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Related Experiment Videos

Exploring the effects of population mobility on cervical screening coverage.

C Millett1, M Bardsley, K Binysh

  • 1Cervical Screening Programme Quality Assurance Team, NHS Executive, London, UK. chris.millett@chpct.nhs.uk

Public Health
|October 31, 2002
PubMed
Summary

Population mobility in London significantly impacts cervical screening coverage, potentially causing up to 14% of residents to miss invitations. This highlights challenges in meeting national targets and suggests a shift towards resident-based coverage measurement.

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Area of Science:

  • Public Health
  • Health Services Research

Background:

  • London exhibits the lowest cervical screening coverage in England, with numerous health authorities below the 80% national target.
  • Factors contributing to low coverage include London's diverse population, socioeconomic deprivation, and structural differences in primary care.

Purpose of the Study:

  • To investigate the impact of population mobility on cervical screening program coverage in London.
  • To estimate the size of 'missing populations' due to mobility and their effect on screening invitations and GP list sizes.

Main Methods:

  • Analysis of population mobility data in relation to cervical screening program coverage.
  • Modeling to estimate the proportion of residents and registered patients potentially missing screening invitations.

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Main Results:

  • Population mobility may result in up to 14% of London residents and 11% of patients on GP lists missing cervical screening invitations.
  • Significant discrepancies between registered patient lists and resident populations in some areas challenge the attainability of the 80% coverage target.

Conclusions:

  • Population mobility is a substantial barrier to achieving high cervical screening coverage in London.
  • A move towards a resident-based screening coverage system is recommended to provide a more accurate assessment of public health outcomes.