Education predicts cervical cancer survival: a Lithuanian cohort study

Abstract

: We examined inequalities in cervical cancer survival in Lithuania by education and place of residence. : The study is based on the linked dataset that includes all records of the 2001 population Census, all records from Lithuanian Cancer Registry (cancer incidence) and all death and emigration records from Statistics Lithuania for the period between 6 April 2001 and 31 December 2009. The study group includes cervical cancers registered in the Cancer Registry from 1 January 2002 to 31 December 2006. Analysis was restricted to women who were 25-64 years old at the Census date (in total 1 866 cases). : During the study period there were 671 deaths corresponding to an overall 5-year survival proportion 64.13% (95% CI 61.86-66.31). Place of residence and education of cervical cancer patients had strong impact on survival; 5-year survival was higher in women living in urban areas than in rural (68.61 and 55.93%) and survival decreased with decreasing education: from 79.77% in highest education group to 64.85 and 50.48% in groups with secondary and lower than secondary education. The effect of place of residence declined when stage of disease was included in the model and became not significant in final model with education adjustment. The effect of education declined after inclusion of stage and other variables, however, remained significant. : We found that women with higher education experienced higher survival following a cervical cancer diagnosis, and stage of disease at the time of diagnosis explains only the part of observed differences.

Investigation on Psychological Status of Patients with Cervical Precancerous Lesions and Cancer Among Han and Ethnic Minority in Yunnan Province of China

“…This is the same with the research conclusion of Chinese scholar Wu Ying [24]. Some studies [25][26] have also found that the quality of life of cervical cancer survivors is related to their education level. The higher the education level, the higher the quality of life of patients.…”

How to Improve Cancer Prevention Knowledge? A Way to Identify Gaps and Tackle the Limited Availability of Health Education Services in Primary Health Care Using the European Code Against Cancer

“…Place of residence (urban vs. rural) is known to be associated with different exposures to certain risk factors ( 19 – 25 ), differences in access to health services ( 26 , 27 ), and differing survival rates of cancer patients ( 28 – 30 ). Therefore, we decided to assess health knowledge and health behaviours referred to in the ECAC as well as the availability of health education in a population inhabiting a remote rural area.…”

From Survey Results to a Decision-Making Matrix for Strategic Planning in Healthcare: The Case of Clinical Pathways

“…This is probably due to the fact that, regarding the continuity of care for patients affected by both DSA and SARS-CoV-2, the number of cases was small, and it was not necessary to create separate pathways and/or wards [14], whereas the continuity of oncological care was, in any case, guaranteed thanks to the use of protective devices, pre-triage of patients accessing the hospital, delay of non-urgent visits, and use of telemedicine for patients' follow-up, in addition to periodical rhino-pharyngeal swabs for SARS-CoV-2 testing in healthcare workers [18][19][20]. It is interesting, however, how the literature reports a gap in the knowledge of palliative care [23] and that a higher education leads to higher chances of survival in some typologies of cancer [24].…”