medical societies Medicine and Health Sciences Middle Aged Mortality Papanicolaou Test Patient compliance People and Places Physicians Physicians' Offices Physicians, Family - statistics & numerical data Polls & surveys Research and Analysis Methods Santé publique et épidémiologie Social Class Social Sciences Socio-economic aspects Socioeconomic factors Socioeconomics Studies Surveys Urbanization Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - epidemiology Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - therapy Vaginal Smears Women's health Womens health |
| title | The association between cervical cancer screening participation and the deprivation index of the location of the family doctor's office |
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