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<title lang=en>Socioeconomic and healthcare use-related determinants of cervical, breast and colorectal cancer screening practice in the French West Indies</title>
<creator>Menvielle, Gwenn</creator>
<creator>Dugas, Julien</creator>
<creator>Richard, Jean-Baptiste</creator>
<creator>Luce, Danièle</creator>
<contributor>Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Université Pierre et Marie Curie - Paris 6 (UPMC) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>Santé publique France</contributor>
<description>International audience</description>
<source>ISSN: 0959-8278</source>
<source>European Journal of Cancer Prevention</source>
<publisher>Lippincott, Williams & Wilkins</publisher>
<identifier>hal-01525894</identifier>
<identifier>http://hal.upmc.fr/hal-01525894</identifier>
<identifier>http://hal.upmc.fr/hal-01525894/document</identifier>
<identifier>http://hal.upmc.fr/hal-01525894/file/Menvielle_2016_Socioeconomic_and.pdf</identifier>
<source>http://hal.upmc.fr/hal-01525894</source>
<source>European Journal of Cancer Prevention, Lippincott, Williams & Wilkins, 2016, 〈10.1097/CEJ.0000000000000329〉</source>
<identifier>DOI : 10.1097/CEJ.0000000000000329</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1097/CEJ.0000000000000329</relation>
<identifier>PUBMED : 27824663</identifier>
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<language>en</language>
<subject lang=en>health care use</subject>
<subject lang=en>socioeconomic status</subject>
<subject lang=en>breast cancer</subject>
<subject lang=en>colorectal cancer</subject>
<subject lang=en>cervical cancer</subject>
<subject lang=en>Cancer screening</subject>
<subject lang=en>French West Indies</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<subject>[SDV.CAN] Life Sciences [q-bio]/Cancer</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>The aim of this study was to investigate the role of socioeconomic and healthcare use characteristics in the participation in breast, cervical and colorectal cancer screening in the French West Indies. We used data from a national health survey conducted in 2014 in Martinique (n=2026) and Guadeloupe (n=2028). Logistic regressions adjusted for various sociodemographic and morbidity variables were performed. The following determinants were investigated: having hot water at home, having received income support for low-income individuals during the last year, educational level, occupational class, complementary health insurance, healthcare renouncement and visit to the general practitioner (GP) during the last year. Multiple imputations were performed to account for missing values. We observed the following cancer screening rates: 78.1% for cervical cancer, 81.5% for breast cancer and 59.5% (women) and 50.8% (men) for colorectal cancer. Higher cervical cancer screening participation was reported among women with qualified occupation and having visited the GP during the last year and lower participation among women who never worked. Higher screening participation was reported among participants having hot water at home and having visited the GP during the last year for breast and colorectal (men and women) cancer. Unexpectedly, a lower colorectal cancer screening participation was found among women with qualified occupation. We observed social inequalities in participation in cancer screening in the French West Indies, which stresses the need to continue efforts to increase screening rates in this population.</description>
<date>2016</date>
</dc>
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