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Master Thesis

Déterminants géographiques de la participation aux dépistages organisés des cancers de la population en Isère

Abstract : Objective: To establish if the geographical area of residence, rural and urban, was a factor influencing the participation of organized colorectal, breast and cervical cancer screening in Isère. To establish socioeconomic determinants in participation. Method: This retrospective cohort study examined the target population invited for organized colorectal and breast cancer screening between 2012 and 2013, and cervical cancer screening between 2011 and 2013. Data collected through the Office De Lutte contre le Cancer in Isère and INSEE, the national statistics office. Univariate analysis made applying the chi-square statistical test, followed by multivariate analysis using logistic regression. Results: 312695 individuals were invited for colorectal cancer screening, with 118429 participants, 167455 women for breast cancer screening, with 91882 participants, and 305911 women for cervical cancer screening, with 218702 participants (rates respectively 37,87%, 54.87% and 71.49%). Our study revealed that living in rural area was associated to lower participation in breast cancer screening (OR0.88; 95CI[0.86-0.91]) and no significant difference for the colorectal and cervical cancer screening. The increasing age, travel time of less than 15 minutes to radiology center (breast cancer) were predictors of participation. Individuals living in a medically deprived area and insured by agricultural or self-employed insurance were less likely to participate in screening. Conclusion: Rural residential area is a factor associated with poorer participation in screening for breast cancer. Therefore, they should be a special target for organized cancer screening.
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Master Thesis
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Submitted on : Friday, December 5, 2014 - 1:49:22 PM
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  • HAL Id : dumas-01091421, version 1


Denarié Charlotte, Pitou Pierre-Yves. Déterminants géographiques de la participation aux dépistages organisés des cancers de la population en Isère. Médecine humaine et pathologie. 2014. ⟨dumas-01091421⟩



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