Barriers to cervical cancer screening among rural women in eastern China: a qualitative study

Yang, Huan; Li, Shun-Ping; Chen, Qing; Morgan, Chris

doi:10.1136/bmjopen-2018-026413

Cited by 47 publications

(60 citation statements)

References 40 publications

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“…Working women are more likely to perform PS because of having higher level of outcome, and accessing richer information and scientific resources. However, housewives are less likely to perform the above test due to their lower participation in the society and, as a result, their lack of awareness and financial dependence on their spouses [ 45 ]. Structural barriers such as low household incomes are an important determinant and make men unable to provide financial support to women.…”

Section: Resultsmentioning

confidence: 99%

Exploring the barriers to Pap smear test in Iranian women: a qualitative study

et al. 2021

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Background Cervical cancer is one of the most frequent types of cancer in females. The Pap smear is one of the most essential ways of diagnosing and screening for this malignancy, and any failure can be caused by a number of causes. The current study sought to investigate barriers to Pap smear in Iranian women. Method This qualitative content analysis study was conducted in Iran in 2019. Data was gathered through focus groups and individual semi-structured interviews with 32 women and health professionals. The interviewees were chosen using a combination of purposive and theoretical sampling. The data was then analyzed using the content analysis approach developed by Graneheim and Lundman. Guba and Lincoln's criteria for establishing trustworthiness were explored. Results Data analysis resulted in the identification of four primary categories, seventeen subcategories, and 186 original concepts. The main categories include weakness of health system, difficult accessibility, low health literacy, and socio-cultural factors. Conclusion By informing women about the necessity and importance of Pap smear, providing the conditions, facilities, and equipment to facilitate the testing process, and paying more attention to cultural and social factors in cervical cancer and Pap smear planning, interventions, and policies, barriers to Pap testing can be eliminated.

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Section: Resultsmentioning

confidence: 99%

Exploring the barriers to Pap smear test in Iranian women: a qualitative study

et al. 2021

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“…Additionally, some women in another Ethiopian study tended to give priority to diseases that present symptoms [ 51 ]. The studies conducted in high-income countries have also shown that feeling healthy is one of the barriers to participate in a CCS program [ 75 , 82 , 83 ].…”

Section: Discussionmentioning

confidence: 99%

Community cervical cancer screening: Barriers to successful home-based HPV self-sampling in Dabat district, North Gondar, Ethiopia. A qualitative study

et al. 2020

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Objective To explore the barriers to successful home-based human papillomavirus (HPV) self-sampling in North Gondar, Ethiopia. Methods The study participants were women who had previously participated in a community-wide home-based HPV self-sampling pilot study, community health workers, women’s development army leaders, and the sample collectors of the home-based HPV self-sampling pilot study. A community based qualitative descriptive study was conducted. We applied purposive and convenience sampling. In total, 47 women participated in the study (in-depth interviews n = 22, four focus group discussions n = 25, 6–7 participants each). The study employed thematic analysis for clustering the emerged themes. Results Husband disapproval was identified as the main barrier to the acceptance of home-based HPV self-sampling. Social influence, lack of knowledge about cervical cancer and screening, lack of health education on cervical cancer and HPV-based screening, feeling healthy, and religious influence were identified as additional barriers. Fear of using Evalyn brush® for self-sampling was found to be the main barrier to the provision of a quality sample. The inability of the sample collectors to check the proper utilization of Evalyn brush® and the difficulty in understanding the instructions did also contribute to the low-quality. Providing health education concerning cervical cancer and HPV self-sapling to women, male involvement in the screening program, and linking the screening service to existing local health facilities were suggested to guarantee the success of home-based HPV self-sampling. Conclusions Educating women regarding cervical cancer and HPV testing, providing clear instructions on how to collect self-sample, and male involvement in the screening program are prerequisites for a successful implementation of home-based HPV testing. Women empowerment should also be focused to overcome the identified sociocultural barriers. Furthermore, the screening program should guarantee the timely provision of the test results and offering women follow-up examinations and treatment for abnormal findings.

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“…Though, WHO recommended screening of women aged 30-49years (24) and screening for cervical cancer between age 21 to 65years substantially reduces cervical cancer incidence (25), advanced stage of the disease (23), and mortality (22,23,25,26); still, there are different barriers that hinder the utilization of the screening services. Absence of linkage of diagnosis and treatment (6), traditional practices and beliefs (27,28), socioeconomic status (29)(30)(31), public awareness (31,32), fear of cancer and out-comes of screening (31)(32)(33), and health care access (30,31,33) are barriers of cervical cancer screening uptake mainly in LMICs. A few qualitative studies identi ed the lack of understanding of the bene ts of the screening as barriers to CC screening in LMICs (28,31).…”

Section: Introductionmentioning

confidence: 99%

Cervical Cancer Screening Uptake and Determinant Factors Among Women in Ambo Town, Western Oromia, Ethiopia: Community based Cross Sectional Study

Natae

Nigatu

Negawo

et al. 2021

Preprint

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Background: Cervical cancer is one of the principal causes of cancer death among women worldwide. It is the second most common cancer and the leading cause of cancer-related death in Ethiopian women; about 77.6% of women died of 6,294 new cases reported in 2019. Early screening for cervical cancer has substantial advantage to reduce the incidence, morbidity, and mortality attributed to cervical cancer. So far, there are limited evidence on the level of cervical cancer screening uptake and its determinant in low- and middle-income countries including Ethiopia. Consequently, the current study aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, western Oromia, Ethiopia.Methods: A community-based cross-sectional study was conducted among 422 women aged 20-65years. Systematic random sampling was employed to recruit the eligible women from randomly selected sub-districts found in Ambo town. Interviewer-administered questionnaire was used to collect the data. Epi info was used for data entry and management from which it was exported to SPSS version 25 for detailed analysis. Variables in binary logistic regression with a p-value <0.25 were candidate for multivariable logistic regression. Estimates were presented using odds ratios (ORs) with 95% CI. Statistical Significance was declared at p value<0.05.Results: In the present study 392 women were participated giving a response rate of 93%. Overall, 63% of the respondents were known the availability of cervical cancer screening service. Only 8.7% (34) of the study participants were received cervical cancer screening in their lifetime. Being in the age group of 30-39 years (AOR=3.2; 95% CI [1.22, 8.36]) and 40-49years (AOR=4.8; 95% CI [1.42, 16.41]), having cervical cancer related discussion with health care provider (AOR=3.5; 95% CI [1.17, 10.7]), and knowing availability cervical cancer screening service (AOR=2.8; 95% CI [1.03, 7.87]) were significantly associated with uptake of cervical cancer screening. Conclusion: In this study, cervical cancer screening uptake is very low. The study also highlighted important factors that affect uptake of cervical cancer screening service. Therefore, this study result call urgent interventions by all stockholders to increase cervical cancer service uptake through continues promotions and by securing its availability and accessibility for all eligible women at all levels.

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Barriers to cervical cancer screening among rural women in eastern China: a qualitative study

Cited by 47 publications

References 40 publications

Exploring the barriers to Pap smear test in Iranian women: a qualitative study

Exploring the barriers to Pap smear test in Iranian women: a qualitative study

Community cervical cancer screening: Barriers to successful home-based HPV self-sampling in Dabat district, North Gondar, Ethiopia. A qualitative study

Cervical Cancer Screening Uptake and Determinant Factors Among Women in Ambo Town, Western Oromia, Ethiopia: Community based Cross Sectional Study

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