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.
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DOI：
10.1186/s12889-020-09705-2
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发表时间：
2020-10-22
影响因子：
4.5
通讯作者：
Sohrabi MR
中科院分区：
文献类型：
--
作者：
Amin R;Kolahi AA;Jahanmehr N;Abadi AR;Sohrabi MR
每个卫生保健系统最重要的问题之一是消除卫生服务利用的不平等和实现卫生公平。本研究旨在调查伊朗宫颈癌筛查参与的差异。使用2016年国家非传染性风险因素调查（STEPs 2016）的数据进行了一项横断面研究。分析了15 975名18岁及以上妇女的宫颈癌筛查数据以及人口和社会经济因素。描述了接受调查的妇女在宫颈癌筛查实践方面的分布情况。采用卡方检验和逻辑回归分析评估人口统计学和社会经济因素与宫颈癌筛查参与的相关性。总体而言，30-59岁的妇女中有52.1%在其一生中至少接受过一次宫颈癌筛查。各省的宫颈癌筛查方案参与率各不相同;从苏丹和俾路支斯坦的7.6%到伊斯法罕的61.2%不等。单身婚姻状况、文盲、有工作和没有保险与较低的参与率有关。年龄和居住地区是参与宫颈癌筛查计划的非显著预测因素。对各社会经济阶层宫颈癌发病率的分析表明，高收入群体较少使用这种服务。伊朗的宫颈癌筛查方案参与情况不是最佳的，可以改进。关于子宫颈癌筛查的分布情况，社会和地理差异表明需要进一步研究和更全面的战略，以减少这种差异。
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. 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. 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. 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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DOI：
10.1016/s2468-2667(17)30238-4
发表时间：
2018-01
期刊：
The Lancet. Public health
影响因子：
--
作者：
Johnson HC;Lafferty EI;Eggo RM;Louie K;Soldan K;Waller J;Edmunds WJ
通讯作者：
Edmunds WJ
影响因子：
2.5
作者：
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通讯作者：
Chuang, Ying-Chih
影响因子：
2.9
作者：
Dowling, Emily C.;Klabunde, Carrie;Ballard-Barbash, Rachel
通讯作者：
Ballard-Barbash, Rachel
DOI：
10.1016/j.bpobgyn.2011.08.001
发表时间：
2012-04-01
影响因子：
5.5
作者：
Denny, Lynette
通讯作者：
Denny, Lynette
影响因子：
--
作者：
Dong Y;Peng CY
通讯作者：
Peng CY