Marlow, LAV;
Chorley, AJ;
Haddrell, J;
Ferrer, R;
Waller, J;
(2017)
Understanding the heterogeneity of cervical cancer screening non-participants: Data from a national sample of British women.
European Journal of Cancer
, 80
pp. 30-38.
10.1016/j.ejca.2017.04.017.
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Abstract
BACKGROUND: Uptake of cervical cancer screening in the United Kingdom (UK) is falling year on year, and a more sophisticated understanding of non-participation may help design interventions to reverse this trend. This study ascertained the prevalence of different non-participant types using the Precaution Adoption Process Model (PAPM). METHODS: Home-based computer-assisted interviews were carried out with 3113 screening-eligible women in Britain. Survey items assessed self-reported screening uptake and intention to attend in future. Responses to these items were used to classify women into one of five different types of non-participants. RESULTS: Of 793 non-participants, 28% were unaware of screening, 15% had decided not to attend and 51% were intending to have screening but were currently overdue. Younger women were more likely to be unaware of screening or to intend to be screened, while older women were more likely to have decided not to be screened. Women from ethnic minority backgrounds were more likely to be unaware of screening than white women. Being in a lower social grade was associated with increased odds of all three types of non-participation. CONCLUSION: The majority of cervical cancer screening non-participants are not making an active decision not to attend but rather are either unaware or unable to act. There are clear sociodemographic differences between non-participant types, which could be used to identify where tailored interventions may be best targeted.
| Type: | Article |
|---|---|
| Title: | Understanding the heterogeneity of cervical cancer screening non-participants: Data from a national sample of British women |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ejca.2017.04.017 |
| Publisher version: | http://dx.doi.org/10.1016/j.ejca.2017.04.017 |
| Language: | English |
| Additional information: | © 2017 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
| Keywords: | Cervical cancer screening, Intention, Uptake, Interventions, PAPM, Inequalities, Age, Stages, Readiness, CROSS-SECTIONAL SURVEY, RANDOMIZED-TRIAL, NON-ATTENDANCE, ENGLAND, STAGE, INEQUALITIES, PROGRAM, BREAST, HISTORY |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1558513 |
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