Towards equity in organised cancer screening: the case of cervical cancer screening in France

Abstract : Background: The French national cancer institute (INCa) conducted a series of studies to assist decision-making in view of the implementation of organised cervical cancer screening that will be launched in 2018. The programme will concern all women aged 25-65 and targeted interventions will be developed for underscreened populations. This is an evolution from an equality-based approach to a step-by-step strategy of equity aiming to tackle health cancer inequalities that are avoidable and represents unfair differences. Here we present the work of the expert-group in ethics drafted by INCa to review the ethical issues prior to the programme implementation. Discussion: We discuss the value of such a strategy and presents reflections with regard to issues of stigmatization, respect for individual freedom and autonomy. Indeed, the balance has to be found between the search for beneficence and the potential occurrence of perverse effects, which should be considered with particular attention.
Document type :
Journal articles
Complete list of metadatas

Cited literature [48 references]  Display  Hide  Download

https://www.hal.inserm.fr/inserm-01937826
Contributor : Nathalie Duchange <>
Submitted on : Wednesday, November 28, 2018 - 11:44:20 AM
Last modification on : Wednesday, December 4, 2019 - 9:52:03 AM

File

s12905-018-0683-0.pdf
Publication funded by an institution

Identifiers

Citation

Sylviane Darquy, Grégoire Moutel, Odile Jullian, Stéphanie Barré, Nathalie Duchange. Towards equity in organised cancer screening: the case of cervical cancer screening in France. BMC Women's Health, BioMed Central, 2018, 18 (1), pp.192. ⟨10.1186/s12905-018-0683-0⟩. ⟨inserm-01937826⟩

Share

Metrics

Record views

146

Files downloads

106