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Master Thesis

Dépistage du cancer du col de l'utérus chez les femmes en situation de précarité : freins à la participation, implications sur la prise en charge en médecine générale (étude qualitative auprès de 13 femmes précaires non dépistées)

Abstract : Context: Only 51% of precarious women perform screening for cancer of the cervix (CC). The general practitioner (GP) is often the first to be responsible for the care for precarious patients. Objectives: Identify the brakes in women’s participation in the screening of the CC, propose a plan of action for GPs. Method: Qualitative study by semi-directed interviews with non-screened women receiving help from the CMU-C or the ACS. Results: 13 interviews were conducted. Preventive care were ignored because of trends in pessimism, fatalism and powerlessness. Sexual violences were reported. The benefits of the Pap smear were unknown. The Pap test's constraints offset its profits. In these women’s beliefs, only the gynecologist could have offered to practice the Pap smear. A proposition from GP to perform a Pap smear would have been welcomed. Conclusion: The GP must identify insecure women, listen, deliver a precised information and propose the Pap smear. Decompartmentalization of medical organisations and social sectors, and networking are essential.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01753145
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Submitted on : Tuesday, June 5, 2018 - 3:56:17 PM
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Clémence Fouqueron. Dépistage du cancer du col de l'utérus chez les femmes en situation de précarité : freins à la participation, implications sur la prise en charge en médecine générale (étude qualitative auprès de 13 femmes précaires non dépistées). Sciences du Vivant [q-bio]. 2016. ⟨dumas-01753145⟩

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