{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:25:07Z","timestamp":1767907507420,"version":"3.49.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2012,12,1]],"date-time":"2012-12-01T00:00:00Z","timestamp":1354320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p> To examine the relationship between cervical screening uptake and political engagement, and to test whether political engagement and voting behaviour mediate the association between age and cervical screening uptake <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> A population-based survey of women in England in 2010. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Women aged 26-64 took part in home-based computer-assisted interviews ( n = 890). Women were classified as \u2018up to date\u2019 or \u2018overdue\/never been screened\u2019 for cervical screening. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Most women (81%) were up-to-date with screening; 19% were overdue. Age and marital status were associated with screening status. Women who were not registered to vote, had not voted in previous general elections, and those who showed less interest in elections and lower intention to engage in political activities were more likely to be overdue for screening. In multivariate analyses (adjusting for all significant measures) \u2018being on the electoral register\u2019 was the only significant independent predictor of screening status. \u2018Being on the electoral register\u2019 was also the only measure of voting behaviour that mediated the association between age and screening status. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> We found limited evidence for the hypothesis that falling attendance for cervical screening could be associated with a broader phenomenon of disillusionment as indexed by reported voting behaviour and other measures of political engagement. Alternative explanations should be considered in order to better understand falling cervical screening uptake, particularly among younger women. <\/jats:p><\/jats:sec>","DOI":"10.1258\/jms.2012.012073","type":"journal-article","created":{"date-parts":[[2013,4,13]],"date-time":"2013-04-13T01:53:06Z","timestamp":1365817986000},"page":"189-194","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Cervical Screening Uptake, Political Interest and Voter Turnout: A Population-Based Survey of Women in England"],"prefix":"10.1258","volume":"19","author":[{"given":"Ana","family":"Macedo","sequence":"first","affiliation":[{"name":"Research Associate, Department of Epidemiology and Public Health, Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Senior Research Associate, Department of Epidemiology and Public Health, Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julietta","family":"Patnick","sequence":"additional","affiliation":[{"name":"Director, NHS Cancer Screening Programmes, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Marlow","sequence":"additional","affiliation":[{"name":"Post-doctoral research fellow, Department of Epidemiology and Public Health, Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"key":"bibr1-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2008.007068"},{"key":"bibr2-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2010.010017"},{"key":"bibr3-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2025"},{"key":"bibr4-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.07.017"},{"key":"bibr5-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdl062"},{"key":"bibr6-jms.2012.012073","author":"The Eve Appeal.","year":"2010","journal-title":"The Eve Appeal"},{"key":"bibr7-jms.2012.012073","first-page":"26","volume":"19","author":"Waller J","year":"2011","journal-title":"BJOG"},{"key":"bibr8-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2009.009073"},{"key":"bibr9-jms.2012.012073","author":"The Electoral Commission.","year":"2005","journal-title":"The Electoral Commission"},{"key":"bibr10-jms.2012.012073","author":"Ipsos MORI.","year":"2010","journal-title":"Ipsos MORI"},{"key":"bibr11-jms.2012.012073","author":"The Electoral Commission.","year":"2010","journal-title":"The Electoral Commission"},{"key":"bibr12-jms.2012.012073","unstructured":"The British Election Study. 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Available at: http:\/\/bes.utdallas.edu\/2009\/embes\/EMBES_questionnaire_FINAL.pdf (last checked 13 September 2012)"},{"key":"bibr13-jms.2012.012073","volume-title":"General election turnout 1945-2010.","author":"UK political info.","year":"2010"},{"key":"bibr14-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.3758\/BF03206553"},{"key":"bibr15-jms.2012.012073","author":"NHS Cancer Screening Programmes.","year":"2010","journal-title":"NHSCSP"},{"key":"bibr16-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2008.008011"},{"key":"bibr17-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8287.1996.tb00490.x"},{"key":"bibr18-jms.2012.012073","volume-title":"English Housing Survey: Households 2010-11.","author":"Department for Communities and Local Government.","year":"2012"},{"key":"bibr19-jms.2012.012073","volume-title":"NHS cervical screening programme statistical bulletin (England 2010-11).","author":"NHS.","year":"2012"},{"key":"bibr20-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2011.01254.x"},{"key":"bibr21-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1023\/A:1011233007132"},{"key":"bibr22-jms.2012.012073","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.04981.x"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/jms.2012.012073","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/jms.2012.012073","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/jms.2012.012073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T07:33:00Z","timestamp":1740987180000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/jms.2012.012073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,12]]}},"alternative-id":["10.1258\/jms.2012.012073"],"URL":"https:\/\/doi.org\/10.1258\/jms.2012.012073","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12]]}}}