P1-494 Quality of pap smear in the primary care units of SAo Paulo City, Brazil

Abstract

Results During the study period, 39 676 scans were recorded on 21 089 patients. The number of scans and patients scanned differed in relation to quintiles of deprivation, with increasing numbers of scans and patients associated with increasing area-level deprivation. Significant associations were also seen between deprivation and age at scan, age at first scan, type of CT scan, and the number of scans per patient. Conclusion Social inequalities exist in the numbers of young people undergoing CT scans with those from deprived areas more likely to do so. This is likely to reflect the rates of injuries in these individuals and implies that certain groups within the population may receive higher radiation doses than others due to medical procedures. Introduction Conflicting evidence exists for associations between birth weight and childhood physical activity (PA) levels. It is important to know what other, potentially modifiable, factors influence PA in children given its' association with adiposity. Our aim was to identify predictors of childhood PA levels in the Gateshead Millennium Study (GMS), a population based cohort of 1029 infants born in 1999e2000 in Gateshead, Northern England. Methods Throughout infancy and early childhood, detailed information was collected. Assessments at age 9 yrs included body composition, objective measures of habitual PA (using accelerometers during waking hours). Mean total volumes of PA (accelerometer count per minute, cpm) and moderate-vigorous intensity PA (MVPA), and the percentage of time spent in sedentary behaviour (% SB) were quantified and direct and mediating associations analysed within path models. Results Significant differences were seen in all three outcomes between males and females (p<0.001). No direct significant associations were seen with birth weight. Increased paternal age was associated with significant increases in % SB and decreases in cpm and MVPA (p<0.033). Associations with BMI at 9 yrs were in the expected directions. Increased time spent in sports clubs was significantly associated with decreased % SB (p¼0.02) and increased MVPA (p¼0.01), but not cpm (p¼0.13). Conclusions Although we found no evidence for an effect of birth weight on PA, path models suggest indirect effects mediated through BMI. Having an older father appeared to have a negative impact on the child's PA levels, while participation in sports clubs increases time spent in MVPA, but not cpm. P1-492