Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics

Declining attendance in the Dutch cervical cancer screening programme was recently observed, coinciding with preparations for implementing primary hrHPV-based screening, which was implemented in January 2017. We aimed to investigate which factors were related to decreased attendance. We conducted a...

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Main Authors: Clare A. Aitken, Sylvia Kaljouw, Albert G. Siebers, Matilde Bron, Anne Morssink, Folkert J. van Kemenade, Inge M.C.M. de Kok
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221133552100019X
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spelling doaj-ea6d2a460f074f33a5b5d9f43b2d15fd2021-06-09T05:57:43ZengElsevierPreventive Medicine Reports2211-33552021-06-0122101328Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristicsClare A. Aitken0Sylvia Kaljouw1Albert G. Siebers2Matilde Bron3Anne Morssink4Folkert J. van Kemenade5Inge M.C.M. de Kok6Department of Public Health, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3015 CN Rotterdam, the Netherlands; Corresponding author at: Office Be332a, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3015 CN Rotterdam, The Netherlands.Department of Public Health, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3015 CN Rotterdam, the NetherlandsPALGA, the Nationwide Network and Registry of Histo- and Cytopathology in the Netherlands, Randhoeve 225A, 3995 GA Houten, the Netherlands; Department of Pathology, Radboud University Medical Center, P.O. Box 9101, 6500 HB Nijmegen, the NetherlandsBevolkingsonderzoek Noord, Queridolaan 5, 9721 SZ Groningen, the NetherlandsBevolkingsonderzoek Oost, Zutphenseweg 51, 7418 AH Deventer, the NetherlandsDepartment of Pathology, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3015 CN Rotterdam, the NetherlandsDepartment of Public Health, Erasmus MC University Medical Center, Dr. Molewaterplein 40, 3015 CN Rotterdam, the NetherlandsDeclining attendance in the Dutch cervical cancer screening programme was recently observed, coinciding with preparations for implementing primary hrHPV-based screening, which was implemented in January 2017. We aimed to investigate which factors were related to decreased attendance. We conducted a population-based cohort study including all women aged 30 to 60 years who were eligible for screening between 2014 and 2018. Attendance was defined as participation in the screening programme within 15 months of the start of the invitation-eligible year. We used data from the Dutch pathology archive (PALGA) linked with data from Statistics Netherlands to investigate population characteristics (position in the household, household income, socio-economic status, number of people in the household, migration background, age) and data from the five Dutch screening organisations (SO) to investigate the effect of cessing self-inviting GP’s (‘inviting organisation’). SO’s were termed SO 1 to 5. Higher attendance rates were observed in women who were employed (60.8%), married (62.9%), Dutch (61.2%), in the highest income bracket (63.4%), living in households with four persons (65.3%) and women who were invited by their GP (69.8%). Differences in personal characteristics did not explain the decline in attendance rates. By adjusting for whether the GP or the SO sent the invitation, the differences in attendance rates between 2014 and 2015 and 2016 and between 2014 and 2015 and 2017–2018 were explained in some screening organisations. Removing the possibility for GPs to send invitations explains some of the decline in participation, although this did not account for the total change in attendance.http://www.sciencedirect.com/science/article/pii/S221133552100019XCervical cancer screeningScreening attendanceOrganised screening
collection DOAJ
language English
format Article
sources DOAJ
author Clare A. Aitken
Sylvia Kaljouw
Albert G. Siebers
Matilde Bron
Anne Morssink
Folkert J. van Kemenade
Inge M.C.M. de Kok
spellingShingle Clare A. Aitken
Sylvia Kaljouw
Albert G. Siebers
Matilde Bron
Anne Morssink
Folkert J. van Kemenade
Inge M.C.M. de Kok
Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
Preventive Medicine Reports
Cervical cancer screening
Screening attendance
Organised screening
author_facet Clare A. Aitken
Sylvia Kaljouw
Albert G. Siebers
Matilde Bron
Anne Morssink
Folkert J. van Kemenade
Inge M.C.M. de Kok
author_sort Clare A. Aitken
title Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
title_short Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
title_full Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
title_fullStr Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
title_full_unstemmed Investigating the decrease in participation in the Dutch cervical cancer screening programme: The role of personal and organisational characteristics
title_sort investigating the decrease in participation in the dutch cervical cancer screening programme: the role of personal and organisational characteristics
publisher Elsevier
series Preventive Medicine Reports
issn 2211-3355
publishDate 2021-06-01
description Declining attendance in the Dutch cervical cancer screening programme was recently observed, coinciding with preparations for implementing primary hrHPV-based screening, which was implemented in January 2017. We aimed to investigate which factors were related to decreased attendance. We conducted a population-based cohort study including all women aged 30 to 60 years who were eligible for screening between 2014 and 2018. Attendance was defined as participation in the screening programme within 15 months of the start of the invitation-eligible year. We used data from the Dutch pathology archive (PALGA) linked with data from Statistics Netherlands to investigate population characteristics (position in the household, household income, socio-economic status, number of people in the household, migration background, age) and data from the five Dutch screening organisations (SO) to investigate the effect of cessing self-inviting GP’s (‘inviting organisation’). SO’s were termed SO 1 to 5. Higher attendance rates were observed in women who were employed (60.8%), married (62.9%), Dutch (61.2%), in the highest income bracket (63.4%), living in households with four persons (65.3%) and women who were invited by their GP (69.8%). Differences in personal characteristics did not explain the decline in attendance rates. By adjusting for whether the GP or the SO sent the invitation, the differences in attendance rates between 2014 and 2015 and 2016 and between 2014 and 2015 and 2017–2018 were explained in some screening organisations. Removing the possibility for GPs to send invitations explains some of the decline in participation, although this did not account for the total change in attendance.
topic Cervical cancer screening
Screening attendance
Organised screening
url http://www.sciencedirect.com/science/article/pii/S221133552100019X
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