Determinants of a GP visit and cervical cancer screening examination in Great Britain

Labeit, Alexander; Peinemann, Frank

doi:10.1371/journal.pone.0174363

Cited by 15 publications

(14 citation statements)

References 38 publications

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“…These results are generally consistent with most findings in the existing research literature on equity in health care utilisation that, conditional on health care needs, inequalities in health care utilisation and quality favours those of higher SES (Cookson et al, 2016;Devaux, 2015;Labeit and Peinemann, 2017;Terraneo, 2015).…”

Section: Resultssupporting

confidence: 89%

“…This is due entirely to the direct path, conditional on baseline health and progression to disability, and is despite their lesser need for treatment -shown by the negative gradients via the health path and disability path. This supports some existing research findings, suggesting that inequalities in health care utilisation, conditional on health care need, favours those at higher SES (Cookson et al, 2016;Devaux, 2015;Labeit and Peinemann, 2017;Terraneo, 2015). Figure 4 shows a very different picture for age.…”

Section: Resultssupporting

confidence: 87%

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Biomarkers, disability and health care demand

Davillas

Pudney

2020

Economics & Human Biology

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Using longitudinal data from a representative UK panel, we focus on a group of apparently healthy individuals with no history of disability or major chronic health condition at baseline. A latent variable structural equation model is used to analyse the predictive role of latent baseline biological health, indicated by a rich set of biomarkers, and other personal characteristics, in determining the individual's disability state and health service utilisation five years later. We find that baseline health affects future health service utilisation very strongly, via functional disability as a mediating outcome. Our model reveals that observed income inequality in the access to health care, is driven by the fact that higher-income people tend to make greater use of healthcare treatment, for any given health and disability status. This leads to a slight rise in utilisation with income, despite the lower average need for treatment shown by the negative income gradients for both baseline health and disability outcomes. Factor loadings for latent baseline health show that a broader set of blood-based biomarkers, rather than the current focus mainly on blood pressure, cholesterol and adiposity, may need to be considered for public health screening programs.

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Section: Resultssupporting

confidence: 89%

Section: Resultssupporting

confidence: 87%

Biomarkers, disability and health care demand

Davillas

Pudney

2020

Economics & Human Biology

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“…According to the literature, people with chronic diseases and/or who are obese visit a general practitioner more often that the rest of the population [13,14]. In the general population, consulting a general practitioner is also associated with better screening behaviors [15,16]. Studies have shown that women who engage in a physical activity have higher rates of CCS [36,37].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a recent meta-analysis reported mixed results for the association between comorbidity and participation in CCS [12]. Lastly, women with obesity visit a general practitioner more often than women with a normal weight [13,14] while in parallel consulting a general practitioner is associated with better screening in general population [15,16]. There is a need to elucidate the complex mechanisms between women's health (including obesity-related health characteristics such as obesity severity, waist size and obesity-related comorbidities), healthcare use (including the control of obesity-related comorbidities) and CCS participation among women with obesity.…”

Section: Introductionmentioning

confidence: 99%

The determinants of cervical cancer screening uptake in women with obesity: application of the Andersen’s behavioral model to the CONSTANCES survey

Franck

Ringa

Cœuret-Pellicer

et al. 2019

Cancer Causes Control

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Word count: 199. Purpose Despite their higher risk for and mortality from cervical cancer, evidence indicates low rates of cervical cancer screening (CCS) among women with obesity. The literature on the specific factors related to CCS nonadherence in this population is limited. Methods We examined the data on 2,934 women with obesity included in the CONSTANCES survey from 2012 to 2015. Using the Andersen's behavioral model, we studied the relationships between the socioeconomic, sociodemographic, health, health personal behaviors and healthcare use related factors with CCS nonadherence. The analysis was performed using structural equation models. Results Regular follow-up by a gynecologist, good quality of primary care follow-up and comorbidities were negatively associated with CCS nonadherence. Limited literacy, older age, being single, living without children and financial strain were positively associated with CCS nonadherence. Our results do not point to competitive care, since women with comorbidities had better CCS behaviors, which were explained by a good quality of primary care follow-up. Conclusion Our study identified the factors that explain CCS nonadherence among women with obesity and clarified the effects of health status and healthcare use on screening. Further efforts should be undertaken to reduce the obstacles to CCS by improving care among women with obesity.

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“…According to a gynecological survey of 1,039 women in Korea, only 49.9% visited gynecology, and 56% of the women in their 20s did not visit gynecology clinics [10]. One reason for a low frequency to visit gynecology clinic is due to the uncomfortable sampling process for HPV testing [11,12].…”

Section: Introductionmentioning

confidence: 99%

Usefulness Analysis of Urine Samples for Early Screening of Human Papilloma Virus Infection

2019

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Human papilloma virus (HPV) is known to be a major cause of cervical cancer. In Korea, although the mortality of cervical cancer has decreased, HPV infection rates are increasing rapidly in young women. One of the reasons for a high rate of human immunodeficiency virus (HIV) infection appears to be associated with a low frequency to visit gynecology clinics because of the uncomfortable sampling process for HPV testing. Therefore, it is necessary to develop a non-invasive method, such as urine testing to diagnose cervical cancer rather than use of the existing invasive method. This study aimed to test validity of HPV DNA detection in urine specimens that can be easily collected from women. Paired vaginal discharge and urine samples were collected prospectively from 203 women who visited the local hospital between January and August 2018 in Busan, Korea. By using the Virocheck ® assay kit (Optipharm), we found that 17.2% (35/203) of vaginal discharge samples were HPV positive and 82.8% (168/203) were HPV negative. In urine samples, 15.8% (32/203) were HPV positive and 84.2% (171/203) were HPV negative. The co-incident rate for HPV DNA detection was 84.8% in both vaginal discharge and urine samples. These results suggest that the HPV DNA detection using urine samples might be an alternative way to diagnose HPV infection in a non-invasive way. This analytical approach can be utilized as a screening test to identify HIV-infected patients who need a follow-up process by using urine samples.

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Determinants of a GP visit and cervical cancer screening examination in Great Britain

Cited by 15 publications

References 38 publications

Biomarkers, disability and health care demand

Biomarkers, disability and health care demand

The determinants of cervical cancer screening uptake in women with obesity: application of the Andersen’s behavioral model to the CONSTANCES survey

Usefulness Analysis of Urine Samples for Early Screening of Human Papilloma Virus Infection

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