Methodology and Biostatistics Unit, Centre Georges François Leclerc, Dijon, France.
Medical Oncology Unit, Centre Georges François Leclerc, Dijon, France.
PLoS One. 2018 Jun 21;13(6):e0198939. doi: 10.1371/journal.pone.0198939. eCollection 2018.
We aimed to determine participation rates and factors associated with participation in colorectal (fecal occul blood test) and cervical cancer (Pap-smear) screening among a population of women participating in breast cancer screening.
From August to October 2015, a self-administered questionnaire was sent by post to 2 900 women aged 50-65, living in Côte-d'Or, France, and who were up to date with mammogram screening. Polytomic logistic regression was used to identify correlates of participation in both cervical and colorectal cancer screenings. Participation in all 3 screenings was chosen as the reference.
Study participation rate was 66.3% (n = 1856). Besides being compliant with mammogram, respectively 78.3% and 56.6% of respondents were up to date for cervical and colorectal cancer screenings, while 46.2% were compliant with the 3 screenings. Consultation with a gynecologist in the past year was associated with higher chance of undergoing the 3 screenings or female cancer screenings (p<10-4), when consultation with a GP was associated with higher chance of undergoing the 3 screenings or organized cancer screenings (p<0.05). Unemployment, obesity, age>59 and yearly flu vaccine were associated with a lower involvement in cervical cancer screening. Women from high socio-economic classes were more likely to attend only female cancer screenings (p = 0.009). Finally, a low level of physical activity and tobacco use were associated with higher risk of no additional screening participation (p<10-3 and p = 0.027).
Among women participating in breast screening, colorectal and cervical cancer screening rates could be improved. Including communication about these 2 cancer screenings in the mammogram invitation could be worth to explore.
我们旨在确定参与率和与参与乳腺癌筛查的女性人群中进行结直肠癌（粪便潜血试验）和宫颈癌（巴氏涂片）筛查相关的因素。
2015 年 8 月至 10 月，向居住在法国科多尔省、年龄在 50-65 岁之间且最新接受乳房 X 线筛查的 2900 名女性邮寄了一份自我管理问卷。多变量逻辑回归用于确定参与宫颈癌和结直肠癌筛查的相关性。选择参与所有 3 项筛查作为参考。
研究参与率为 66.3%（n=1856）。除了符合乳房 X 线检查外，分别有 78.3%和 56.6%的受访者最新接受了宫颈癌和结直肠癌筛查，而 46.2%的人符合 3 项筛查。过去一年中咨询妇科医生与进行 3 项筛查或女性癌症筛查的几率较高相关（p<10-4），而咨询全科医生与进行 3 项筛查或有组织的癌症筛查的几率较高相关（p<0.05）。失业、肥胖、年龄>59 岁和每年流感疫苗接种与宫颈癌筛查参与率较低相关。来自高社会经济阶层的女性更有可能只接受女性癌症筛查（p=0.009）。最后，低水平的体力活动和吸烟与没有额外筛查参与的风险较高相关（p<10-3 和 p=0.027）。
在参与乳房筛查的女性中，结直肠癌和宫颈癌筛查率可以提高。在乳房 X 线检查邀请中纳入这两种癌症筛查的相关信息可能值得探讨。
