Table 4.
Variation in cervical cancer screening participation, for adults with and without SMIs, by demographic characteristic, smoking status and BMI.
| Number of people | Proportion of eligible people who participated (95% CIs) | Unadjusted OR (95% CIs) | Adjusted OR (95% CIs) | |||
|---|---|---|---|---|---|---|
| No SMI N (%) | SMI N (%) | No SMI | SMI | |||
| Agea | ||||||
| 25–29 | 244,212 (9.87) | 1745 (6.00) | 57.30 (57.10, 57.49) | 57.59 (55.23, 59.92) | 1.01 (0.92, 1.11) | 0.92 (0.84, 1.02) |
| 30–34 | 296,599 (11.99) | 2780 (9.55) | 68.49 (68.32, 68.65) | 66.69 (64.90, 68.44) | 0.92* (0.85, 1.00) | 0.85*** (0.79, 0.92) |
| 35–39 | 325,903 (13.18) | 3362 (11.55) | 70.72 (70.57, 70.88) | 66.69 (65.06, 68.27) | 0.83*** (0.77, 0.89) | 0.83*** (0.77, 0.89) |
| 40–44 | 327,468 (13.24) | 3782 (13.00) | 73.01 (72.85, 73.16) | 65.89 (64.35, 67.40) | 0.71*** (0.67, 0.76) | 0.75*** (0.70, 0.80) |
| 45–49 | 338,905 (13.70) | 4467 (15.35) | 72.36 (72.21, 72.51) | 63.98 (62.55, 65.39) | 0.68*** (0.64, 0.72) | 0.72*** (0.68, 0.76) |
| 50–54 | 335,234 (13.55) | 4364 (15.00) | 77.76 (77.62, 77.90) | 69.84 (68.45, 71.20) | 0.66*** (0.62, 0.71) | 0.70*** (0.65, 0.74) |
| 55–59 | 327,923 (13.26) | 4710 (16.18) | 69.61 (69.45, 69.77) | 63.04 (61.64, 64.41) | 0.74*** (0.70, 0.79) | 0.78*** (0.74, 0.83) |
| 60–64 | 277,313 (11.21) | 3892 (13.37) | 64.13 (63.96, 64.31) | 56.53 (54.95, 58.09) | 0.73*** (0.68, 0.78) | 0.76*** (0.71, 0.81) |
| Ethnicityb | ||||||
| White | 1,645,992 (66.54) | 19,964 (68.60) | 72.93 (72.86, 73.00) | 65.95 (65.29, 66.61) | 0.72*** (0.7, 0.74) | 0.78*** (0.75, 0.80) |
| Asian | 201,340 (8.14) | 2272 (7.81) | 61.79 (61.58, 62.01) | 57.92 (55.86, 59.96) | 0.85*** (0.78, 0.93) | 0.71*** (0.65, 0.77) |
| Black | 106,633 (4.31) | 2173 (7.47) | 69.46 (69.18, 69.73) | 64.80 (62.74, 66.80) | 0.81*** (0.74, 0.88) | 0.71*** (0.65, 0.78) |
| Mixed | 36,724 (1.48) | 690 (2.37) | 67.23 (66.75, 67.71) | 64.49 (60.78, 68.04) | 0.89 (0.76, 1.04) | 0.81* (0.69, 0.95) |
| Other | 28,087 (1.14) | 274 (0.94) | 59.68 (59.10, 60.25) | 62.04 (55.98, 67.76) | 1.10 (0.86, 1.41) | 0.88 (0.69, 1.14) |
| Unknown | 454,781 (18.39) | 3729 (12.81) | 62.52 (62.38, 62.66) | 57.98 (56.37, 59.57) | 0.83*** (0.77, 0.88) | 0.81*** (0.76, 0.87) |
| Deprivationc | ||||||
| Quintile 1 (Least deprived) | 496,894 (20.09) | 3671 (12.61) | 75.14 (75.02, 75.26) | 70.14 (68.63, 71.62) | 0.78*** (0.72, 0.83) | 0.77*** (0.71, 0.82) |
| Quintile 2 | 463,336 (18.73) | 4114 (14.14) | 72.58 (72.45, 72.71) | 65.75 (64.27, 67.20) | 0.73*** (0.68, 0.77) | 0.70*** (0.66, 0.75) |
| Quintile 3 | 451,718 (18.26) | 4986 (17.13) | 69.86 (69.73, 69.99) | 63.76 (62.40, 65.09) | 0.76*** (0.72, 0.80) | 0.74*** (0.70, 0.78) |
| Quintile 4 | 504,382 (20.39) | 6926 (23.80) | 66.52 (66.39, 66.65) | 63.80 (62.66, 64.93) | 0.89*** (0.84, 0.93) | 0.83*** (0.79, 0.87) |
