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Scientific article
English

Cancer screening participation and gender stratification in europe

Published inJournal of Health and Social Behavior, vol. 61, no. 3, p. 377-395
Publication date2020
Abstract

The current study examines whether the extent of macrolevel gender inequality affects the association between women's educational attainment and their participation in cervical and breast cancer screening and how this relationship is moderated by a country's cancer screening strategy (organized vs. opportunistic). A multilevel design with women (Ncervical = 99,794; Nbreast = 55,021) nested in 30 European countries was used to analyze data from the European Health Interview Survey (2013–2015). Results of multilevel logistic regression models demonstrate that higher macrolevel gender inequality is associated with (a) a lower overall likelihood that women have had a mammography and Pap smear and (b) a larger gap in participation between women with low and high levels of education, regardless of a country's screening strategy (i.e., no moderation by a country's screening strategy was found). We conclude that macrolevel gender stratification should not be neglected when designing cancer screening policy.

Keywords
  • Cancer screening participation
  • Cancer screening strategy
  • Education gradient
  • Macrolevel gender inequality
Citation (ISO format)
WILLEMS, Barbara et al. Cancer screening participation and gender stratification in europe. In: Journal of Health and Social Behavior, 2020, vol. 61, n° 3, p. 377–395. doi: 10.1177/0022146520938708
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ISSN of the journal0022-1465
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Creation10/19/2020 11:01:00 AM
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