Cervical cancer screening coverage in the Americas region: a synthetic analysis

Fernández-Deaza, Ginna; Serrano, Beatriz; Roura, Esther; Castillo, Juan Sebastián; Caicedo-Martínez, María; Bruni, Laia; Murillo, Raúl

doi:10.1016/j.lana.2024.100689

Cited by 2 publications

(2 citation statements)

References 20 publications

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“…Most of them live in rural areas, where distance from health care centers and practitioners, coupled with the lack of personal resources, limit access to appropriate and timely health care, and pose challenges to screening, diagnosis and treatment ( 82 , 88 , 97 , 103 , 107 , 110 , 113 ). Furthermore, fragmentation of healthcare systems and economic constraints present additional challenges to the implementation of specific programs for prevention and control of cervical cancer among Indigenous women ( 23 , 89 , 90 , 103 , 106 , 107 , 110 ) ( Table 2 ).…”

Section: Barriers To Cervical Cancer Screening and Hpv Vaccination Am...mentioning

confidence: 99%

“…In Latin America and the Caribbean (LAC), most of the countries have implemented cervical screening and HPV vaccination programs, and trends in cervical cancer incidence and mortality have decreased over the past 20 years ( 20 , 21 ). However, several barriers to screening access and vaccination uptake persist ( 22 , 23 ), and the age-standardized incidence and mortality rates in LAC in 2018 were 14.6 and 7.1 per 100,000, respectively, ranking second after the African region and slightly higher than the global rates (13.1 and 6.9, respectively) ( 20 ). In 2020, cervical cancer remained the leading cause of cancer death in women in Belize, Honduras, Nicaragua, Bolivia and Paraguay ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action

Muslin

2024

Front. Public Health

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Cervical cancer, primarily caused by human papillomavirus (HPV) infection, poses a significant global health challenge. Due to higher levels of poverty and health inequities, Indigenous women worldwide are more vulnerable to cervical cancer than their non-Indigenous counterparts. However, despite constituting nearly 10% of the population in Latin America and the Caribbean (LAC), the true extent of the burden of cervical cancer among Indigenous people in this region remains largely unknown. This article reviews the available information on cervical cancer incidence and mortality, as well as HPV infection prevalence, among Indigenous women in LAC. The limited existing data suggest that Indigenous women in this region face a heightened risk of cervical cancer incidence and mortality compared to non-Indigenous women. Nevertheless, a substantial knowledge gap persists that must be addressed to comprehensively assess the burden of cervical cancer among Indigenous populations, especially through enhancing cancer surveillance across LAC countries. Numerous structural, social and cultural barriers hindering Indigenous women’s access to HPV vaccination and cervical cancer screening worldwide have been identified and are reviewed in this article. The discussion highlights the critical role of culturally sensitive education, community engagement, and empowerment strategies in overcoming those barriers. Drawing insights from the success of targeted strategies in certain high-income countries, the present article advocates for research, policies and healthcare interventions tailored to the unique context of LAC countries.

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Section: Barriers To Cervical Cancer Screening and Hpv Vaccination Am...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action

Muslin

2024

Front. Public Health

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Ethnic inequalities in coverage and use of women’s cancer screening in Peru

Intimayta-Escalante

2024

BMC Women's Health

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Objective This study aimed to assess ethnic inequalities in the coverage and utilization of cancer screening services among women in Peru. Methods Data from the 2017–2023 Demographic and Family Health Survey in Peru were analyzed to evaluate ethnic disparities in screening coverage for breast and cervical cancer, including clinical breast examination (CBE), Pap smear test (PST), and mammography. Measures such as the GINI coefficient and Slope Index of Inequality (SII) were used to quantify coverage and utilization disparities among ethnic groups. Results The study included 70,454 women aged 30–69. Among women aged 40–69, 48.31% underwent CBE, 84.06% received PST, and 41.69% underwent mammography. It was found inequalities in coverage for any cancer screening (GINI: 0.10), mammography (GINI: 0.21), CBE (GINI: 0.19), and PST (GINI: 0.06), in 25 Peruvian regions. These inequalities were more pronounced in regions with larger populations of Quechua, Aymara, and Afro-Peruvian women. In rural areas, Quechua or Aymara women (SII: -0.83, -0.95, and − 0.69, respectively) and Afro-Peruvian women (SII: -0.80, -0.92, and − 0.58, respectively) experienced heightened inequalities in the uptake of CBE, mammography, and PST, respectively. Like Quechua or Aymara women (SII: -0.50, SII: -0.52, and SII: -0.50, respectively) and Afro-Peruvian women (SII: -0.50, SII: -0.58, and SII: -0.44, respectively) with only a primary education. Conclusion Ethnic inequalities affect breast and cervical cancer screening coverage across regions in Peru. In Quechua, Aymara, and Afro-Peruvian women the uptake of mammography, CBE, and PST was less frequently than their white or mestizo counterparts. These inequalities are attributed to sociodemographic conditions such as lower education levels and residence in rural or non-capital areas.

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Cervical cancer screening coverage in the Americas region: a synthetic analysis

Cited by 2 publications

References 20 publications

Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action

Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action

Ethnic inequalities in coverage and use of women’s cancer screening in Peru

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