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Factors affecting non-response to cervical cytology screening in Norfolk, England

Author

Listed:
  • Bentham, Graham
  • Hinton, Jackie
  • Haynes, Robin
  • Lovett, Andrew
  • Bestwick, Chris

Abstract

A geographic information system was used to integrate information on the uptake of cervical cytology screening for general medical practices in Norfolk with other data on the characteristics of the practices and the population they served. Regression analysis was employed to explore the extent to which variations in non-response were associated with explanatory factors. Non-response to the earlier system of opportunistic screening was found to be associated with the size of practice, the presence of a female doctor, the District Health Authority in which the practice was located, the age structure of the practice population, its degree of socio-economic deprivation and levels of rural remoteness. Compared with the earlier system, the new population-based call and recall system was found to be reaching a larger proportion of the population at risk. The former relationships were weaker under the new system, but non-response was still significantly associated with both social and organisational factors.

Suggested Citation

  • Bentham, Graham & Hinton, Jackie & Haynes, Robin & Lovett, Andrew & Bestwick, Chris, 1995. "Factors affecting non-response to cervical cytology screening in Norfolk, England," Social Science & Medicine, Elsevier, vol. 40(1), pages 131-135, January.
    • Handle: RePEc:eee:socmed:v:40:y:1995:i:1:p:131-135
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    Cited by:

    1. Markham, Barbara A. & Hutchison, Brian & Birch, Stephen & Goldsmith, Laurie J. & Evans, C. Edward, 1997. "Casting the screening net: separating big fish from little fish," Health Policy, Elsevier, vol. 42(2), pages 171-184, November.
    2. Bruce Newbold, K., 2005. "Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect," Social Science & Medicine, Elsevier, vol. 60(6), pages 1359-1370, March.
    3. Vogt, Verena & Siegel, Martin & Sundmacher, Leonie, 2014. "Examining regional variation in the use of cancer screening in Germany," Social Science & Medicine, Elsevier, vol. 110(C), pages 74-80.

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