000			02117cam a2200253 4500500
005			20250121143524.0
041			_afre
042			_adc
100	1	0	_aGuillaume, Élodie _eauthor
700	1	0	_a De Mil, Rémy _eauthor
700	1	0	_a Quertier, Marie Christine _eauthor
700	1	0	_a Notari, Annick _eauthor
700	1	0	_a Launoy, Guy _eauthor
245	0	0	_aIntervention research for the reduction of social and local inequalities in matters relating to cancer screening
260			_c2020.
500			_a94
520			_aSocial inequalities constitute a major obstacle to the social and economic cohesion of a country, particularly those affecting the health field. In the field of cancer screening, the current situation is that of a social gradient of participation and strong territorial inequalities. This paper reports on the results of two interventional investigations to add incentives to the existing device to provide screening tests for specific populations. A prospective trial with a collective randomization unit was set up from April 2011 to April 2013 in the 3 areas of Northern France (Aisne, Oise and Somme), to assess social workers’ help with screening of colorectal cancer (Prado trial). A retrospective study was conducted on the experience of mammobile driving in the area of Orne for several years. The analysis of the results shows that each of these devices is capable of reducing or even erasing social and territorial inequalities at a reasonable cost to society. It also shows that in terms of screening, inequalities can only be reduced if additional devices dedicated to particular populations are added to the national system according to a principle of proportionate universalism.
690			_aprinciple of proportionate universalism
690			_asocial and local inequalities in matters relating to health
690			_acancer screening
690			_aintervention research
786	0		_nSanté Publique | S2 | HS2 | 2020-01-15 | p. 59-65 | 0995-3914
856	4	1	_uhttps://shs.cairn.info/journal-sante-publique-2019-HS2-page-59?lang=en&redirect-ssocas=7080
999			_c587385 _d587385