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Table 4 Incidence of delayed cervical screening (> 3 years) between 2005 and 2010 according to individual factors (as reported in 2005) and residential medical density

From: Investigating the effects of medical density on health-seeking behaviours using a multiscale approach to residential and activity spaces: Results from a prospective cohort study in the Paris metropolitan area, France

 

Sample size

% with delayed cervical screening

Difference (p-value)

Adjusted odds ratio (95% CI)

Total

662

14.2

 

Model 1

Model 2

Age

     

18-29 years

59

15.2

< 0.001

2.38 (0.92-6.18)

2.86 (1.15-7.14)*

30-44 years

250

12.4

1.83 (0.93-3.63)

1.89 (0.98-3.64)*

45-59 years

225

8.4

Ref.

Ref.

≥ 60 years

128

27.3

2.55 (0.97-6.69)

4.53 (2.31-8.87)**

Nationality

     

French

590

13.0

< 0.01

Ref.

-

Foreign

72

23.6

 

1.02 (0.47-2.21)

-

Level of education

     

Postsecondary

340

8.2

< 0.001

Ref.

Ref.

Secondary school

269

17.1

1.53 (0.82-2.85)

2.17 (1.26-3.74)**

None or primary school only

53

37.7

3.30 (1.37-7.98)**

5.33 (2.44-11.61)**

Monthly household income

     

High (2001–8670 €/CU)

219

9.1

< 0.01

Ref.

-

Intermediate (1270–2000 €/CU)

222

12.6

1.26 (0.63-2.55)

-

Low (140–1269 €/CU)

221

20.8

1.78 (0.80-3.99)

-

Current employment status

     

Working or studying

420

8.3

< 0.001

Ref.

-

Unemployed

52

15.4

 

1.15 (0.46-2.87)

-

Housewives

84

23.8

 

1.92 (0.93-3.97)

-

Retired

106

29.2

 

2.84 (1.06-7.64)*

-

Health insurance coverage

     

Fully covered

587

12.8

< 0.01

Ref.

-

Not fully covered

75

25.3

1.53 (0.73-3.22)

-

Activity space structure (as defined using a 0.7 threshold value)

   

Polycentric

533

12.4

< 0.01

Ref.

Ref.

Centred within residential neighbourhood

129

21.7

1.91 (1.08-3.35)*

2.10 (1.20-3.67)**

Density of general practitioners and gynaecologists in the neighbourhood (based on a 1400 x 1400 metres grid)

Highest and middle tertiles

437

12.1

0.03

Ref.

Ref.

Lowest tertile

225

18.2

 

1.35 (0.78-2.33)

1.56 (0.89-2.75)

  1. Results of bivariate analyses and multilevel logistic regression models.
  2. * p < 0.05; **p < 0.01.