Social inequality in Pap smear coverage: identifying under-users of cervical cancer screening in Argentina

Arrossi, Silvina; Ramos, Silvina; Paolino, Melisa; Sankaranarayanan, Rengaswamy

doi:10.1016/s0968-8080(08)32410-0

Cited by 43 publications

(44 citation statements)

References 20 publications

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“…In line with previous findings, our results point to a high degree of screening inequality in southern and eastern Europe and the Americas (Todorova et al 2009;Palencia et al 2010;Arrossi et al 2008). We extend the results of a previous cross-country comparison of cervical screening that used the WHS data in two important ways (Gakidou et al 2008).…”

Section: Discussionsupporting

confidence: 91%

“…For the decomposition analysis, we examined variables that have been found to be associated with both cervical screening and permanent income: age, education level, marital status, and urbanicity (Palencia et al 2010;Akers et al 2007;Arrossi et al 2008;Leyden et al 2005;Albuquerque et al 2009). We also included a variable indicating whether or not the woman reported needing health care for herself or her child within the past year (Winkler et al 2008).…”

Section: Methodsmentioning

confidence: 99%

“…Much more limited data exist on socioeconomic inequalities in cervical cancer screening within developing countries, where most research has relied on small sub-national samples (Chan et al 2002;Martins et al 2009;Arrossi et al 2008;Lazcano-Ponce et al 1997;Wellensiek et al 2002). Cross-national comparisons of inequality in cervical screening have focused mainly on between-country inequalities in average screening rates.…”

Section: Introductionmentioning

confidence: 99%

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Decomposing income-related inequality in cervical screening in 67 countries

McKinnon

Harper

Moore

2010

Int J Public Health

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Decomposing income-related inequality in cervical screening in 67 countries

McKinnon

Harper

Moore

2010

Int J Public Health

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“…4 Studies have reported the age of the client, level of knowledge about the procedure, sociocultural characteristics and staff attitude at screening centres as factors that can influence the uptake of cervical cancer screening and colposcopy services. 5,6,7 However, majority of these studies investigated clinical outcomes usually from the perception of the service provider. Indeed, limited studies have reported physical after effects like vaginal bleeding, pain and vaginal discharge following cervical biopsy performed during colposcopy.…”

Section: Introductionmentioning

confidence: 99%

Physical after effects and clients satisfaction following colposcopy and cervical biopsy in a Nigerian population

Okonkwo¹,

Ezeanochie²,

Olagbuji³

2013

Afr H. Sci.

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Background: Although Nigeria has a high prevalence of cervical cancer, screening services including colposcopy and directed cervical biopsy are not widely available Objectives: A prospective study among 111 women who had colposcopy and cervical biopsy following an abnormal Pap smear result at the University of Benin Teaching Hospital in Nigeria. It explored physical after effects experienced and satisfaction of clients after the procedure. Results: The mean age of the population was 49.5±8.7 years (range, 30 -64 years) and majority (64.9%) had tertiary education. Overall, 69 women (62.2%) reported physical effects following the procedure. Common physical effects experienced included spotting blood per vaginam (65.2%), pain (34.8%) and vaginal discharge (17.4%). Spontaneous resolution of symptoms occurred within 48 hours in 90.9% of those who reported physical effects. Clients who experienced physical after effects were significantly older (p=0.002) and had tertiary education (p=0.019). Majority of the women (94.6%) were satisfied with the screening services and more than 97% were willing to accept a repeat procedure. Conclusion: Although majority of the clients who had colposcopy and cervical biopsy reported they experienced physical side effects, more than 97% were willing to have a repeat procedure. This information can assist colposcopic service providers in counseling clients.

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“…La probabilidad de desarrollar este tipo de tumor se encuentra estrechamente relacionada con la participación de las mujeres en el tamizaje. En Argentina, el acceso al tamizaje de las mujeres socialmente más vulnerables se ha visto limitado por la existencia de barreras geográficas, culturales, sociales y vinculadas a la organización de los servicios de salud 2,3,4 .…”

Section: Introductionunclassified