Cervical Cancer Screening Rate and Willingness among Female Migrants in Shenzhen, China: Three-Year Changes in Citywide Surveys

Lin, Wei; Chen, Bin; Wu, Bo; Yuan, Shuguang; Zhong, Chuyan; Huang, Weikang; Hu, Haiyan; Liu, Zhihua; Wang, Yue-Yun

doi:10.4143/crt.2020.219

Cited by 6 publications

(9 citation statements)

References 21 publications

(30 reference statements)

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“…Surveys of target populations in low coverage areas are conducive to exploring possible barriers to CC screening. 48,49 Targeted campaigns in the local language can promote awareness of women's health, which has a positive effect on CC screening. 50 This paper has the following limitations.…”

Section: Discussionmentioning

confidence: 99%

Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China

Qin

et al. 2021

J Med Screen

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Objective To analyse the positive rates of low-grade (LSIL) and high-grade (HSIL) squamous intraepithelial lesions, and cervical cancer (CC), and identify groups at high risk for CC in Guangxi. Setting CC screening options in Guangxi, which is the only minority autonomous area in South China, include the National Cervical Cancer Screening Project (NCCSP) and physical examination (PE). Methods This study was based on PE and NCCSP sample data obtained from 2012 to 2019. We calculated the positive rates of LSIL, HSIL, and CC; analysed the adjusted odds ratio (aOR) and 95% confidence intervals (CI) of the variables in multivariate logistic regression; and subsequently identified groups at high risk for CC. Results The positive rates of LSIL, HSIL, and CC for the total of 873,880 samples were 1.89%, 0.60%, and 0.03%, respectively. Females over 64 years of age (vs. 50–64; aOR = 2.05; 95% CI, 1.71–2.46; P < 0.001) and those from urban (vs. rural; aOR = 1.66; 95% CI, 1.57–1.76; P < 0.001), minority (vs. non-minority; aOR = 1.24; 95% CI, 1.13–1.35; P < 0.001), and coastal (vs. inland; aOR = 1.15; 95% CI, 1.06–1.25; P = 0.001) areas were associated with a high risk of HSIL. Females over 64 (vs. 50–64; aOR = 4.37; 95% CI, 2.88–6.63; P < 0.001) and those from urban (vs. rural; aOR = 3.05; 95% CI, 2.36–3.95; P < 0.001) areas were significantly associated with a high risk of CC. Conclusion Females from urban areas in Guangxi are at high risk for CC. Public health strategies should focus on high-risk populations.

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Section: Discussionmentioning

confidence: 99%

Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China

Qin

et al. 2021

J Med Screen

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“…There is a large difference between developing and developed countries, where cervical cancer cases have been significantly reduced since the implementation of effective screening programs ( 3 ). China's cervical cancer screening rate and willingness were found to be 35.1 and 82.22%, respectively ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…According to research, Ethiopia's prevalence of cervical cancer screening for disease prevention is low, at around 2% nationwide ( 4 ). The Federal Ministry of Health launched visual inspection with acetic acid (VIA) screening in conjunction with access to cryotherapy ( 7 ) at 800 healthcare facilities in order to increase the screening coverage by more than 80%.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, not only was a cancer registry established in several areas of the country, including the study area, to lessen the effects of cervical cancer, to promote cancer surveillance, and to register and research cervical cancer but also media campaign was made many times and is still in progress. As a result, a total of 22,818 women between the ages of 30–49 years underwent cervical cancer screening in 2015 ( 4 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…HPV vaccination and cytological screening programs can prevent cervical cancer, but these services are insufficient in LMICs, particularly in sub-Saharan Africa, including Ethiopia, where the issues are still devastating due to a lack of resources and a weak healthcare system, making cervical cancer screening opportunistic rather than planned. The chance of developing cancer can be decreased by 25-36% in women between the ages of 30 and 40 years who undergo a cervical cancer evaluation one time in their life (2)(3)(4). According to a study conducted in several regions of Ethiopia, women in the Ethiopian army (43.4%), Debre Berhan Town (45.3%) (6), and Addis Ababa (62.7%) (7) expressed a willingness to get a cervical cancer screening.…”

