Cervical cancer screening among marginalized women
| العنوان: | Cervical cancer screening among marginalized women |
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| المؤلفون: | Marlieke Ridder, Josephina C.J. Vermeer-Mens, Jeanette J Plukkel, Frederike L. Büchner, Mattijs E. Numans, Thomas H G Bongaerts |
| المساهمون: | Pathology |
| المصدر: | International Journal of Women's Health, 13, 549-556. DOVE MEDICAL PRESS LTD International Journal of Women's Health International Journal of Women's Health, 13, 549-556. Dove Medical Press Ltd. INTERNATIONAL JOURNAL OF WOMENS HEALTH |
| بيانات النشر: | Dove Medical Press Ltd., 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, cervical cancer, Population, International Journal of Women's Health, Cervical cancer screening, marginalized women, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Maternity and Midwifery, Health care, medicine, 030212 general & internal medicine, Prevalence ratio, education, Original Research, Netherlands, Cervical cancer, education.field_of_study, 030219 obstetrics & reproductive medicine, Cervical screening, business.industry, Obstetrics and Gynecology, medicine.disease, Intervention studies, screening participation, Oncology, Family medicine, Population study, business |
| الوصف: | Thomas HG Bongaerts,1,* Marlieke Ridder,1,2,* Josephina CJ Vermeer-Mens,3 Jeanette J Plukkel,2 Mattijs E Numans,1 Frederike L Büchner1 1Leiden University Medical Center LUMC-Campus the Hague, Department of Public Health and Primary Care, The Hague, the Netherlands; 2Municipal Health Service Rotterdam-Rijnmond, Rotterdam, the Netherlands; 3Erasmus Medical Center, Department of Pathology, Rotterdam, the Netherlands*These authors contributed equally to this workCorrespondence: Thomas HG BongaertsLUMC-Campus the Hague, Department of Public Health and Primary Care, Leiden University Medical Center, Turfmarkt 99, The Hague, 2511 DV, the NetherlandsTel +31 70 800 90 47Email t.h.g.bongaerts@lumc.nlBackground: Many countries organize population-based cervical cancer screening programs (CSP). In the Netherlands, eligible women are invited by mail. Marginalized women living in unstable conditions and homeless women often fail to receive the invitation letter. These women also experience access barriers to regular healthcare. Consequently, despite presumably being at higher risk of developing cervical cancer due to prevalent risk factors, marginalized women are rarely screened for cervical cancer. The aim of the study was to identify the prevalence of (pre)cancerous abnormalities among marginalized women, and subsequently explore invitation approaches to enhance their screening participation.Methods: A cross-sectional intervention study was conducted in Rotterdam, the Netherlands. Between February and May 2019, marginalized women aged 20– 60 years were invited to participate in cervical screening. A participant was considered screen-positive when they tested positive for high-risk human papilloma virus (HR-HPV) and showed cytological abnormalities. Data of the study population were compared with regional data of the Dutch CSP. Various invitation approaches were used to recruit women.Results: Out of 74 included women, 12 participants (16%) were found screen-positive, against 3.4% in women screened by the Dutch CSP. The prevalence ratio for the study population was 4.4 (95% CI 1.9– 8.6) compared with women screened by the Dutch CSP. Using a direct, pro-active approach resulted in participation of 92% of the included women.Conclusion: Marginalized women have an increased risk of (pre)cancerous cervical abnormalities in screening, compared with women screened by the Dutch CSP. A direct pro-active approach was the most effective to stimulate screening participation. Enhancement of screening uptake for this population needs special effort.Keywords: cervical cancer, screening participation, marginalized women, Netherlands |
| وصف الملف: | application/pdf; text/html |
| اللغة: | English |
| تدمد: | 1179-1411 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5bf638a055517108323f3a7496d19ed1Test https://pure.eur.nl/en/publications/27d905dd-2cf6-4a34-bfaa-409ffd62b12aTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5bf638a055517108323f3a7496d19ed1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 11791411 |
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