| Quintile 5 (Most deprived) | 474,147 (19.17) | 8362 (28.73) | 64.59 (64.45, 64.72) | 61.47 (60.41, 62.51) | 0.87*** (0.84, 0.91) | 0.82*** (0.78, 0.85) |
| Unknown | 83,080 (3.36) | 1043 (3.58) | 69.44 (69.12, 69.75) | 62.32 (59.29, 65.26) | 0.73*** (0.64, 0.83) | 0.74*** (0.65, 0.84) |
| Regiond | ||||||
| North East | 82,770 (3.35) | 1028 (3.53) | 71.4 (71.09, 71.710) | 61.58 (58.52, 64.55) | 0.64*** (0.57, 0.73) | 0.66*** (0.58, 0.75) |
| North West | 443,253 (17.92) | 5956 (20.47) | 69.58 (69.45, 69.72) | 64.19 (62.95, 65.40) | 0.78*** (0.74, 0.83) | 0.81*** (0.76, 0.85) |
| Yorkshire and Humber | 84,418 (3.41) | 890 (3.06) | 71.22 (70.91, 71.52) | 65.39 (62.15, 68.50) | 0.76*** (0.66, 0.88) | 0.81** (0.70, 0.93) |
| East Midlands | 47,333 (1.91) | 498 (1.71) | 73.63 (73.23, 74.02) | 68.47 (64.16, 72.50) | 0.78** (0.64, 0.94) | 0.80* (0.66, 0.97) |
| West Midlands | 392,267 (15.86) | 4168 (14.32) | 69.79 (69.65, 69.94) | 63.84 (62.36, 65.30) | 0.76*** (0.72, 0.81) | 0.79*** (0.74, 0.84) |
| East of England | 107,474 (4.34) | 1076 (3.70) | 72.3 (72.03, 72.570) | 66.08 (63.15, 68.89) | 0.75*** (0.66, 0.85) | 0.75*** (0.66, 0.85) |
| South West | 285,547 (11.54) | 2870 (9.86) | 72.42 (72.25, 72.58) | 66.69 (64.93, 68.41) | 0.76*** (0.71, 0.82) | 0.79*** (0.73, 0.85) |
| South Central | 309,843 (12.53) | 3349 (11.51) | 71.22 (71.06, 71.37) | 65.09 (63.45, 66.71) | 0.75*** (0.70, 0.81) | 0.77*** (0.71, 0.82) |
| London | 510,476 (20.64) | 6919 (23.77) | 65.29 (65.16, 65.42) | 62.51 (61.35, 63.65) | 0.89*** (0.84, 0.93) | 0.75*** (0.72, 0.79) |
| South East Coast | 210,176 (8.50) | 2348 (8.07) | 71.34 (71.15, 71.53) | 63.80 (61.81, 65.74) | 0.71*** (0.65, 0.77) | 0.72*** (0.66, 0.79) |
| Smoking statuse | ||||||
| Non-smoker | 1,595,922 (64.52) | 12,605 (43.31) | 69.91 (69.84, 69.98) | 63.22 (62.37, 64.06) | 0.74*** (0.71, 0.77) | 0.73*** (0.70, 0.75) |
| Smoker | 877,635 (35.48) | 16,497 (56.69) | 69.39 (69.29, 69.49) | 64.85 (64.12, 65.58) | 0.81*** (0.79, 0.84) | 0.83*** (0.80, 0.86) |
| BMIf | ||||||
| BMI < 30 | 2,347,395 (94.90) | 25,633 (88.08) | 69.67 (69.61, 69.73) | 63.89 (63.30, 64.48) | 0.77*** (0.75, 0.79) | 0.78*** (0.76, 0.80) |
| BMI > 30 | 126,162 (5.10) | 3469 (11.92) | 70.72 (70.47, 70.97) | 66.04 (64.43, 67.61) | 0.81*** (0.75, 0.86) | 0.81*** (0.75, 0.87) |
*P < 0.05, **p < 0.01, ***p < 0.001.
aAdjusted for ethnicity, region, area-level deprivation, smoking status and BMI.
bAdjusted for age, region, area-level deprivation, smoking status and BMI.
cAdjusted for age, ethnicity, region, and smoking status and BMI.
dAdjusted for age, ethnicity, area-level deprivation, smoking status and BMI.
eAdjusted for age, ethnicity, region, area-level deprivation and BMI.
fAdjusted for age, region, ethnicity, area-level deprivation and smoking status.