{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T13:37:15Z","timestamp":1776865035384,"version":"3.51.2"},"reference-count":24,"publisher":"CAIRN","issue":"HS2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,15]]},"abstract":"<jats:p>Depuis plus de trente ans, M\u00e9decins du Monde (MDM) intervient aupr\u00e8s des personnes en situation de grande pr\u00e9carit\u00e9, afin de promouvoir ou faciliter leur acc\u00e8s aux droits et aux soins. Les femmes qui sont accueillies sur les programmes de MDM cumulent de nombreux facteurs de risque de d\u00e9velopper des l\u00e9sions pr\u00e9canc\u00e9reuses et canc\u00e9reuses du col de l\u2019ut\u00e9rus et sont \u00e9galement particuli\u00e8rement \u00e9loign\u00e9es des dispositifs de soins et de pr\u00e9vention. Ces constats ont incit\u00e9 les \u00e9quipes de MDM \u00e0 d\u00e9velopper une strat\u00e9gie d\u2019universalisme proportionn\u00e9 afin d\u2019am\u00e9liorer l\u2019acc\u00e8s \u00e0 la pr\u00e9vention pour les publics en situation de grande pr\u00e9carit\u00e9, en allant au-devant des populations et en proposant des consultations sp\u00e9cifiques de pr\u00e9vention. Cette approche combine plusieurs m\u00e9thodes afin de prendre en compte les in\u00e9galit\u00e9s\u2008: la m\u00e9diation en sant\u00e9, l\u2019acc\u00e8s \u00e0 une information claire et adapt\u00e9e gr\u00e2ce au recours \u00e0 l\u2019interpr\u00e9tariat professionnel et \u00e0 des consultations r\u00e9alis\u00e9es par des \u00e9quipes sensibilis\u00e9es au counselling . Enfin, MDM offre une palette d\u2019outils de d\u00e9pistage et propose un autopr\u00e9l\u00e8vement (APV) vaginal \u00e0 la recherche de papillomavirus \u00e0 haut risque oncog\u00e8ne. Il s\u2019agit par ces actions de favoriser les approches multisectorielles combinant des interventions multiniveaux, de cr\u00e9er les conditions de la participation des publics et de favoriser l\u2019 empowerment \u00e0 travers le d\u00e9veloppement et la diffusion d\u2019outils sp\u00e9cifiques.<\/jats:p>","DOI":"10.3917\/spub.197.0053","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T01:25:15Z","timestamp":1580952315000},"page":"53-57","source":"Crossref","is-referenced-by-count":2,"title":["M\u00e9decins du monde et le principe d\u2019universalisme proportionn\u00e9 appliqu\u00e9 \u00e0 la pr\u00e9vention du cancer du col de l\u2019ut\u00e9rus"],"prefix":"10.3917","volume":"S2","author":[{"given":"Sophie","family":"Laurence","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Lallemand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marielle","family":"Chappuis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanine","family":"Rochefort","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1 M\u00e9decins du monde (MDM). Observatoire de l\u2019acc\u00e8s aux droits et aux soins. Rapport 2016. Paris\u2008: MDM\u2008; 2017."},{"key":"rb2","unstructured":"2 Haute Autorit\u00e9 de sant\u00e9 (HAS). \u00c9tat des lieux et recommandations pour le d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus en France. Synth\u00e8se et recommandations. Saint-Denis La\u00a0Plaine\u2008: HAS\u2008; 2010."},{"key":"rb3","doi-asserted-by":"crossref","unstructured":"3 et al. Chappuis\u00a0M, Antonielli\u00a0AB, Pr\u00e9vention des cancers du col de l\u2019ut\u00e9rus et du sein chez les femmes en situation de grande pr\u00e9carit\u00e9\u2008: \u00e9tude \u00e9pid\u00e9miologique. Bull Cancer. 