Gender inequality and mammography screening: Does living with a partner improve women's mammography uptake?

Jolidon, Vladimir

doi:10.1016/j.socscimed.2022.114875

Cited by 7 publications

(2 citation statements)

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“…Some states like Manipur and Meghalaya had higher uptake of screening despite low SES and WES. In addition, women’s religion and marital status are other known determinants that this study did not consider due to lack of individual level data at the time of conducting this study [ 17 ]. This study also has limitations inherent to survey-based studies in which self-reporting errors cannot be eliminated.…”

Section: Limitationsmentioning

confidence: 99%

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Does women’s empowerment and their socioeconomic condition affect the uptake of breast cancer screening? Findings from NFHS-5, India

Patil¹,

Sarang²,

Bhandarkar³

et al. 2023

BMC Women's Health

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Background Screening for breast cancer results in early diagnosis of the disease and improves survival. However, increasing participation of women in screening programs is challenging since it is influenced by socioeconomic and cultural factors. This study explores the relationship of socioeconomic and women empowerment factors with breast cancer screening uptakes in the states and union territories of India. Methods We used summary reports of secondary data from all the states and union territories based on the fifth wave of the National Family Health Survey in India. This ecological study compares the uptake of breast cancer screening across states of India. We considered socioeconomic status (SES) and women empowerment status (WES) indicators from the survey as independent variables and state-wise breast cancer screening uptake as dependent variables for studying their association. The determinants of breast cancer screening were calculated using a simple linear regression model. Results We found that socioeconomic status and women empowerment status moderately correlated with breast cancer screening uptake (correlation coefficient 0.34 and 0.38, respectively). States with higher rates of literacy among women and of women who had their own bank accounts that they decided how to use reported higher uptake of breast cancer screening (p = 0.01 and 0.03, respectively). However, the correlation was not uniform across all the states. The states of Chandigarh, Delhi, Telangana, and Karnataka showed lower participation despite a higher percentage of literate women and women with their own bank accounts. Conclusion This study indicates that women’s literacy and having their own bank account may moderately improve their participation in cancer screening. However, higher SES and WES did not translate into better screening in many of the states. More research is needed, especially for states which had low screening uptake despite relatively higher rates of women empowerment.

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Section: Limitationsmentioning

confidence: 99%

“…These combine to negatively impact women’s participation in preventive healthcare or screening programs. It is thus crucial to study how women empowerment indices correlate with women’s participation in preventive health services, including screening programs in India [ 15 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

Does women’s empowerment and their socioeconomic condition affect the uptake of breast cancer screening? Findings from NFHS-5, India

Patil¹,

Sarang²,

Bhandarkar³

et al. 2023

BMC Women's Health

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The influence of gender inequality on women’s cancer mortality in European countries: a quantitative study

Koengkan,

Fuinhas

2023

J Public Health (Berl.)

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Aim This study investigates the impact of gender inequality on cancer mortality among European women across 27 countries from 2013 to 2020. Subject and methods The study explores the link between gender inequality and cancer mortality, employing pooled ordinary least squares regression. It evaluates socioeconomic gaps, healthcare access disparities, risky behaviours, and elements like screening, education, and life expectancy. The study also investigates how healthcare spending, employment, self-perceived health, and leisure activities influence mortality. Results The study shows that breast and cervical cancer screenings (BCS) significantly reduce cancer-related deaths among European women (CDW), with a negative impact of −0.0875. Similarly, tertiary education and participation in education and training (WEP) show a negative impact of −0.0021. Absolute life expectancy for women at birth (LEW) demonstrates a negative impact of −5.2603, all contributing to decreased cancer-related deaths. Conversely, certain variables have a contradictory positive impact on CDW. Total healthcare expenditure (HCE) has a positive impact of +0.0311, and full-time equivalent employment (FER) of +0.3212. Women engaging in activities (WLW) has a positive impact of +0.6572. Self-perception of good health (WHG), refraining from smoking or harmful drinking (NSN) (+0.2649), and an active lifestyle with consumption of fruits and vegetables (PAF) (+0.2649) also impact positively, collectively contributing to increased cancer mortality among women. Conclusion The study highlights the importance of combating gender inequality to decrease cancer deaths in European women. Strategies include closing healthcare gaps and enhancing health education. Complex links between smoking, alcohol, and cancer mortality require further research. Interventions targeting disparities, healthcare access, and risky behaviours can notably lower cancer mortality.

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Effect of socioeconomic status and women empowerment status on coverage of oral cancer screening among Indian women within reproductive age group

Halder,

Das,

Jeer

et al. 2024

Sci Rep

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Oral cancer is the second most prevalent cancer in India and 5% of all cancers in women is contributed by oral cancer. In spite of being a part of national programme, the screening coverage rates remain low. Studies have indicated that the societal status of women and their empowerment plays a role in screening coverage for cancer. The objective of the current study is to estimate the coverage of oral cancer screening among Indian women within reproductive age-group across Indian states and union territories (UTs), to explore the relationship of socioeconomic status (SES) and women empower status (WES) with oral cancer screening coverage across Indian states and union territories (UT). Data from the fifth round of the nationally representative cross-sectional survey (National Family Health Survey, NFHS-2019–2021) was used in the present study with 3,48,882 individuals being included in the final analysis. We have cross-tabulated SES and WES composite scores with the Dimension Index (DI) of screening and categorised states and UTs into low, middle and high. We have represented these values over the Indian map. The interaction among these was graphically represented by a bubble plot. Further, we estimated the association of each indicator of SES and WES with screening coverage using multivariable logistic regression. The national coverage of oral cancer screening among women of reproductive age was 0.77% with Andhra Pradesh (7%) and Andaman and Nicobar Islands (10%) recording the highest screening coverage. Despite having high SES and WES scores, Madhya Pradesh and Uttar Pradesh, the screening (DI) was low. States with both high women empowerment status and high socioeconomic status showed high oral cancer screening uptake but the trend was not universal. Still, there were variations in the association among the states. The increased screening was significantly associated with higher access to improved sanitary facility (76%) and clean fuel for cooking (44%). Socio-economic status is an important precursor for better oral cancer screening coverage but women empowerment status did not always translate into good cancer screening uptake. Deep-rooted socio-cultural constructs and stigma associated with cancer and its implications may play a role. Implementation research for better uptake of oral cancer screening coverage is required. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-80346-w.

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Gender inequality and mammography screening: Does living with a partner improve women's mammography uptake?

Cited by 7 publications

References 58 publications

Does women’s empowerment and their socioeconomic condition affect the uptake of breast cancer screening? Findings from NFHS-5, India

Does women’s empowerment and their socioeconomic condition affect the uptake of breast cancer screening? Findings from NFHS-5, India

The influence of gender inequality on women’s cancer mortality in European countries: a quantitative study

Effect of socioeconomic status and women empowerment status on coverage of oral cancer screening among Indian women within reproductive age group

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