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Optimising attendance and coverage of organised screening is needed in order to reduce cervical cancer incidence to previous lower levels. In this study all non-participants in organised cervical cancer screening in 2008 in Espoo, Finland were randomised to receive a self-sampling kit (1130 women) or a reminder letter (3030 women). Effects on screening coverage were assessed according to the self-reported previous Pap-smear history of the participants. Participation rate in the self-sampling arm, 29.8%, was significantly higher than in the reminder letter arm, 26.2% (adjusted RR for participation 1.13). Total participation in Espoo in 2008 rose significantly after the two interventions from 64.0% to 75.4%. In both arms, app. 20% of the participants after second intervention could be considered under screened (previous pap-smear >/=5 years ago) and thus increased screening coverage. Respectively, for 70-75% the second intervention only provided over screening. Participation was lowest among young age-groups and immigrants, after primary invitation as well as after interventions. This study shows that a second intervention for non-attendees after the first invitation is needed to optimize the attendance rates. Self-sampling might be slightly more successful in this, but the effects on screening coverage were similar in both groups.
Mass Screening Registry, Finnish Cancer Registry, Pieni Roobertinkatu 9, FI-00130 Helsinki, Finland.
This article was published in the following journal.
Name: International journal of cancer. Journal international du cancer
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Work consisting of written or printed communication between individuals or between persons and representatives of corporate bodies. The correspondence may be personal or professional. In medical and other scientific publications the letter is usually from one or more authors to the editor of the journal or book publishing the item being commented upon or discussed. LETTER is often accompanied by COMMENT.
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