Jordanian women’s attitudes towards cervical cancer screening: has the pattern changed?

Asali, Fida; Abdel-Razeq, Rashid; Al-Thunaibat, Ahmad; Okour, Abrar; Mahfouz, Salem Abu; Mahfouz, Ismaiel Abu

doi:10.1080/01443615.2019.1635097

Cited by 9 publications

(13 citation statements)

References 12 publications

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“…However, within developing countries, Iran holds an intermediate position. The prevalence of having ever been screened for cervical cancer was 19% in Jordan (in women aged 20-49), 46.3% in Thailand (in women 30 years and above), and 87.1% in Brazil (in women aged 25-64) [22][23][24][25]. Lack of an organized population-based screening program may underlie the lower participation rate in Iran.…”

Section: Discussionmentioning

confidence: 99%

Disparities in cervical cancer screening participation in Iran: a cross-sectional analysis of the 2016 nationwide STEPS survey

et al. 2020

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Background One of the most important concerns in every healthcare system is the elimination of disparities in health service utilization and achievement of health equity. This study aimed to investigate the disparities in cervical cancer screening participation in Iran. Methods A cross-sectional study was conducted using data from the National Non-Communicable Risk Factors Survey in 2016 (STEPs 2016). Data on cervical cancer screening in addition to demographic and socio-economic factors from 15,975 women aged 18 and above were analyzed. The distribution of surveyed women with regard to cervical cancer screening practice was described. Chi square and logistic regression were used to assess the association of demographic and socio-economic factors with cervical cancer screening participation. Results Overall, 52.1% of women aged 30–59 years, had undergone cervical cancer screening at least once in their lifetime. Participation rate in cervical cancer screening programs varied between provinces; ranging from 7.6% in Sistan and Baluchestan to 61.2% in Isfahan. Single marital status, illiteracy, being employed, and having no insurance coverage were associated with lower participation. Age and area of residence were insignificant predictors for participating in cervical cancer screening program. Analysis of the cervical cancer uptake rates across the socio-economic levels revealed that the service is less utilised by high income groups. Conclusions Participation in cervical cancer screening program in Iran is not optimal and could be improved. With regard to the distribution of cervical cancer screening practice, social and geographical disparities indicate the need for further research and more comprehensive strategies in order to reduce them.

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Section: Discussionmentioning

confidence: 99%

Disparities in cervical cancer screening participation in Iran: a cross-sectional analysis of the 2016 nationwide STEPS survey

et al. 2020

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“…In this 2017-2018 national population-based survey among women (15-49 years) in Jordan, the prevalence of ever CCS (15.3%) was lower than in the 2012 national survey in Jordan (18.8%, women 15-49 years) (Al Rifai & Nakamura, 2015), a local survey in Amman, Jordan (31.2%, 21-65 years) (Al-Amro et al, 2020) and another local survey in Jordan (38%, 18-63 years) (Asali et al, 2020). The CCS prevalence rate in Jordan was also lower than the national Demographic and Health Surveys in 18 countries (29.2%) (Mahumud et al, 2020), Egypt (97.4%) (Mahumud et al, 2020), Turkey (22.0%, 30 years and older) (Sözmen et al, 2016) and India (27.2%) (Mahumud et al, 2020).…”

Section: Discussionmentioning

confidence: 77%

“…For example, 31.2% of 500 married Jordanian women (21 to 65 years) in Amman had been screened for cervical cancer (Al-Amro et al, 2020), 87.6% of 507 women (40-69 years) in six governorates in Jordan had never undergone mammography screening (Abu-Helalah et al, 2015) and in a study in 2018 among 612 women (18-63 years), 38% had had a smear test before. (Asali et al, 2020). Moreover, in a national survey among women (20-49 years) in Jordan in 2012, the prevalence of clinical breast examination in the past 12 months was 19.3% and lifetime Pap-smear testing 25.5% (Al Rifai & Nakamura, 2015), and in a national survey (N=1549) in 2011 in Jordan among women (≥18 years), 7% had ever undergone mammography (Othman et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Uptake and Correlates of Cervical and Breast Cancer Screening Among Women in Jordan: National Results of the 2017-2018 Population and Family Health Survey

