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Attendance for cervical screening--Whose problem?

Author

Listed:
  • Eardley, Anne
  • Elkind, Andrea Knopf
  • Spencer, Brenda
  • Hobbs, Patricia
  • Pendleton, Laura L.
  • Haran, Dave

Abstract

Despite the existence of an effective screening technique for cancer of the cervix, incidence and mortality from this disease have not declined in the United Kingdom. The basic problem is that women most at risk of the disease are under-represented in the screened population. The evidence for two different points of view to explain this situation is examined. These viewpoints are the failure of the women to attend, and the failure of the service to meet the needs of women. This paper argues that the evidence supports the view that the organisation of the existing screening service impedes the maximum participation of at-risk women. We discuss the features that an effective service needs to incorporate, and put forward principles for the development of a more effective screening system, namely, that it should be provider-initiated and user-oriented.

Suggested Citation

  • Eardley, Anne & Elkind, Andrea Knopf & Spencer, Brenda & Hobbs, Patricia & Pendleton, Laura L. & Haran, Dave, 1985. "Attendance for cervical screening--Whose problem?," Social Science & Medicine, Elsevier, vol. 20(9), pages 955-962, January.
    • Handle: RePEc:eee:socmed:v:20:y:1985:i:9:p:955-962
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    Cited by:

    1. Maria Goddard & Peter Smith, 1998. "Equity of access to health care," Working Papers 032cheop, Centre for Health Economics, University of York.
    2. Suhailah Ali & Heather Skirton & Maria T. Clark & Craig Donaldson, 2017. "Integrative review of cervical cancer screening in Western Asian and Middle Eastern Arab countries," Nursing & Health Sciences, John Wiley & Sons, vol. 19(4), pages 414-426, December.
    3. Andreassen, Trude & Weiderpass, Elisabete & Nicula, Florian & Suteu, Ofelia & Itu, Andreea & Bumbu, Minodora & Tincu, Aida & Ursin, Giske & Moen, Kåre, 2017. "Controversies about cervical cancer screening: A qualitative study of Roma women's (non)participation in cervical cancer screening in Romania," Social Science & Medicine, Elsevier, vol. 183(C), pages 48-55.
    4. Trude Andreassen & Adriana Melnic & Rejane Figueiredo & Kåre Moen & Ofelia Şuteu & Florian Nicula & Giske Ursin & Elisabete Weiderpass, 2018. "Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 609-619, June.

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