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

Sylviane Darquy 1 Grégoire Moutel 2 Odile Jullian 3 Stéphanie Barré 3 Nathalie Duchange 2, *
* Corresponding author
1 EPICENE - Cancer environnement
BPH - Bordeaux population health
2 ANTICIPE - Unité de recherche interdisciplinaire pour la prévention et le traitement des cancers
3 INCA - Institut national du cancer [Boulogne]
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.
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Submitted on : Wednesday, November 28, 2018 - 11:44:20 AM
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ETHICANCER | ETHIQUE | COMUE-NORMANDIE | UNICAEN | U1086

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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⟩

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