Cervical Cancer Screening Access for Women Who Experience Imprisonment in Ontario, Canada

Abstract

Key Points Question Are women who experience imprisonment less likely to be up-to-date on cervical cancer screening than women in the general population? Findings In this population-based cohort study, 53.9% of the 4553 women in the prison group were overdue for cervical cancer screening compared with 32.9% of the 3 647 936 women in the general population, which was a significant difference. Meaning Efforts should be made to improve access to cervical cancer screening for women who experience imprisonment.

A “Tea and Cookies” Approach: Co-designing Cancer Screening Interventions with Patients Living with Low Income

“…Trauma-informed care consists of (i) bearing witness to the patient's experience, (ii) helping patients feel they are in a safe space, (iii) actively engaging patients in their healthcare through informed choice, (iv) believing in the patient's strength and resilience and (v) incorporating processes that reflect a patient's personal and social identity 34 . At the very least, our findings suggest that any encounters around screening should include gently probing patients' fears if there are hesitations about screening, as well as trying to address patients' competing priorities through making screening as accessible as possible 35,36 .…”

Improving Health and Healthcare Access for People who Experience Imprisonment in Ontario

“…Although we do not have systematic processes in place to assess the quality of care in Ontario provincial prisons, our findings on HIV diagnosis and treatment, cancer screening and antenatal care in people who experienced imprisonment in 2010 indicate that healthcare in prison does not meet patient needs or quality standards (Carter Ramirez et al 2020;Kouyoumdjian et al 2018aKouyoumdjian et al , 2019aMcConnon et al 2019;Van Meer et al 2019).…”

Psychiatric morbidity and cervical cancer screening: a retrospective population-based case–cohort study

“…Cohort entry at the age of 19 is consistent with the prevailing Ontario guideline 19 and with other cohort studies that have defined entry between age 18 and 21. 9,10,20,21 Exclusion criteria included an invalid OHIP number, and a history of cervical cancer or hysterectomy before July 1 of the year of cohort entry. The Ontario Health Insurance Plan is the taxpayer-funded government-operated health insurance plan that provides universal coverage of preventive and emergency physician and hospital services for people whose principal residence is in Ontario and who are present in Ontario for more than half of the days in a given year.…”