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Journal of Public Health Advance Access originally published online on October 24, 2006
Journal of Public Health 2006 28(4):355-360; doi:10.1093/pubmed/fdl062
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© The Author 2006, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.

A descriptive study of the decline in cervical screening coverage rates in the North East and Yorkshire and the Humber Regions of the UK from 1995 to 2005



Bruce J. Willoughby, Specialist Registrar in Public Health1

K. Faulkner, Director of Quality Assurance2

E. C. Stamp, Statistician2

C. J. Whitaker, Information/Audit Officer2
1 Public Health Group, Government Office for the North East, 7th Floor, Citygate, Gallowgate, Newcastle upon Tyne NE1 4WH, UK
2 Quality Assurance Reference Centre, North East, Yorkshire and The Humber, Unit 9, Kingfisher Way, Silverlink Business Park, Wallsend, Tyne & Wear NE28 9ND, UK

Address correspondence to Bruce J. Willoughby, E-mail: bruce{at}bestwishes.freeserve.co.uk

Since the mid-1990s, there has been a steady decline in coverage rates for cervical screening in the target age group (25–64 years) across England. This article describes the rate of decline from 1995 to 2005 in the old health authority areas of the North East and the Yorkshire and the Humber (NEYH) regions in relation to age group, deprivation, ethnicity and religion. The results show that the rate of decline is faster in these northern regions than that in England as a whole, with a very strong correlation between age and rate of change of coverage rates. Younger age groups experience the fastest rate of decline, and those over 55 years show an increase in coverage rates. There is an association between the deprivation of the old health authority areas and the rate of change of coverage rates, with weaker evidence that areas with high proportions of Black or Mixed ethnicity may have a faster decline. However, the rate of decline is not associated with other ethnic groups or religions. Therefore, interventions could be targeted at younger women and those who live in deprived areas to prevent the widening of inequalities.

Keywords: cervical cancer, public health, screening


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