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Metrics details. Cervical cancer is the fourth most common cancer among women worldwide, both for incidence and mortality. Prevention relies on screening with a Pap test to detect precancerous lesions, which can then be treated. Access to this screening is currently both improvable and inequitable. Pregnancy may be an ideal moment for women to catch up on their overdue cervical cancer screening.

In the general population, women's risk of not being screened is associated with their place of birth and other social factors; this may be true as well among pregnant women. Our objective was to study the association between women's place of birth and their failure to catch up with this screening during pregnancy.

The French National Perinatal Survey included 13, women who gave birth after 21 weeks of gestation. The association between their place of birth and failure to catch up on this screening defined by the absence of a Pap test during pregnancy for women overdue for it was adjusted for age, parity, education level, health insurance, and when they began prenatal care with logistic regression models.

After adjustment for other risk factors, maternal place of birth was not associated with a higher risk of failure to catch up with this screening during pregnancy. However, factors identified as associated with this risk included a low education level and late start of prenatal care.