# Influencing factors on attendance in cervical cancer screening among women with diabetes in Hungary: a cross-sectional study using European Health Interview Surveys 2009-2019

## TL;DR

This study explores why women with diabetes in Hungary are less likely to attend cervical cancer screenings, finding that education, economic status, and health perceptions are key factors.

## Contribution

The study identifies specific demographic and health-related factors influencing cervical cancer screening attendance among diabetic women in Hungary.

## Key findings

- Higher education levels significantly increase cervical cancer screening participation.
- Women with good economic status and social support are more likely to attend screenings.
- Poor health perception and prescription drug use are linked to lower screening attendance.

## Abstract

With this study, we examined the participation in cervical cancer screening among women with diabetes and the influencing factors of attendance.

Data from the European Health Interview Surveys in Hungary (2009, 2014, 2019) were analyzed with multivariate and multiple logistic regressions.

A higher level of education (OR=2.56, 95% CI: 1.03-6.33 in the case of secondary level in 2014; and OR=3.09, 95% CI: 1.17-8.13 in the case of tertiary level in 2019, OR= 2.24, 95% CI: 1.12-4.46 in the case of tertiary level in the pooled data), a perceived good economic situation (OR=2.31, 95% CI: 1.30-4.09 in the pooled data), participation in breast cancer screening (OR= 5.41, 95% CI: 3.49-8.38 in the pooled data), and social support (OR= 2.04 95% CI: 1.03-4.03 in 2019) have a positive effect on participation in screening. Taking prescription drugs (OR= 0.31 95% CI: 0.12-0.83, in the pooled data), lower economic status (OR=0.25 95% CI:0.07-0.88, in 2009) and worse perceived health (OR= 0.20, 95% CI: 0.06-0.64 in 2014) can be considered factors with a negative effect.

This study identified groups with low participation rates and made it clear that those groups with unfavorable health factors (bad financial status, bad perceived health, taking prescription drugs) participate the least in screening.