51 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 (Bulkmans, Bulk et al. 2006) Ref: 41 Retrospective observational cohort study hrHPV testing was added to cervical screening in the POBASCAMtrial. 44,102 Women, age 30-60. Between 1999-2002. Amsterdam (North Holland). Before: 58.7% and after: 61.4% implementation hrHPV testing. hrHPV testing can be added to cervical screening by cytology without a decrease in participation rate. Information factors (Van Leeuwen, De Nooijer et al. 2005) Ref: 36 Retrospective observational cohort study 251,446 Women, age 30-60. Between 1998 and 2001. South Holland & Zeeland. Age SES Country of birth Overall: 55.7% Born in the Netherlands: 56.8% Other Western countries: 45.3% Moroccan: 35.9% Turkey: 48.0% Suriname: 51.3% Dutch Antilles: 46% Although cervical screening is free of charge, participation rates differ greatly between ethnic groups and between women from different socioeconomic strata. Abnormalities were found more often in women who were not born in The Netherlands and in women with lower socio-economic status. These groups show lower attendance at the screening programme. Predisposing factors 2
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