2014;101:663-8.","DOI":"10.1684\/bdc.2014.1919"},{"key":"rb4","unstructured":"4 Institut national du cancer (INCa). La situation du cancer en France en 2012. Boulogne-Billancourt\u2008: INCa\u2008; 2012."},{"key":"rb5","doi-asserted-by":"crossref","unstructured":"5 Hindin\u00a0P, Btoush\u00a0R, Brown\u00a0DR, Munet-Vilaro\u00a0F. Intime partner violence and risk for cervical cancer. J Family Violence. 2015;30:1031-43.","DOI":"10.1007\/s10896-015-9733-7"},{"key":"rb6","unstructured":"6 Bryere\u00a0J, Dejardin\u00a0O, Launay\u00a0L, Colonna\u00a0M, Grosclaude\u00a0P, Launoy\u00a0G. Environnement socio-\u00e9conomique et incidence des cancers en France. BEH. 2017;4:68-77."},{"key":"rb7","unstructured":"7 Beltzer\u00a0N, Hamers\u00a0F, Duport\u00a0N. R\u00e9sultats finaux de l\u2019\u00e9valuation du d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus organis\u00e9 dans 13\u00a0d\u00e9partements en France, 2010-2014. BEH. 2017;2-3:26-31."},{"key":"rb8","unstructured":"8 Grillo\u00a0F, Soler\u00a0M, Chauvin\u00a0P. L\u2019absence de d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus en fonction des caract\u00e9ristiques migratoires chez les femmes de l\u2019agglom\u00e9ration parisienne en 2010. BEH. 2012;2-3-4:45-8."},{"key":"rb9","unstructured":"9 Barr\u00e9\u00a0S, Massetti\u00a0M, Leleu\u00a0H, Catajar\u00a0N, de\u00a0Bels\u00a0F. Caract\u00e9risation des femmes ne r\u00e9alisant pas de d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus par frottis cervico-ut\u00e9rin en France. BEH. 2017;2-3:39-47."},{"key":"rb10","unstructured":"10 Lan\u00e7on\u00a0F, Sannino\u00a0N, Viguier\u00a0J. Connaissances, perceptions, attitudes et comportements des femmes et des m\u00e9decins vis-\u00e0-vis du d\u00e9pistage du cancer du sein, France, 2010. BEH. 2012;35-36-37:417-20."},{"key":"rb11","doi-asserted-by":"crossref","unstructured":"11 Badet-Phan\u00a0A, Moreau\u00a0A, Colin\u00a0C, Canoui-Poitrine\u00a0F, Schott-Pethelaz\u00a0A, Flori\u00a0M. Obstacles au d\u00e9pistage du cancer du col de l\u2019ut\u00e9rus rencontr\u00e9s par les m\u00e9decins g\u00e9n\u00e9ralistes chez les femmes \u00e2g\u00e9es de 50 \u00e0 65\u00a0ans. Pratiques et Organisation des Soins. 2012;3(4):261-8.","DOI":"10.3917\/pos.434.0261"},{"key":"rb12","unstructured":"12 http:\/\/www.instituteofhealthequity.org\/resources-reports\/fair-society-healthy-lives-the-marmot-review\/ Marmot\u00a0M. Fair society, healthy lives: Strategic review of health inequalities in England post-2010. Minist\u00e8re de la Sant\u00e9 britannique, 2010. [Visit\u00e9 le 25\/09\/2017]. En ligne\u2008: ."},{"key":"rb13","unstructured":"13 Gacon\u00a0L, Bordeianu\u00a0F. M\u00e9diation en sant\u00e9\u2008: des outils coconstruits avec les habitants des bidonvilles. La Sant\u00e9 de l\u2019homme. 2017;440:20-1."},{"key":"rb14","unstructured":"14 https:\/\/www.unaf.fr\/IMG\/pdf\/charte-signee-scan19-12-2012.pdf Groupe de travail national interassociatif. Charte de l\u2019interpr\u00e9tariat m\u00e9dical et social professionnel en France, adopt\u00e9e \u00e0 Strasbourg le 14 novembre 2012. [Visit\u00e9 le 25\/09\/2017]. En ligne\u2008: ."