Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization
Background: This study aims to examine the impact of women's characteristics (demographics, risk behaviour, and beliefs) on the uptake of cervical cancer screening, taking practice characteristics (demographic and organizational) into account. Methods: Routinely collected data of screening stat...
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| Veröffentlicht in: | European journal of public health 2007-04, Vol.17 (2), p.178-185 |
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| creator | Tacken, Margot A. J. B. Braspenning, Jozé C. C. Hermens, Rosella P. M. G. Spreeuwenberg, Peter M. M. van den Hoogen, Henk J. M. de Bakker, Dinny H. Groenewegen, Peter P. Grol, Richard P. T. M. |
| description | Background: This study aims to examine the impact of women's characteristics (demographics, risk behaviour, and beliefs) on the uptake of cervical cancer screening, taking practice characteristics (demographic and organizational) into account. Methods: Routinely collected data of screening status were sampled from electronic medical records of 32 Dutch general practices. Additionally, a questionnaire was sent to a sample of 2224 listed women—1204 screened, 1020 unscreened. We used a step-by-step, logistic, multilevel approach to examine determinants of the screening uptake. Results: Analyses of data for 1392 women (968 screened and 424 unscreened) showed that women's beliefs about cervical screening and attendance are the best predictors of screening uptake, even when demographic and organizational aspects are taken into account. Women aged 40–50 years who felt high personal moral obligation, who had only one sexual partner ever, and who were invited and reminded by their own general practice had the greatest likelihood of screening uptake. A non-response study was performed; the non-responders to the questionnaire (mainly unscreened) thought they had less risk of cervical cancer, were less motivated, less often intended to get future screening, and were more convinced that cervical cancer cannot be cured. Conclusion: To improve the uptake rate, we should focus on the personal moral obligation of eligible women, beliefs about the risks of cervical cancer, and available cures. Invitations and reminders within general practices enhance the uptake rate. |
| doi_str_mv | 10.1093/eurpub/ckl082 |
| format | Article |
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J. B. ; Braspenning, Jozé C. C. ; Hermens, Rosella P. M. G. ; Spreeuwenberg, Peter M. M. ; van den Hoogen, Henk J. M. ; de Bakker, Dinny H. ; Groenewegen, Peter P. ; Grol, Richard P. T. M.</creator><creatorcontrib>Tacken, Margot A. J. B. ; Braspenning, Jozé C. C. ; Hermens, Rosella P. M. G. ; Spreeuwenberg, Peter M. M. ; van den Hoogen, Henk J. M. ; de Bakker, Dinny H. ; Groenewegen, Peter P. ; Grol, Richard P. T. M.</creatorcontrib><description>Background: This study aims to examine the impact of women's characteristics (demographics, risk behaviour, and beliefs) on the uptake of cervical cancer screening, taking practice characteristics (demographic and organizational) into account. Methods: Routinely collected data of screening status were sampled from electronic medical records of 32 Dutch general practices. Additionally, a questionnaire was sent to a sample of 2224 listed women—1204 screened, 1020 unscreened. We used a step-by-step, logistic, multilevel approach to examine determinants of the screening uptake. Results: Analyses of data for 1392 women (968 screened and 424 unscreened) showed that women's beliefs about cervical screening and attendance are the best predictors of screening uptake, even when demographic and organizational aspects are taken into account. Women aged 40–50 years who felt high personal moral obligation, who had only one sexual partner ever, and who were invited and reminded by their own general practice had the greatest likelihood of screening uptake. A non-response study was performed; the non-responders to the questionnaire (mainly unscreened) thought they had less risk of cervical cancer, were less motivated, less often intended to get future screening, and were more convinced that cervical cancer cannot be cured. Conclusion: To improve the uptake rate, we should focus on the personal moral obligation of eligible women, beliefs about the risks of cervical cancer, and available cures. Invitations and reminders within general practices enhance the uptake rate.