The next Sub Saharan African epidemic? A case study of the determinants of cervical cancer knowledge and screening in Kenya

Kangmennaang, Joseph; Onyango, Elizabeth Opiyo; Luginaah, Isaac; Elliott, Susan J.

doi:10.1016/j.socscimed.2017.12.013

Cited by 44 publications

(51 citation statements)

References 51 publications

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“…Women from disadvantaged socioeconomic households were found to have suboptimal knowledge of CC and underutilised CC screening services compared to their counterparts from more advantaged households, confirming findings reported by others [22,23,29,36,37]. Unfortunately, opportunistic CCS services are usually practised in RCCs [4,21,30,57].…”

Section: Discussionsupporting

confidence: 74%

“…Prevention mechanisms have become more pronounced in the developed world over the past couple of decades, and CC incidence rates have fallen there, largely because of primary prevention programs [19]. During the same period, however, rates in most developing countries have risen or remained unchanged, often based on limited access to health services, lack of awareness and absence of screening and treatment programmes [17,[20][21][22][23][24]. However, screening services are generally the most acceptable prevention strategy, detecting precancerous changes before they progress to the invasive cancer stage [25].…”

Section: Introductionmentioning

confidence: 99%

“…The relationship between health care utilisation and socio-demographic characteristics has been widely addressed in the literature [26][27][28][29][30]. Low levels of knowledge and uptake of CC screening services are linked to low socio-economic status (SES) [23,27,31], poverty and poor economic development at the country level, and inadequate health services, such as limited health facilities, unaffordability of services, poor quality of cytology services and lack of culturally appropriate and acceptable screening methods [3, 8, 20-22, 26, 32-35].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Mahumud

Keramat

Ormsby

et al. 2020

Int J Equity Health

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Introduction: Resource-constrained countries (RCCs) have the highest burden of cervical cancer (CC) in the world. Nonetheless, although CC can be prevented through screening for precancerous lesions, only a small proportion of women utilise screening services in RCCs. The objective of this study was to examine the magnitude of inequalities of women's knowledge and utilisation of cervical cancer screening (CCS) services in RCCs. Methods: A total of 1,802,413 sample observations from 18 RCC's latest national-level Demographic and Health Surveys (2008 to 2017-18) were analysed to assess wealth-related inequalities in terms of women's knowledge and utilisation of CCS services. Regression-based decomposition analyses were applied in order to compute the contribution to the inequality disparities of the explanatory variables for women's knowledge and utilisation of CCS services.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Mahumud

Keramat

Ormsby

et al. 2020

Int J Equity Health

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“…Quelques études mettent également en évidence l'effet de facteurs contextuels sur la réalisation du FCU. Ainsi, les femmes vivant en milieu rural ont un moindre accès aux professionnels de santé et, par conséquent, au dépistage (Burton-Jeangros et al 2017, Kangmennaang et al 2018, Duport et al 2008).…”

Section: Contexte Du Dépistage En Franceunclassified

Les déterminants du recours au dépistage du cancer du col de l’utérus : une analyse départementale

Konopka¹,

Barnay²,

Billaudeau³

et al. 2019

Économie &Amp; Prévision

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Créteil (UPEC) 2 Fondation d'entreprise MGEN pour la santé publique Résumé L'objectif de cette étude est d'analyser les déterminants des disparités géographiques de recours au dépistage du cancer du col en France. L'échantillon étudié est composé de femmes âgées de 25 à 65 ans, assurées à la Mutuelle Générale de l'Éducation Nationale (MGEN) au moins en régime obligatoire (RO) sur la période du 1 er janvier 2012 au 31 décembre 2014. Les modèles multiniveaux confirment l'existence d'inégalités territoriales de recours au dépistage. Par ailleurs, ils montrent que l'âge, le tarif de la consultation de gynécologie et un contexte socio-économique défavorisé sont associés à une diminution de la probabilité de se faire dépister, et que le fait d'être en couple, d'être couverte en régime complémentaire (RC) par la MGEN, d'avoir eu un suivi pour une contraception ou une grossesse, de s'être fait dépister pour le cancer du sein (mammographie) et la densité de professionnels de santé sont associés à une augmentation du recours au dépistage. Différents leviers d'action seront discutés au regard du rôle majeur joué par les professionnels de santé dans l'accès au dépistage.

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“…The global cancer burden is expected to increase by 50% by 2030, with most of the burden in low-and middle-income countries (LMIC), including South Africa (SA) [1]. Unique features of cancer in sub-Saharan Africa (SSA) are the disproportionately high burden of cancers in women (56%), the high proportion of infection-related cancers (30% of all cancers) and the late stage at which cancer is diagnosed, coupled with limited health resources to screen and treat cancer [2][3][4][5].…”

mentioning

confidence: 99%

Women’s appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study 

Harries

Scott

Walter

et al. 2020

Preprint

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Background: In South Africa, breast cancer is the most commonly diagnosed cancer and cervical cancer the leading cause of cancer mortality. Most cancers are diagnosed at a late-stage and following symptomatic presentation. The overall purpose of the study was to inform interventions aimed at improving timely diagnosis of breast and cervical cancer.Methods: In-depth interviews were conducted with women with potential breast or cervical cancer symptoms from urban and rural South Africa. Participants were recruited from a community-based cross-sectional study on breast and cervical cancer awareness. Data were analysed using a thematic analysis approach. Results: Eighteen women were interviewed (10 urban, 8 rural): the median age was 34.5 years (range 22-58). Most were unemployed, and five were HIV positive. Themes included impact and attribution of bodily changes; influence of social networks and health messaging in help-seeking; management of symptoms and help-seeking barriers. Breast changes were often attributed to manual activities or possible cancer. Women were often unsure how to interpret vaginal symptoms, attributing them to HIV, hormonal contraceptives, or partner infidelity. Concerns about cancer were based on health information from the radio, social networks, or from primary care providers. Prompt care seeking was triggered by impact of symptoms on personal lives. Rural women, especially with possible symptoms of cervical cancer, experienced challenges during help-seeking including judgmental attitudes of clinic staff. Most participants were skeptical of traditional medicine. Conclusions: This is the first study exploring interpretation of possible breast and cervical cancer symptoms at a community level in South Africa. The process of interpreting bodily changes, symptom attribution and help-seeking is complex and influenced by women’s everyday life experiences. Timely diagnosis interventions should not only include cancer symptom awareness but also address individual, structural and health systems related barriers to care.

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The next Sub Saharan African epidemic? A case study of the determinants of cervical cancer knowledge and screening in Kenya

Cited by 44 publications

References 51 publications

Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Les déterminants du recours au dépistage du cancer du col de l’utérus : une analyse départementale

Women’s appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study

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The next Sub Saharan African epidemic? A case study of the determinants of cervical cancer knowledge and screening in Kenya

Cited by 44 publications

References 51 publications

Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Wealth-related inequalities of women’s knowledge of cervical cancer screening and service utilisation in 18 resource-constrained countries: evidence from a pooled decomposition analysis

Les déterminants du recours au dépistage du cancer du col de l’utérus : une analyse départementale

Women’s appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study&nbsp;

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Women’s appraisal, interpretation and help-seeking for possible symptoms of breast and cervical cancer in South Africa: a qualitative study