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Cancer screening participation and gender stratification in Europe

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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
Public Health, Environmental and Occupational Health, Social Psychology, cancer screening participation, cancer screening strategy, education gradient, macrolevel gender inequality, HEALTH INEQUALITIES, SOCIAL INEQUALITIES, SOCIOECONOMIC INEQUALITIES, EDUCATIONAL INEQUALITIES, FUNDAMENTAL CAUSES, WOMENS HEALTH, OLDER MEN, MORTALITY, BREAST, CARE

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MLA
Willems, Barbara, et al. “Cancer Screening Participation and Gender Stratification in Europe.” JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, vol. 61, no. 3, 2020, pp. 377–95, doi:10.1177/0022146520938708.
APA
Willems, B., Cullati, S., De Prez, V., Jolidon, V., Burton-Jeangros, C., & Bracke, P. (2020). Cancer screening participation and gender stratification in Europe. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 61(3), 377–395. https://doi.org/10.1177/0022146520938708
Chicago author-date
Willems, Barbara, Stéphane Cullati, Vincent De Prez, Vladimir Jolidon, Claudine Burton-Jeangros, and Piet Bracke. 2020. “Cancer Screening Participation and Gender Stratification in Europe.” JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 61 (3): 377–95. https://doi.org/10.1177/0022146520938708.
Chicago author-date (all authors)
Willems, Barbara, Stéphane Cullati, Vincent De Prez, Vladimir Jolidon, Claudine Burton-Jeangros, and Piet Bracke. 2020. “Cancer Screening Participation and Gender Stratification in Europe.” JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 61 (3): 377–395. doi:10.1177/0022146520938708.
Vancouver
1.
Willems B, Cullati S, De Prez V, Jolidon V, Burton-Jeangros C, Bracke P. Cancer screening participation and gender stratification in Europe. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR. 2020;61(3):377–95.
IEEE
[1]
B. Willems, S. Cullati, V. De Prez, V. Jolidon, C. Burton-Jeangros, and P. Bracke, “Cancer screening participation and gender stratification in Europe,” JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, vol. 61, no. 3, pp. 377–395, 2020.
@article{8672112,
  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.},
  author       = {Willems, Barbara and Cullati, Stéphane and De Prez, Vincent and Jolidon, Vladimir and Burton-Jeangros, Claudine and Bracke, Piet},
  issn         = {0022-1465},
  journal      = {JOURNAL OF HEALTH AND SOCIAL BEHAVIOR},
  keywords     = {Public Health,Environmental and Occupational Health,Social Psychology,cancer screening participation,cancer screening strategy,education gradient,macrolevel gender inequality,HEALTH INEQUALITIES,SOCIAL INEQUALITIES,SOCIOECONOMIC INEQUALITIES,EDUCATIONAL INEQUALITIES,FUNDAMENTAL CAUSES,WOMENS HEALTH,OLDER MEN,MORTALITY,BREAST,CARE},
  language     = {eng},
  number       = {3},
  pages        = {377--395},
  title        = {Cancer screening participation and gender stratification in Europe},
  url          = {http://dx.doi.org/10.1177/0022146520938708},
  volume       = {61},
  year         = {2020},
}

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