Inequities in cervical cancer screening among Colombian women: A multilevel analysis of a nationwide survey

Bermedo-Carrasco, Silvia; Peña-Sánchez, Juan Nicolás; Lepnurm, Rein; Szafron, Michael; Waldner, Cheryl L.

doi:10.1016/j.canep.2015.01.011

Cited by 32 publications

(38 citation statements)

References 33 publications

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“…Although this is observed in French data when grouping all urban areas (6), we found that the higher participation in urban areas was limited to the Paris region. This contrasts with a Spanish study that observed increased screening participation both in medium and large-sized urban areas when compared with small-sized municipalities (less than 20000 inhabitants) (12). Second, when gynecologist accessibility was low, GP accessibility influenced screening participation, with fewer Pap tests only in the women residing in communes with high GP accessibility.…”

Section: Discussioncontrasting

confidence: 52%

Contextual determinants of participation in cervical cancer screening in France, 2010

Araujo

Franck

Cadot

et al. 2017

Cancer Epidemiology

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Section: Discussioncontrasting

confidence: 52%

Contextual determinants of participation in cervical cancer screening in France, 2010

Araujo

Franck

Cadot

et al. 2017

Cancer Epidemiology

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“…Por otra parte, según la encuesta Nacional de Demografía y Salud, en el país el 43,4% de mujeres que se ha practicado la citología alguna vez en su vida relatan "temor" como principal razón de abandono al programa 7,8 . Otros estudios han demostrado que existen diferencias significativas para realizarse una citología según el área de residencia, el nivel de escolaridad y el tipo de seguridad social de las mujeres estudiadas 7,[9][10][11] . Las pruebas moleculares y la autotoma de muestras cervico-vaginales, son herramientas que han roto estas barreras en países desarrollados 12,13 .…”

Section: Introductionunclassified

Genotipificación del Virus de Papiloma Humano en mujeres de la comuna norte de Bucaramanga

Rincón-Orozco

Martínez-Vega

2018

revsal

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Introducción: La infección persistente con Virus de Papiloma Humano de alto riesgo es causa necesaria para la aparición de cáncer de cérvix. Objetivo: Caracterizar molecularmente los genotipos circulantes de Virus de Papiloma Humano en población de la zona Norte de Bucaramanga. Métodos: Estudio de corte transversal en mujeres de 35 a 65 años con riesgo ≥3 puntos para desarrollar cáncer de cérvix determinado por una encuesta estandarizada. En una muestra cervico-vaginal por autotoma se realizaron pruebas moleculares por tecnología HPV Direct Flow CHIP. Resultados: Se encuestaron 810 mujeres, de éstas 435 (53,7%) se realizaron auto-toma por el riesgo presentado. La mediana de edad fue de 47,3 años (RIQ 41-53 años). Casi la totalidad de la población reside en estrato 1 y 2 (98,8%) y en su mayoría son del régimen subsidiado (87,2%). La prevalencia de infección fue de 10,6% (IC 95%: 7,8-13,8), para genotipos de alto riesgo fue de 3,9% (IC 95%: 2,3-6,2), de bajo riesgo de 3,5% (IC 95%: 1,4-5,6) y para genotipo indeterminado de 1,9%. El genotipo de alto riesgo más común fue VPH-59 y de bajo riesgo fue VPH-62/81. Hubo coinfección con genotipos alto/bajo riesgo en cinco mujeres y coinfección con dos genotipos de bajo riesgo en una mujer. Conclusión: la prevalencia de infección por Virus de Papiloma Humano en mujeres que habitan en zonas vulnerables de Bucaramanga es menor a la reportada en Bogotá y Cali (14,9% y 13%, respectivamente). No se encontró predominio de ningún genotipo de alto riesgo en particular. Palabras clave: Cáncer de cuello uterino; Técnicas de diagnóstico molecular; Pruebas de ADN del Papillomavirus Humano; Detección precoz del cáncer; Estudios transversales.

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“…The loss of these women has a considerable consequence to young families and an economic impact on the Colombian society. Deaths in women of reproductive age could reflect limitations in strategies and resources to prevent and treat CC, such as challenges in accessing CC screening previously reported in Colombia [ 30 ]. Screening can have an important impact on reducing CC deaths [ 31 ]; however, to make a meaningful improvement in CC survival, screening needs to be accompanied by adequate access to follow-up and treatment options [ 14 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

The role of socio-demographic factors in premature cervical cancer mortality in Colombia

Bermedo-Carrasco

Waldner

2016

BMC Public Health

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BackgroundWhile cervical cancer (CC) is an important cause of premature mortality in Colombia, the impact of socio-demographic factors on CC mortality in young women is not well understood. The primary objective of this study was to identify differences in CC mortality among Colombian women aged 20–49 years associated with education, type of health insurance, urban or rural and region of residence, and to determine whether differences in mortality associated with education or insurance varied by age.MethodsCervical cancer deaths for 2005–2013 and risk factors were obtained from the National Administrative Department of Statistics. Populations at risk were calculated from age-stratified population projections and the 2010 National and Demographic Health Survey. Negative binomial regression models, stratified by age, were used to examine associations between socio-demographic factors and mortality rates and whether the effects of education and health insurance varied by age. Multiple imputation was used to examine the importance of missing data.ResultsDifferences of CC mortality were identified among women with limited to no education compared to highly educated women, with the largest disparity in the youngest age group (IRR 26.8, 95 % CI 6.65–108). Differences in mortality associated with health insurance also varied based on age group. Women with contributory and special health insurance had lower mortality rates than women with subsidised or no health insurance, except in the youngest age group. No differences were observed between women with subsidised and those with no insurance in any age group. Mortality rates were high among women who resided in urban areas and in the Atlantic, Central, Pacific, and Amazon-Orinoquía regions of Colombia. Missing values in the mortality database did not impact the findings from this study.ConclusionsLimited education was most strongly associated with premature CC mortality in the youngest women. Subsidised insurance did not appear to provide significant protection against CC mortality when compared to not having insurance, suggesting the need to examine diagnostic and treatment services available under the subsidised insurance plan. Our results could be used to target interventions to optimise the impact of resources to prevent premature mortality due to CC in Colombia.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3645-1) contains supplementary material, which is available to authorized users.

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Inequities in cervical cancer screening among Colombian women: A multilevel analysis of a nationwide survey

Cited by 32 publications

References 33 publications

Contextual determinants of participation in cervical cancer screening in France, 2010

Contextual determinants of participation in cervical cancer screening in France, 2010

Genotipificación del Virus de Papiloma Humano en mujeres de la comuna norte de Bucaramanga

The role of socio-demographic factors in premature cervical cancer mortality in Colombia

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