Morgan N Clennin, Min Lian, Natalie Colabianchi, Andrew Kaczynski, Marsha Dowda, Russell R Pate
Associations among Neighborhood Socioeconomic Deprivation, Physical Activity Facilities, and Physical Activity in Youth during the Transition from Childhood to Adolescence
International journal of environmental research and public health
runion island french overseas territory located southern indian ocean challenging socioeconomic multicultural context compared mainland france runion overincidence overmortality cervical cancer order investigate two issues important evaluate barriers potential levers pap smear screening among female inhabitants island aimed identify specific sociodemographic factors cultural factors living conditions associated pap smear screening runion view increasing uptake conducted knowledge attitude behavior practices kabp survey cervical cancer screening practices among women aged 25 65 years old living runion island selected using random digit dialing sampling data collected using computer assistant telephone interviews weighted chisquared tests students ttests used compare women uptodate pap smear screening women weighted logistic models used identify factors associated uptodate screening total 1000 women included study 881 pap smear test previous three years factors independently associated date follows aged 55 aor 23 1243 children aor 25 1443 free universal health coverage aor 17 1127 income per unit consumption lower 1500 per month aor 20 1137 low health literacy aor 27 1741 consulting general practitioner prior 12 months aor 36 2065 bmi 30 aor 26 1544 first largescale survey focusing recommended pap smear screening uptake runion island although selfreported screening incidence higher mainland france national screening policies must take account islands diverse social cultural characteristics eg ageing population low health literacy implementing actions fight poverty increase general access healthcare