49 Determinants of (non)attendance at the Dutch CSPs Cervical cancer screening programme (continued) Reference Study design Number of participants (n) Participants, collection period, region Characteristics Outcomes I-Change model (Gok, Heideman et al. 2010) Ref: 37 Prospective observational cohort study 28,073 nonresponders 27,792 were assigned to self-sampling group & 281 to the recall group/ control group. Women, age 30-60. Between December 2006 to December 2007. North Holland and Flevoland. Nonresponder = Women who had not responded to two invitations from the regular screening programme. Age Screening history Self-sampling group 26.6% vs. 16.4% of the control group. Self-sampling responders who did not participate in the previous rounds of screening had an increased relative risk of ≥CIN II and ≥CIN III compared to self-sampling women who had been screened in the previous rounds. Self-sampling is a feasible and effective method for increasing coverage in a screening programme. Especially because of the higher risk in non-attenders. Predisposing factors Information factors 2
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