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Related Experiment Videos

Screening for cervical carcinoma.

Antoine W F M van Leeuwen1, Petra de Nooijer, William C J Hop

  • 1Reinier de Graaf Gasthuis, Diagnostisch Center Stichting Samenwerkende Delftse Ziekenhuizen (SSDZ), Department of Pathology, Delft, The Netherlands. leeuwena@rdgg.nl

Cancer
|June 7, 2005
PubMed
Summary

Cervical cancer screening participation varied significantly by ethnicity and socioeconomic status in the Netherlands, with lower attendance and higher abnormality rates observed in non-Western women and those with lower socioeconomic status.

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Area of Science:

  • Public Health
  • Gynecologic Oncology
  • Epidemiology

Background:

  • Cervical cancer screening programs exhibit disparities in participation rates among different female subpopulations.
  • Understanding these differences is crucial for optimizing cervical cancer screening procedures and improving public health outcomes.

Purpose of the Study:

  • To evaluate participation rates in cervical cancer screening based on age, ethnic background, and socioeconomic status.
  • To identify subpopulations with lower screening attendance and higher prevalence of cervical abnormalities.

Main Methods:

  • Analysis of data from 251,446 women invited to screening between 1998 and 2001 in the southwest Netherlands.
  • Documentation of ethnic background, Papanicolaou test results, and reasons for non-participation.

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  • Statistical analysis correlating participation and screening results with demographic and socioeconomic factors.

    • Main Results:

    • Overall screening participation was 55.7%, with significant variations across ethnic groups (e.g., 35.9% for Moroccan background).
    • Women born outside the Netherlands showed lower participation (45.3%) but higher rates of high-grade squamous intraepithelial lesions.
    • Lower socioeconomic status was associated with a 1.5-fold increased likelihood of high-grade squamous intraepithelial lesions.

    Conclusions:

    • Significant disparities in cervical cancer screening attendance exist among ethnic groups and socioeconomic strata in the Netherlands.
    • Women not born in the Netherlands and those with lower socioeconomic status had lower screening attendance but higher abnormality rates.
    • Targeted interventions are needed to improve screening uptake and reduce cervical cancer burden in underrepresented populations.