Pengpid¹,

Peltzer²,

Zhang³

2020

Preprint

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The study aimed to estimate the prevalence and associated factors of cervical and breast cancer screening among women in the general population in Jordan. Nationally representative cross-sectional data were analysed from 14,689 women (34 years median age, range 15-49) that took part in the “2017-18 Jordan Population and Family Health Survey”. Information about cancer screening uptake included Pap smear, clinical breast examination, and mammography. Results indicate that the prevalence of ever Pap smear cancer screening was 15.3%, clinical breast examination in the past 12 months 13.9% and ever mammography 8.7%. In adjusted logistic regression analysis, older age, higher wealth, greater media exposure and tobacco use were positively and being Syrian, and living in the southern region were negatively associated with ever Pap smear, clinical breast examination in the past 12 months, and ever mammography. In addition, high decision-making power was associated with the uptake of Pap smear and higher education was associated with ever mammography. The study showed a low cancer screening uptake, and several factors were identified that can assist in promoting cancer screening in Jordan.

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“…This finding is consistent with other study results conducted in Iran, but not with those of other countries. 15,18,22,23 The finding suggests that university education in the country has no impact on raising women's awareness or changing their attitude towards cervical cancer screening.…”

Section: Resultsmentioning

confidence: 99%

Equity in Cervical Cancer Screening in Iran: A Cross-Sectional Analysis of the 2016 Nationwide Steps Survey

Amin¹,

Kolahi²,

Jahanmehr³

et al. 2020

Preprint

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Background One of the most important concerns in every healthcare system is the achievement of equity in health. Studies have shown great socioeconomic and spatial disparity in cervical cancer incidence and mortality. This study aims to investigate equity in cervical cancer screening in Iran. Methods A cross-sectional study was conducted using data from the National Non-Communicable Risk Factors Survey in 2016 (STEPs 2016). Data on cervical cancer screening in addition to demographic and socioeconomic factors from 15975 women aged 18 and above were analyzed. Chi-Square test and logistic regression were used to assess the association of demographic and socioeconomic factors with cervical cancer screening. Equity in screening was assessed by concentration index, and GIS analysis was used to show the provincial indices on the map of Iran. Results Overall, 41·6% of surveyed women in Iran had undergone cervical cancer screening in their lifetime. Participation rate in cervical cancer screening programs varied between provinces; ranging from 7.6% in Sistan and Baluchestan to 61.2% in Isfahan. Being single, living in rural areas, young age, having no education, and being uninsured were associated with lower participation. Concentration index showed pro-poor inequity for the country and across all provinces, indicating that cervical cancer screening services are less utilised by high income groups. GIS analysis demonstrated spatial disparity across provinces of Iran. Conclusions Equity and participation in cervical cancer screening in Iran requires improvement. For this to be achieved, new policies shall have a stronger emphasis on the lowest and the highest socioeconomic population groups, while current strategies have mostly affected the people with middle socioeconomic status.

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Jordanian women’s attitudes towards cervical cancer screening: has the pattern changed?

Cited by 9 publications

References 12 publications

Disparities in cervical cancer screening participation in Iran: a cross-sectional analysis of the 2016 nationwide STEPS survey

Disparities in cervical cancer screening participation in Iran: a cross-sectional analysis of the 2016 nationwide STEPS survey

Uptake and Correlates of Cervical and Breast Cancer Screening Among Women in Jordan: National Results of the 2017-2018 Population and Family Health Survey

Equity in Cervical Cancer Screening in Iran: A Cross-Sectional Analysis of the 2016 Nationwide Steps Survey

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