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckl082</identifier><identifier>PMID: 16837520</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; beliefs ; Cervical cancer ; cervical screening ; Data collection ; determinants ; Electronic health records ; Family Practice ; Female ; Health care ; Health insurance ; Health Knowledge, Attitudes, Practice ; Health services ; Humans ; Logistic Models ; Mass Screening - psychology ; Mass Screening - utilization ; Medical records ; Medical screening ; Middle Aged ; Moral Obligations ; Mortality ; Motivation ; Netherlands ; organization ; Pap smear ; Participation ; Patient Acceptance of Health Care - psychology ; Patients ; Public health ; Questionnaires ; Risk factors ; Risk-Taking ; Self report ; Social classes ; Sociodemographics ; Socioeconomic factors ; Surveys and Questionnaires ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - prevention & control ; Vaginal Smears - psychology ; Vaginal Smears - utilization ; Variables ; Women's Health ; Womens health</subject><ispartof>European journal of public health, 2007-04, Vol.17 (2), p.178-185</ispartof><rights>The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2007</rights><rights>Copyright Oxford University Press(England) Apr 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-a429c4c740fe490cfab47c8adaf6b5506fbad30bfdbf7d2ef25c14249116a2533</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1598,27845,27903,27904</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/eurpub/ckl082$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16837520$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tacken, Margot A. J. B.</creatorcontrib><creatorcontrib>Braspenning, Jozé C. C.</creatorcontrib><creatorcontrib>Hermens, Rosella P. M. G.</creatorcontrib><creatorcontrib>Spreeuwenberg, Peter M. M.</creatorcontrib><creatorcontrib>van den Hoogen, Henk J. M.</creatorcontrib><creatorcontrib>de Bakker, Dinny H.</creatorcontrib><creatorcontrib>Groenewegen, Peter P.</creatorcontrib><creatorcontrib>Grol, Richard P. T. M.</creatorcontrib><title>Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Background: This study aims to examine the impact of women's characteristics (demographics, risk behaviour, and beliefs) on the uptake of cervical cancer screening, taking practice characteristics (demographic and organizational) into account. Methods: Routinely collected data of screening status were sampled from electronic medical records of 32 Dutch general practices. Additionally, a questionnaire was sent to a sample of 2224 listed women—1204 screened, 1020 unscreened. We used a step-by-step, logistic, multilevel approach to examine determinants of the screening uptake. Results: Analyses of data for 1392 women (968 screened and 424 unscreened) showed that women's beliefs about cervical screening and attendance are the best predictors of screening uptake, even when demographic and organizational aspects are taken into account. Women aged 40–50 years who felt high personal moral obligation, who had only one sexual partner ever, and who were invited and reminded by their own general practice had the greatest likelihood of screening uptake. A non-response study was performed; the non-responders to the questionnaire (mainly unscreened) thought they had less risk of cervical cancer, were less motivated, less often intended to get future screening, and were more convinced that cervical cancer cannot be cured. Conclusion: To improve the uptake rate, we should focus on the personal moral obligation of eligible women, beliefs about the risks of cervical cancer, and available cures. Invitations and reminders within general practices enhance the uptake rate.</description><subject>Adult</subject><subject>beliefs</subject><subject>Cervical cancer</subject><subject>cervical screening</subject><subject>Data collection</subject><subject>determinants</subject><subject>Electronic health records</subject><subject>Family Practice</subject><subject>Female</subject><subject>Health care</subject><subject>Health insurance</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Mass Screening - psychology</subject><subject>Mass Screening - utilization</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Moral Obligations</subject><subject>Mortality</subject><subject>Motivation</subject><subject>Netherlands</subject><subject>organization</subject><subject>Pap smear</subject><subject>Participation</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patients</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Risk factors</subject><subject>Risk-Taking</subject><subject>Self report</subject><subject>Social classes</subject><subject>Sociodemographics</subject><subject>Socioeconomic factors</subject><subject>Surveys and Questionnaires</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><subject>Vaginal Smears - psychology</subject><subject>Vaginal Smears - utilization</subject><subject>Variables</subject><subject>Women's Health</subject><subject>Womens health</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkUtv1DAURiMEog9YskUWC8omre04r2VVAUEqBaQpqthYtnPdupPYwY4L07_RP4xHGQFiw8pX1-ceP74se0HwMcFtcQLRT1GeqPWAG_oo2yesYnlR4avHqSaY5IRWdC87COEWY1zWDX2a7ZGqKeqS4v3s4XKaxRqQ00iBvzNKDEgJm2oUlAewxl4jY9HqBtAFzDfgB2H7gExAozB22KRNPURIEz2SG_TDjWCPApIwGNABCenijNLcX7ok2KLbprF3Zt72nL8W1tyL2Tj7LHuixRDg-W49zC7fvV2ddfn5p_cfzk7Pc8VoM-eC0VYxVTOsgbVYaSFZrRrRC13JssSVlqIvsNS91HVPQdNSEUZZS0glaFkUh9nrxTt59z1CmPlogoIhvRBcDLzGBaGEsAS--ge8ddHbdDdOWtakz8QkQfkCKe9C8KD55M0o_IYTzLdR8SUqvkSV-Jc7aZQj9H_oXTYJeLMALk7_de3ONmGGn79h4de8qpONd1ffeLf60n3-2nX8Y_ELkaax1Q</recordid><startdate>20070401</startdate><enddate>20070401</enddate><creator>Tacken, Margot A. J. B.