Cervical cancer screening in Serbia

Perisić, Z; Plesinac-Karapandzic, Vesna; Dzinic, M.; Zamurovic, M; Perisic, Natasa

doi:10.2298/vsp1301086p

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…According to the World Bank, economies can be divided into low income (LI), lower‐middle income (LMI), upper‐middle income (UMI), and high income (HI) in relation to GNI per capita (Figure ). In this study, the 53 WHO ER Countries were thus divided into: LMI, $1026‐4035 (Armenia, Georgia, Kyrgyzstan, Moldova, Tajikistan, Ukraine, and Uzbekistan); UMI, $4036‐12 475 (Albania, Azerbaijan, Belarus, Bosnia and Herzegovina, Bulgaria, Kazakhstan, FYR of Macedonia [FM], Hungary, Montenegro, Romania, Serbia, Turkey, and Turkmenistan); and HI, $12 476 (Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Iceland, Ireland, Israel, Italy, Luxembourg, Norway, Poland, Portugal, Slovakia Republic, Slovenia, Spain, Sweden, Switzerland, the Netherlands, and the United Kingdom, Andorra, Croatia, Cyprus, Malta, Monaco, Latvia, Lithuania, Russian Federation, and San Marino) (World Bank and Lending Groups 2016) (Table ) …”

Section: Methodsmentioning

confidence: 99%

HPV‐vaccination and cancer cervical screening in 53 WHO European Countries: An update on prevention programs according to income level

et al. 2019

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Human papillomavirus ( HPV ) is the most common sexually transmitted disease in the world. The aim of our study is to describe the differences in HPV ‐vaccination coverage and screening programs in WHO European Countries notably according to income levels. Multiple correspondence analysis was applied to examine the association among the following variables: Gross National Income ( GNI ) levels (Lower‐Middle Income, LMI ; Upper‐Middle Income, UMI ; and High Income, HI ); type of CC screening program (coverage; opportunistic/organized); vaccination payment policies (free or partial or total charge); mortality rates/100 000 (≤3; >3‐6; >6‐9; >9); incidence rates/100 000 (≤7; >7‐15; >15‐21; >21). Data HPV ‐vaccination start (years) (2006‐2008; 2009‐2011; 2012‐2014; >2014; no program); coverage HPV ‐vaccination percentage (≤25; 26‐50; 51‐75; >75); data screening start (years) (<1960; 1960‐1980; 1981‐2000; >2000); primary screening test ( HPV , cytology), and screening coverage percentage (≤25; >25‐50; >50‐75; >75). A high income is associated with: start of screening before 1960, medium‐high screening coverage, organized screening, start of vaccination in the periods 2009‐2011 and 2012‐2014 and high immunization coverage. On the other hand, lower‐middle income is associated with: late start of vaccination and screening programs with cytology as primary test, high mortality and incidence rates and lower‐medium vaccination coverage. Our results show a useful scenario for crucial support to public health decision‐makers. Public health authorities should monitor the HPV ‐vaccinated population in order to determine more precisely the effects on short‐ and long‐term incidence and mortality rates. In fact, the greater the vaccination coverage, the greater will be the efficacy of the program for the prevention of CC and other HPV ‐related diseases.

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Section: Methodsmentioning

confidence: 99%

HPV‐vaccination and cancer cervical screening in 53 WHO European Countries: An update on prevention programs according to income level

et al. 2019

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“…Also, they have shown that the Pap smear use as the primary test, and well organized screening program at the national level could play an important role. These measures could have a major effect on decline in cervical cancer incidence and mortality in the next few decades by detecting and treating precancerous lesions [37][38][39][40][41] . The implementation of organized screening program in Serbia started in December 2012 (in Belgrade at Voždovac, Palilula and Čukarica), but we still are dealing with obstacles, such as low percent of women of target population who have been screened within the program 42,43 .…”

Section: Discussionmentioning

confidence: 99%

Application of a geographic information system in the study of spatial aspects of cervical cancer incidence in Belgrade

2020

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Background/Aim. Cervical cancer is still an important public health problem in Belgrade. The aim of this study was to explore spatial patterns of cervical cancer, provision and accessibility of women's health service on the primary health care level in Belgrade, as well as the needs for improving cancer surveillance and preventive programs. Methods. This study applied a descriptive epidemiological method and a geographic information system based on data on cervical cancer diagnosed among female residents of Belgrade in 2006 and 2011. A map of the density of cases, with precise and complete data on the address of residence at the time of diagnosis, and a map of the distribution of gynecological practices in the primary health care in Belgrade, were generated through the process of georeferencing. Results. A total of 569 cases of cervical cancer were registered in 2006 and 2011, without significant differences. Significant associations were noticed for municipality of residence and year of diagnosis (χ 2 = 42.99, df = 16, p = 0.000), and year of diagnosis and age groups 30-34 (р = 0.038, f = 3.998, df = 11, ANOVA), 40-44 (р = 0.001, f = 7.545 df = 13, ANOVA) and 45-49 (р = 0.046, f = 2.679, df = 15, ANOVA). The process of georeferencing covered a total of 466 (81.8%) cases with 97.4% of all cases diagnosed in 2006 and 68.6% in 2011. The generated maps showed similar spatial patterns of cases for both years: a higher density of cases with addresses in central parts of urban and suburban municipalities, as well as in parts of densely populated areas of urban municipalities. There was no regularity of grouping found for the cases in relation to the provision of women's health service, or of distance from the place of residence of cases to gynecological practices. Conclusion. Our results indicate possibilities for the perception of the spatial distribution of cervical cancer and needs for improving cancer surveillance and preventive programs on small geographical areas.

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“…Cervical cancer in Serbia is the fourth leading cancer among women and the second most common cancer among women aged 15-44 [3]. Many efforts have been made to decrease the incidence of cervical cancer, including organized cervical cancer screenings for all women aged 25 to 69, and the availability of vaccination for HPV [4]. Around threequarters of all cases of cervical cancer, along with a significant proportion of all cases of anal, vulva, vaginal, penile, and cancer of oropharynx, are associated with an HPV infection with types 16 and 18, which are part of all HPV vaccines.…”

Section: Introductionmentioning

confidence: 99%

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Viruses

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We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50–11.29) and male (OR = 3.71, 95% CI 1.52–9.01) child. The number of children (OR = 1.32, 95% CI 1.04–1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13–2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.

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Cervical cancer screening in Serbia

Abstract: nem

Cited by 8 publications

References 18 publications

HPV‐vaccination and cancer cervical screening in 53 WHO European Countries: An update on prevention programs according to income level

HPV‐vaccination and cancer cervical screening in 53 WHO European Countries: An update on prevention programs according to income level

Application of a geographic information system in the study of spatial aspects of cervical cancer incidence in Belgrade

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

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