Macro-contextual determinants of cancer screening participation and inequalities: A multilevel analysis of 29 European countries.

ABSTRACT:

Background

Little attention has been devoted to the role of macro-level determinants in preventive health inequalities, particularly in cancer screening participation. Research has evidenced inequalities in cancer screening uptake yet has mainly focused on the screening programmes' moderating role at the macro-level. To address this gap, this study examines how welfare provision and healthcare system features modify cancer screening uptake and inequalities across European countries.

Methods

Data from 99 715 (Pap smear) and 54 557 (mammography) women in 29 countries from the European Health Interview Survey (EHIS) 2014 wave and Swiss Health Interview Survey (SHIS) 2012 wave was analysed. We estimated multilevel logistic regression models, including cross-level interactions, t

SUBMITTER: Jolidon V 

PROVIDER: S-EPMC8184663 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature