Screening Histories and Contact with Physicians as Determinants of Cervical Cancer Risk in Montreal, Quebec

Spence, Andrea R.; Alobaid, Abdulaziz; Drouin, P; Goggin, Patricia; Gilbert, Lucy; Provencher, Diane; Tousignant, Pierre; Hanley, James A.; Franco, Eduardo L.

doi:10.3747/co.21.2056

Cited by 15 publications

(15 citation statements)

References 24 publications

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“…The survey was designed based on other cervical cancer studies. [13][14][15][16][17] The survey instrument was 13 pages with 27 questions estimated to take 15 minutes to complete. It consisted of five sections, including (1) cervical cancer history (including whether the survivor was diagnosed as the result of a routine examination or was seeking medical care related to symptoms), use of cervical cancer screenings and follow-up for abnormal tests in the 5 years before diagnosis, and barriers and facilitators to screening and any necessary follow-up; (2) health insurance; (3) other medical conditions; (4) respondent demographic characteristics; and (5) interest in cervical selfsampling technology, HPV vaccination of children, and awareness of HPV before diagnosis.…”

Section: Surveymentioning

confidence: 99%

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Benard

Greek

Jackson

et al. 2019

Journal of Women's Health

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Background: Despite advances in cervical cancer screening, a significant number of women in the United States have not received adequate screening. Studies have suggested that approximately half of the women who developed cervical cancer were not adequately screened. The Centers for Disease Control and Prevention (CDC) Case Investigation of Cervical Cancer (CICC) Study took a unique approach to reconstruct the time before a woman's cervical cancer diagnosis and understand the facilitators and barriers to screening and care. This article provides an overview of the study. Methods: This study included all cervical cancer survivors diagnosed with invasive cervical cancer aged 21 years and older in three U.S. states from 2014-2016. The study design consisted of three different data collection methods, including comprehensive registry data, a mailed survey, and medical chart abstraction. This overview compares the characteristics of cervical cancer survivors in the three states by study participation and eligibility status. Results: Registries identified 2,748 women diagnosed with invasive cervical cancer. Of these, 1,730 participants were eligible for participation, 28% (n = 481) enrolled in the study and 23% (n = 400) consented to the medical chart abstraction. Conclusion: The CICC Study is unique in that it addresses, with medical record verification, the medical history of woman 5 years before their cervical cancer diagnosis as well as provides information from the woman on her health care behaviors. This study provides data on a general population of cervical cancer survivors in three states that could be used to guide interventions to increase cervical cancer screening.

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Section: Surveymentioning

confidence: 99%

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Benard

Greek

Jackson

et al. 2019

Journal of Women's Health

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“…Previous studies have revealed a higher risk of cervical cancer among women who seldom participate in screening or those not screened, compared with regularly screened women [ 21 , 22 ]. Notably, studies have reported a higher risk of the disease among some immigrant groups compared with non-immigrants in several countries offering a universal screening programme [ 4 , 11 , 12 , 16 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population

Idehen

Koponen

Härkänen

et al. 2018

Int J Equity Health

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BackgroundCervical cancer is currently ranked as the fourth commonly diagnosed cancer in women globally. A higher incidence has been reported in low- and-middle-income countries, and the disease poses significant public health challenges. Evidence suggests that this disease is preventable by means of regular screening using the Papanicolaou (Pap) test. However, limited knowledge exists about disparities in cervical screening participation among immigrants compared with non-immigrants, in countries with universal cervical screening programmes. We aimed to examine disparities in cervical screening participation among women of Russian, Somali, and Kurdish, origin in Finland, comparing them with the general Finnish population (Finns). We controlled for differences in several socio-demographic and health-related variables as potential confounders.MethodsWe employed data from the Finnish Migrant Health and Well-being Study 2010–2012 and the National Health 2011 Survey. Data collection involved face-to-face interviews. Data on screening participation in the previous five years from women aged 29–60 were available from 537 immigrants (257 Russians, 113 Somalis, 167 Kurds) and from 436 Finns. For statistical analyses, we used multiple logistic regression.ResultsAge-adjusted screening participation rates were as follows: Russians 79% (95% CI 72.9–84.4), Somalis 41% (95% CI 31.4–50.1), and Kurds 64% (95% CI 57.2–70.8), compared with 94% (95% CI 91.4–95.9) among Finns. After additionally adjusting for socio-demographic and health-related confounders, all the immigrant groups showed a significantly lower likelihood of screening participation when compared with Finns. The Odds Ratios were as follows: Russians 0.32 (95% CI 0.18–0.58), Somalis 0.10 (95% CI 0.04–0.23), and Kurds 0.17 (95% CI 0.09–0.35). However, when additionally accounting for country of origin-confounder interactions, such differences were attenuated.ConclusionsOur results indicate disparities in screening participation among these immigrants and a lower likelihood of screening participation compared with the general Finnish population. To improve equity in cervical cancer screening participation, appropriate culturally tailored intervention programmes for each immigrant group might be beneficial.

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“…Many previous studies highlight that, there still high proportion of CC patients that had irregular or no screening done despite the effectiveness and availability of this CC screening in the most developed countries (Spence AR et al, 2014). There also few studies reported that immigrants has low CC screening participation if we compare with non-immigrant women in different regions, which indicating that the screening participation among immigrants varies within and across various ethnic groups .…”

Section: Introductionmentioning

confidence: 85%

A Systematic Review on Factors Associated With Cervical Cancer Screening Among Immigrant Women

Taib

Ismail²,

Mat³

et al. 2019

IJPHCS

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Background: Cervical cancer (CC) is one of the most frequently occur cancers among female population around the world and thus a significant public health problem. Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections (STI) in both men and women globally and more than 100 HPV types are known. Persistent infection with high-risk HPV types is the most important risk factor for CC. Low cervical cancer screening participation among immigrant women due to screening inaccessibility of healthcare services, ineffectiveness, unaffordable medical treatments and lack of awareness of screening. The objective of this study is to systematically identify factors that influence the cervical cancer screening among immigrant women. Materials and Methods: A systematic literature search was conducted to examine published studies on associating factors that Influence cervical cancer screening among immigrant women. Two independent researchers searched through Google scholar, PubMed/MEDLINE and Science Direct databases. Result: A total of 11 eligible study papers were included for final analysis. Factors that influence the immigrant women to undergo cervical cancer screening services: literacy in

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Screening Histories and Contact with Physicians as Determinants of Cervical Cancer Risk in Montreal, Quebec

Abstract: ConclusionsOur findings provide evidence of the need for an organized population-based screening program. They also underscore the need for provider education to prevent missed opportunities for cca screening when at-risk women seek medical attention.

Cited by 15 publications

References 24 publications

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population

A Systematic Review on Factors Associated With Cervical Cancer Screening Among Immigrant Women

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