John Libbey Eurotext

Médecine

MENU

Dépistage du cancer du col de l'utérus chez les femmes en situation de précarité. Attitudes et représentations des patientes et de leur médecin généraliste Volume 10, numéro 10, Décembre 2014

Auteurs
niversité Bordeaux Segalen, Département de Médecine Générale, 146 Rue Léo Saignat 33076 Bordeaux Cedex - jean-philippe.joseph@u-bordeaux.fr

Background. In France, 90% of cervical pap smears are performed by gynecologists. Women in precarious situation have less access to specialized care and are less well screened for cervical cancer of the uterus. We aimed to identify the main obstacles for women in precarious situation when their general practitioner proposed a smear.

Methods. A questionnaire was sent to 400 general practitioners in the Gironde. They had to propose a smear at the first woman receiving Medical Assistance State or Universal Medical Coverage, regardless of the reason for consultation. Attitudes and representations of each patient were collected and analyzed.

Results. 43 patients were included and have accepted the principle of a smear by their physician. A good knowledge of screening, a relationship of trust, the proposal to make the smear and accessibility of general practitioner were enablers. Their attachment to the gynecologists, their reluctance to a male doctor and an intimate relationship between the patient and her doctor could be an obstacle. General practitioners waited for the request to come from their patients. Women waited for the physician's proposition of a screening for cervical cancer of uterus.

Conclusion. General practitioners should inform their patients in precarious situation in the interest of screening and propose a cervical smear.