Which socio-demographic factors are associated with participation in oral cancer screening in the developing world? Results from a population-based screening project in India

Ramadas, Kunnambath; Arrossi, Silvina; Thara, S.; Thomas, Gigi; Jissa, V T; Fayette, Jean-Marie; Mathew, Babu; Sankaranarayanan, Rengaswamy

doi:10.1016/j.cdp.2008.02.008

Cited by 13 publications

(19 citation statements)

References 17 publications

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“…primary prevention of tobacco related cancers, early detection of cancers, augmentation of treatment facilities and establishing palliative care. But certainly, there are no international standards of practices for early detection of oral cancers despite the fact that most of the oral cancers are found in South-Asian countries [40]. Though National Cancer Registry Programme (1982) have been providing authentic information on cancer incidence since more than 30 years, but the functioning of NCRP is based on just 28 Population Based Cancer Registries (PBCRs).…”

Section: Discussionmentioning

confidence: 99%

Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014

2018

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With the ongoing demographic and epidemiological transition, cancer is emerging as a major public health concern in India. This paper uses nationally representative household survey to examine the overall prevalence and economic burden of cancer in India. The age-standardized prevalence of cancer is estimated to be 97 per 100,000 persons with greater prevalence in urban areas. The evidence suggests that cancer prevalence is highest among the elderly and also among females in the reproductive age groups. Cancer displays a significant socioeconomic gradient even after adjusting for age-sex specifics and clustering in a multilevel regression framework. We find that out of pocket expenditure on cancer treatment is among the highest for any ailment. The average out of pocket spending on inpatient care in private facilities is about three-times that of public facilities. Furthermore, treatment for about 40 percent of cancer hospitalization cases is financed mainly through borrowings, sale of assets and contributions from friends and relatives. Also, over 60 percent of the households who seek care from the private sector incur out of pocket expenditure in excess of 20 percent of their annual per capita household expenditure. Given the catastrophic implications, this study calls for a disease-based approach towards financing such high-cost ailment. It is suggested that universal cancer care insurance should be envisaged and combined with existing accident and life insurance policies for the poorer sections in India. In concluding, we call for policies to improve cancer survivorship through effective prevention and early detection. In particular, greater public health investments in infrastructure, human resources and quality of care deserve priority attention.

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Section: Discussionmentioning

confidence: 99%

Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014

2018

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“…According to Barratt et al (2002) and Parkin et al (2008) screening uptake determines the success of a screening programme while Ramadas et al (2008) emphasise maximum participation rates as one of the essential components of a successful screening programme. According to Barratt et al (2002) and Parkin et al (2008) screening uptake determines the success of a screening programme while Ramadas et al (2008) emphasise maximum participation rates as one of the essential components of a successful screening programme.…”

Section: Discussionmentioning

confidence: 99%

Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

Tum

Maree

Clarke

2012

European Journal of Cancer Care

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In South Africa, cervical cancer is the most common female cancer followed by breast cancer. Despite the high incidence of these cancers, population-based screening is limited to cervical screening available at primary health clinics. Cervical screening uptake is, however, low. In 2009 a new cancer prevention initiative was launched in a specific resource poor community in Tshwane, South Africa. The low cervical screening uptake as well as a potentially low breast screening uptake could have resulted in the failure of this initiative. The purpose of the study was to develop and pilot test an intervention to address this risk. A Community Health Worker was trained and tasked to raise awareness of cervical and breast cancer and motivate women to take up screening. The intervention was assessed in terms of three outcomes: screening uptake, awareness and the value of the Community Health Worker. Despite the fact that the Community Health Worker's role was valued, screening uptake was disappointing and the level of awareness remained low. Unfortunately this intervention failed and once again we are left with the challenge of improving screening uptake.

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“…The predictors used in our risk factor model for screening of UADT cancers included tobacco, mishri, alcohol, exposure to SHS at home, very spicy food, type of housing, and BMI. Many of these risk factors are already established in literature . The proportion of study population that was significantly exposed to these risk factors had higher odds for developing UADT cancers.…”

Section: Discussionmentioning

confidence: 93%

A risk factor‐based model for upper aerodigestive tract cancers in India: predicting and validating the receiver operating characteristic curve

Gupta

Kumar²,

Johnson

2016

J Oral Pathology Medicine

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Which socio-demographic factors are associated with participation in oral cancer screening in the developing world? Results from a population-based screening project in India

Cited by 13 publications

References 17 publications

Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014

Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014

Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

A risk factor‐based model for upper aerodigestive tract cancers in India: predicting and validating the receiver operating characteristic curve

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