Socioeconomic and healthcare use-related determinants of cervical, breast and colorectal cancer screening practice in the French West Indies.
The aim of this study was to investigate the role of socioeconomic and healthcare use characteristics in the participation in breast, cervical and colorectal cancer screening in the French West Indies. We used data from a national health survey conducted in 2014 in Martinique (n=2026) and Guadeloupe (n=2028). Logistic regressions adjusted for various sociodemographic and morbidity variables were performed. The following determinants were investigated: having hot water at home, having received income support for low-income individuals during the last year, educational level, occupational class, complementary health insurance, healthcare renouncement and visit to the general practitioner (GP) during the last year. Multiple imputations were performed to account for missing values. We observed the following cancer screening rates: 78.1% for cervical cancer, 81.5% for breast cancer and 59.5% (women) and 50.8% (men) for colorectal cancer. Higher cervical cancer screening participation was reported among women with qualified occupation and having visited the GP during the last year and lower participation among women who never worked. Higher screening participation was reported among participants having hot water at home and having visited the GP during the last year for breast and colorectal (men and women) cancer. Unexpectedly, a lower colorectal cancer screening participation was found among women with qualified occupation. We observed social inequalities in participation in cancer screening in the French West Indies, which stresses the need to continue efforts to increase screening rates in this population.
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), 27 rue Chaligny, F75012, Paris, France.
Gwenn
G
Menvielle
Inserm U 1085 - IRSET, Faculty of Medicine, Campus de Fouillole, BP145, F97154, Pointe-à-Pitre, France.|University of Rennes 1, 2 rue du Thabor, Rennes, France.
Julien
J
Dugas
Santé publique France, French national public health agency, 12 rue du Val d'Osne, F-94415 Saint-Maurice, France.
Jean-Baptiste
JB
Richard
Inserm U 1085 - IRSET, Faculty of Medicine, Campus de Fouillole, BP145, F97154, Pointe-à-Pitre, France.|University of Rennes 1, 2 rue du Thabor, Rennes, France.
Danièle
D
Luce
D001943:Breast Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000191:economics / Q000379:methods*; D005260:Female; D019430:Guadeloupe / Q000453:epidemiology; D006306:Health Surveys / Q000379:methods; D006801:Humans; D008297:Male; D008395:Martinique / Q000453:epidemiology; D010342:Patient Acceptance of Health Care; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology; D014900:West Indies / Q000453:epidemiology