Section: Introductionmentioning

confidence: 99%

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Willingness to utilize cervical cancer screening among Ethiopian women aged 30–65 years

Desta¹,

Alemu²,

Gudeta³

et al. 2022

Front. Glob. Womens Health

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BackgroundCervical cancer screening is a means of detecting cervical cancer early, before it develops, in order to reduce disease mortality and morbidity. When women are screened for cervical cancer between the ages of 30 and 40 years at least one time in their life, their risk of cancer could be decreased by 25–36%. Despite this advantage, cervical cancer screening coverage in Ethiopia is still <2%. As a result, we wanted to see how ready women in the Girar Jarso district, Ethiopia, were to get a cervical cancer test.MethodologyCommunity-based cross-sectional study was done using a stratified cluster sampling technique among 855 women aged 30–65 years in the Girar Jarso district, Ethiopia, from 1 June 2021 to 1 September 2021. A pretested and semi-structured interviewer-administered questionnaire was used to collect the data. EpiData management version 4.6 was used to enter data, which was then exported to SPSS version 23 for analysis. Logistic regression analysis was performed, and variables with a p-value of <0.05 were taken as statistically significant predictors of the willingness to utilize cervical cancer screening.ResultsOf the 855 women, only 315 (46.7%, CI = 43–50.3) women were willing to be checked for cervical cancer, with 181 (21.2%) women having been screened at least one time in their life. Age of 30–39 years [AOR = 2.80 (95% CI: 1.05, 7.48)], urban resident [AOR = 2.12 (95% CI: 1.06, 4.48)], positive attitude [AOR = 1.68 (95% CI: 1.11, 2.53)], wealth status, awareness of cervical cancer, and low perceived barriers were independent predictors of the willingness to utilize cervical cancer screening.Conclusion and recommendationThe willingness to utilize cervical cancer screening services is low in the Girar Jarso district. To improve community awareness and attitude, continued and sustainable advocacy on the value of cervical cancer screening should be offered through mass media and health extension workers.

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Associations between the signing status of family doctor contract services and cervical cancer screening behaviors: a cross-sectional study in Shenzhen, China

et al. 2023

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Background As a core part of the primary healthcare system, family doctor contract services (FDCS) may help healthcare providers promote cervical cancer screening to the female population. However, evidence from population-based studies remains scant. This study aimed to investigate the potential associations between the signing status of FDCS and cervical cancer screening practices in Shenzhen, China. Methods A cross-sectional survey among female residents was conducted between July to December 2020 in Shenzhen, China. A multistage sampling method was applied to recruit women seeking health services in community health service centers. Binary logistic regression models were established to assess the associations between the signing status of FDCS and cervical cancer screening behaviors. Results Overall, 4389 women were recruited (mean age: 34.28, standard deviation: 7.61). More than half (54.3%) of the participants had signed up with family doctors. Women who had signed up for FDCS performed better in HPV-related knowledge (high-level rate: 49.0% vs. 35.6%, P<0.001), past screening participation (48.4% vs. 38.8%, P<0.001), and future screening willingness (95.9% vs. 90.8%, P<0.001) than non-signing women. Signing up with family doctors was marginally associated with past screening participation (OR: 1.13, 95%CI: 0.99–1.28), which tended to be robust among women with health insurance, being older than 25 years old at sexual debut, using condom consistently during sexual intercourse, and with a low level of HPV related knowledge. Similarly, signing up with family doctors was positively associated with future screening willingness (OR: 1.68, 95%CI: 1.29–2.20), which was more pronounced among women who got married and had health insurance. Conclusions This study suggests that signing up with family doctors has positive associations with cervical cancer screening behaviors among Chinese women. Expanding public awareness of cervical cancer prevention and FDCS may be a feasible way to achieve the goal of cervical cancer screening coverage.

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Cervical Cancer Screening Rate and Willingness among Female Migrants in Shenzhen, China: Three-Year Changes in Citywide Surveys

Cited by 6 publications

References 21 publications

Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China

Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China

Willingness to utilize cervical cancer screening among Ethiopian women aged 30–65 years

Associations between the signing status of family doctor contract services and cervical cancer screening behaviors: a cross-sectional study in Shenzhen, China

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