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Which women go for screening?

Christine Sevilla-Dedieu1, Morgane Le Guern1, Céline Coquoz2

  • 1MGEN Foundation for Public Health, Paris, Ile-de-France, France.

European Journal of Public Health
|August 28, 2025
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Summary
This summary is machine-generated.

Improving cancer screening adherence is vital. Women with more children and higher education are more likely to be up-to-date on mammograms and Pap smears, while older women and those with higher risk-taking scores are less likely.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Behavior

Background:

  • Cancer prevention is critical, with early detection through screening being paramount.
  • Despite recommendations, European Union countries struggle to meet cancer screening targets.
  • Understanding factors influencing adherence to cancer screening is essential for improving public health outcomes.

Purpose of the Study:

  • To identify characteristics associated with women being up-to-date on mammograms and Pap smears.
  • To investigate the role of women's attitudes towards risk in their adherence to cancer screening protocols.
  • To inform strategies for enhancing participation in cancer screening programs.

Main Methods:

  • A telephone survey of 1411 women was conducted.
  • Data collected included sociodemographic factors, health information, and attitudes towards risk using the Domain-Specific Risk-Taking (DOSPERT) scale.
  • Survey data were supplemented with medico-administrative records.

Main Results:

  • Positive associations with timely screening included having more children and a higher level of education.
  • Negative associations with timely screening were observed for older age and higher scores on the DOSPERT risk-taking scale.
  • Factors influencing mammogram and Pap smear adherence were found to be similar.

Conclusions:

  • Women's attitudes towards risk significantly impact adherence to medical recommendations for cancer screening.
  • Health professionals and public health campaigns should consider risk-taking attitudes when promoting cancer screening.
  • Targeted interventions addressing risk perception may improve screening rates among women.