title: Lifestyle and health-related predictors of cervical cancer screening attendance in a Swiss population-based study.
abstract: BACKGROUND
  Since the implementation of cervical cancer (CC) screening, incidence and mortality rates have decreased worldwide. Little is known about lifestyle and health-related predictors of cervical cancer screening attendance in Switzerland. Our aim was to examine the relationship between lifestyle and health-related factors and the attendance to CC screening in Switzerland.
  
  
  METHODS
  We analyzed data of 20-69 years old women (n=7319) of the Swiss Health Survey (SHS) 2012. Lifestyle factors included body mass index, smoking status, alcohol consumption, physical activity and attention to diet. Health-related factors of interest were diabetes, hypertension, high cholesterol levels, chronic diseases, self-perceived health, and psychological distress. We performed multivariable logistic regression analyses with the dichotomized CC screening status as outcome measure and adjusted for demographic factors.
  
  
  RESULTS
  Obesity, low physical activity, and not paying attention to diet were statistically significantly associated with lower CC screening participation. High cholesterol levels and history of chronic diseases were statistically significantly positively associated with screening participation.
  
  
  CONCLUSIONS
  Being obese, physically inactive and non-attention to diet are risk factors for CC screening attendance. These findings are of importance for improving the CC screening practices of low-user groups.
authors.affiliation: University of Zurich, Epidemiology, Biostatistics and Prevention Institute, Division of Chronic Disease Epidemiology, Hirschengraben 84, CH-8001 Zurich, Switzerland. Electronic address: aline.richard@uzh.ch.
authors.forename: Aline
authors.initials: A
authors.lastname: Richard
authors.affiliation: University of Zurich, Epidemiology, Biostatistics and Prevention Institute, Division of Chronic Disease Epidemiology, Hirschengraben 84, CH-8001 Zurich, Switzerland. Electronic address: Sabine.rohrmann@uzh.ch.
authors.forename: Sabine
authors.initials: S
authors.lastname: Rohrmann
authors.affiliation: Spital Grabs, Department of Gynecology & Obstetrics, Spitalstrasse 44, CH-9472 Grabs, Switzerland; Breast Center St. Gallen, Rorschacher Strasse 150, CH-9006 St.Gallen, Switzerland. Electronic address: Seraina.Schmid@srrws.ch.
authors.forename: Seraina M
authors.initials: SM
authors.lastname: Schmid
authors.affiliation: Cantonal Hospital Baselland, Department of Gynecology & Obstetrics, Rheinstrasse 26, CH-4410 Liestal, Switzerland. Electronic address: Brigitte.FreyTirri@ksbl.ch.
authors.forename: Brigitte Frey
authors.initials: BF
authors.lastname: Tirri
authors.affiliation: University Hospital Basel, Department of Gynecology and Obstetrics, Spitalstrasse 21, CH-4031 Basel, Switzerland. Electronic address: Dorothy.Huang@usb.ch.
authors.forename: Dorothy J
authors.initials: DJ
authors.lastname: Huang
authors.affiliation: Cantonal Hospital Winterthur, Department of Gynecology and Obstetrics, Brauerstrasse 15, CH-8401 Winterthur, Switzerland; Breast Center "Senosuisse", Brauerstrasse 15, CH-8401 Winterthur, Switzerland. Electronic address: uwe.Gueth@usb.ch.
authors.forename: Uwe
authors.initials: U
authors.lastname: Güth
authors.affiliation: University of Zurich, Epidemiology, Biostatistics and Prevention Institute, Division of Chronic Disease Epidemiology, Hirschengraben 84, CH-8001 Zurich, Switzerland.
authors.forename: Monika
authors.initials: M
authors.lastname: Eichholzer
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D004032:Diet; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009765:Obesity; D012307:Risk Factors; D013557:Switzerland; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D055815:Young Adult
keywords: Cervical cancer; Health; Lifestyle; Screening; Switzerland