</creator><creator>Braspenning, Jozé C. C.</creator><creator>Hermens, Rosella P. M. G.</creator><creator>Spreeuwenberg, Peter M. M.</creator><creator>van den Hoogen, Henk J. M.</creator><creator>de Bakker, Dinny H.</creator><creator>Groenewegen, Peter P.</creator><creator>Grol, Richard P. T. M.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070401</creationdate><title>Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization</title><author>Tacken, Margot A. J. B. ; Braspenning, Jozé C. C. ; Hermens, Rosella P. M. G. ; Spreeuwenberg, Peter M. M. ; van den Hoogen, Henk J. M. ; de Bakker, Dinny H. ; Groenewegen, Peter P. ; Grol, Richard P. T. 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J. B.</creatorcontrib><creatorcontrib>Braspenning, Jozé C. C.</creatorcontrib><creatorcontrib>Hermens, Rosella P. M. G.</creatorcontrib><creatorcontrib>Spreeuwenberg, Peter M. M.</creatorcontrib><creatorcontrib>van den Hoogen, Henk J. M.</creatorcontrib><creatorcontrib>de Bakker, Dinny H.</creatorcontrib><creatorcontrib>Groenewegen, Peter P.</creatorcontrib><creatorcontrib>Grol, Richard P. T. 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G.</au><au>Spreeuwenberg, Peter M. M.</au><au>van den Hoogen, Henk J. M.</au><au>de Bakker, Dinny H.</au><au>Groenewegen, Peter P.</au><au>Grol, Richard P. T. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>17</volume><issue>2</issue><spage>178</spage><epage>185</epage><pages>178-185</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Background: This study aims to examine the impact of women's characteristics (demographics, risk behaviour, and beliefs) on the uptake of cervical cancer screening, taking practice characteristics (demographic and organizational) into account. Methods: Routinely collected data of screening status were sampled from electronic medical records of 32 Dutch general practices. Additionally, a questionnaire was sent to a sample of 2224 listed women—1204 screened, 1020 unscreened. We used a step-by-step, logistic, multilevel approach to examine determinants of the screening uptake. Results: Analyses of data for 1392 women (968 screened and 424 unscreened) showed that women's beliefs about cervical screening and attendance are the best predictors of screening uptake, even when demographic and organizational aspects are taken into account. Women aged 40–50 years who felt high personal moral obligation, who had only one sexual partner ever, and who were invited and reminded by their own general practice had the greatest likelihood of screening uptake. A non-response study was performed; the non-responders to the questionnaire (mainly unscreened) thought they had less risk of cervical cancer, were less motivated, less often intended to get future screening, and were more convinced that cervical cancer cannot be cured. Conclusion: To improve the uptake rate, we should focus on the personal moral obligation of eligible women, beliefs about the risks of cervical cancer, and available cures. Invitations and reminders within general practices enhance the uptake rate.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>16837520</pmid><doi>10.1093/eurpub/ckl082</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult beliefs Cervical cancer cervical screening Data collection determinants Electronic health records Family Practice Female Health care Health insurance Health Knowledge, Attitudes, Practice Health services Humans Logistic Models Mass Screening - psychology Mass Screening - utilization Medical records Medical screening Middle Aged Moral Obligations Mortality Motivation Netherlands organization Pap smear Participation Patient Acceptance of Health Care - psychology Patients Public health Questionnaires Risk factors Risk-Taking Self report Social classes Sociodemographics Socioeconomic factors Surveys and Questionnaires Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - prevention & control Vaginal Smears - psychology Vaginal Smears - utilization Variables Women's Health Womens health |
| title | Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization |
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