Cervical screening in the inner cities: is the opportunistic approach still worthwhile?

作者: H. Stirland , O A N Husain , E B. Butler , S. Cater , K. S. Russell

DOI: 10.1136/BMJ.313.7057.600

关键词: Geographic mobilityEthnic groupOvercrowdingSocial classGynecologyPopulationFamily medicineUnemploymentCervical screeningMass screeningMedicine

摘要: Since the national call and recall cervical screening programme was set up in 1988, population coverage has improved.1 Geographical differences persist, however, many inner city areas have a 40-60% response rate.2 Factors associated with low acceptance rates for include unemployment, overcrowding, ethnic minority, mobility, inaccuracy of patient registers family health services authorities.3 Also, women may not perceive themselves to be at risk or wish attend their doctor's surgery local clinic. The London Borough Wandsworth multicultural all social classes. In 1992-3 uptake 60%. The Women's Nationwide Cancer Control Campaign (WNCCC) over 25 years' experience providing mobile units both public workplace screening, which been shown improve …

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