Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: a systematic review.
Objectives: Low-and-middle-income countries (LMICs) bear a disproportionate burden of cervical cancer mortality. We aimed to identify what is currently known about barriers to cervical cancer screening among women in LMICs and propose remedial actions.Design: This was a systematic review using Medic...
| Publicado en: | BMC Women's Health Vol. 22; no. 1; pp. 1 - 21 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
12/2/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160562426&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160562426 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726874 1CIP jtl: BMC Women's Health issn: 14726874 maglogo: N pubinfo: dt: 12/2/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 160562426 160562426 NLM36461001 10.1186/s12905-022-02043-y NLM36461001 160562426 ppf: 1 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers to uptake of cervical cancer screening services in low-and-middle-income countries: a systematic review. aug: au: Petersen, Z. Jaca, A. Ginindza, T. G. Maseko, G. Takatshana, S. Ndlovu, P. Zondi, N. Zungu, N. Varghese, C. Hunting, G. Parham, G. Simelela, P. Moyo, S. affil: Human & Social Capabilities (HSC), Human Sciences Research Council, Pretoria, South Africa sug: subj: Early Detection of Cancer Cervix Neoplasms Prevention and Control Cervix Neoplasms Diagnosis Developing Countries Poverty Female Income Female ab: Objectives: Low-and-middle-income countries (LMICs) bear a disproportionate burden of cervical cancer mortality. We aimed to identify what is currently known about barriers to cervical cancer screening among women in LMICs and propose remedial actions.Design: This was a systematic review using Medical Subject Headings (MeSH) terms in Google Scholar, PubMed, Scopus, and Web of Science databases. We also contacted medical associations and universities for grey literature and checked reference lists of eligible articles for relevant literature published in English between 2010 and 2020. We summarized the findings using a descriptive narrative based on themes identified as levels of the social ecological model.Setting: We included studies conducted in LMICs published in English between 2010 and 2020.Participants: We included studies that reported on barriers to cervical cancer screening among women 15 years and older, eligible for cervical cancer screening.Results: Seventy-nine articles met the inclusion criteria. We identified individual, cultural/traditional and religious, societal, health system, and structural barriers to screening. Lack of knowledge and awareness of cervical cancer in general and of screening were the most frequent individual level barriers. Cultural/traditional and religious barriers included prohibition of screening and unsupportive partners and families, while social barriers were largely driven by community misconceptions. Health system barriers included policy and programmatic factors, and structural barriers were related to geography, education and cost. Underlying reasons for these barriers included limited information about cervical cancer and screening as a preventive strategy, poorly resourced health systems that lacked policies or implemented them poorly, generalised limited access to health services, and gender norms that deprioritize the health needs of women.Conclusion: A wide range of barriers to screening were identified across most LMICs. Urgent implementation of clear policies supported by health system capacity for implementation, community wide advocacy and information dissemination, strengthening of policies that support women's health and gender equality, and targeted further research are needed to effectively address the inequitable burden of cervical cancer in LMICs. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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