Cervical cancer is the second most common cancer among women worldwide. However, through screening, cervical cancer can be detected and treated. Currently, Quebec has not implemented a systematic cervical cancer screening program. In 2005, only 75% of adult women living in Quebec met the recommended guideline of being screened at least once in the previous 3 years. There is therefore a large potential to increase screening coverage in Quebec. Organized population-level programs in the province are needed. Yet, evidence about who is not being screened and why is lacking. This proposed research seeks to fill this knowledge gap. The objective of the project is to identify the individual, health services-related, and community-level determinants of cervical cancer screening among urban-dwelling women. We intend for this research to support the development of interventions and policies to improve cervical cancer screening in Quebec. To achieve these goals, the project focuses on women living on the island of Montreal, and will access data from the 2001 to 2007 waves of the Canadian Community Health Survey, combined via postal code to neighbourhood-level data on health care facilities, poverty, immigration, housing tenure, voting rates, crime rates, public transportation infrastructures, and walkability. Spatial tests will be conducted to describe screening patterns across neighbourhoods in Montreal. Analyses will also test the associations between individual factors, community-level predictors, and the likelihood of cervical cancer screening. These analyses will provide valuable insights into the factors that affect women's likelihood of being screened, and will allow us to identify vulnerable groups that may warrant specific interventions. Our findings will be shared directly with public health policy-makers in Quebec in order to develop stronger programs that reduce inequalities in screening coverage, and empower women to adhere to screening guidelines.