},{"key":"rb15","doi-asserted-by":"crossref","unstructured":"15 Chambon\u00a0N, Le\u00a0Goff\u00a0G. Enjeux et controverses de la prise en charge des migrants pr\u00e9caires en psychiatrie. RFAS. 2016;6:123-40.","DOI":"10.3917\/rfas.162.0123"},{"key":"rb16","unstructured":"16 Tourette-Turgis\u00a0C. Le counselling. Paris\u2008: Presses universitaires de France\u2008; 1996."},{"key":"rb17","doi-asserted-by":"crossref","unstructured":"17 Cambon\u00a0L, Mangin\u00a0G, Barth\u00e9l\u00e9my\u00a0L. Exp\u00e9rimentation d\u2019une d\u00e9marche participative sur le d\u00e9pistage des cancers aupr\u00e8s de femmes en situation de pr\u00e9carit\u00e9. Sant\u00e9 Publique. 2007;19:513-23.","DOI":"10.3917\/spub.076.0513"},{"key":"rb18","unstructured":"18 Ar\u00e9as, Asav, MDM. La m\u00e9diation pour l\u2019acc\u00e8s \u00e0 la sant\u00e9 des populations pr\u00e9caris\u00e9es\u2008: l\u2019exemple des Roms. Actes du colloque m\u00e9diation sanitaire, 14\/12\/2012, Paris. Paris\u2008: Asav\u2008; 2013."},{"key":"rb19","doi-asserted-by":"crossref","unstructured":"19 et al. Sancho-Garnier\u00a0H, Tamalet\u00a0C, Halfon\u00a0P, Leandri\u00a0FX, Le\u00a0Retraite\u00a0L, Djoufelkit\u00a0K, HPV self-sampling or the Pap-smear: A ramdomized study among cervical screening nonattenders from lower socioeconomic groups in France. Int J Cancer. 2013;133:2681-7.","DOI":"10.1002\/ijc.28283"},{"key":"rb21","doi-asserted-by":"crossref","unstructured":"21 et al. Sultana\u00a0F, English\u00a0DR, Simpson\u00a0JA, Drennan\u00a0KT, Mullins\u00a0R, Brotherton\u00a0JM, Home-based HPV self-sampling improves participation by never-screened and under-screened women: Results from a large randomized trial (iPap) in Australia. Int J Cancer. 2015;2:281-90.","DOI":"10.1002\/ijc.30031"},{"key":"rb22","doi-asserted-by":"crossref","unstructured":"22 et\u00a0al. Ilangovan\u00a0K, Kobetz\u00a0E, Koru-Sengul\u00a0T, Marcus\u00a0EN, Rodriguez\u00a0B, Alonzo\u00a0Y, Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening. J Womens Health. 2016;25:944-51.","DOI":"10.1089\/jwh.2015.5469"},{"key":"rb23","doi-asserted-by":"crossref","unstructured":"23 et al. Sultana\u00a0F, Mullins\u00a0R, English\u00a0DR, Simpson\u00a0JA, Drennan\u00a0KT, Heley\u00a0S, Women\u2019s experience with home-based self-sampling for human papillomavirus testing. BMC Cancer. 2015;15:849.","DOI":"10.1186\/s12885-015-1804-x"},{"key":"rb24","doi-asserted-by":"crossref","unstructured":"24 Fargnoli\u00a0V, Petignat\u00a0P, Burton-Jeangros\u00a0C. To what extent will women accept HPV self-sampling for cervical cancer screening? A qualitative study conducted in Switzerland. Int J Women Health. 2015;7:883-8.","DOI":"10.2147\/IJWH.S90772"},{"key":"rb25","doi-asserted-by":"crossref","unstructured":"25 Mullins\u00a0R, Scalzo\u00a0K, Sultana\u00a0F. Self-sampling for cervical screening: could it overcome some of the barriers to the Pap test? J Medical Screen. 2014;21:201-6.","DOI":"10.1177\/0969141314555247"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T07:17:54Z","timestamp":1701933474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2019-HS2-page-53.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2020,1,15]]},"references-count":24,"journal-issue":{"issue":"HS2","published-print":{"date-parts":[[2020,1,15]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.197.0053","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1,15]]}}}