Costa, Telma and Bateson, Deborah and Woo, Yin Ling (2024) Enhancing equity in cervical screening - initiatives to increase screening participation. Current Opinion in Obstetrics & Gynecology, 36 (5). pp. 345-352. ISSN 1040-872X, DOI https://doi.org/10.1097/GCO.0000000000000979.
Full text not available from this repository.Abstract
Purpose of reviewCervical cancer can be eliminated as a public health problem through a three-pillar approach including high coverage of human papillomavirus (HPV) vaccination and HPV-based cervical screening, and treatment of precancers and invasive cancers. However, access inequities prevent many women and people with a cervix benefitting from these life-saving advances. This review focuses on evidence-based interventions that can improve equity and scale-up of cervical screening.Recent findingsThe transition from conventional cytology to HPV screening provides multiple opportunities to address equity and a multipronged approach can be used to identify priority groups, understand barriers and develop tailored solutions. There are proven financing mechanisms, tools, technologies and screening delivery methods to overcome screening barriers in different settings. This includes self-sampling interventions, point-of-care testing, health service integration, consumer-led co-design processes and digital screening registries.SummaryTo achieve cervical cancer elimination globally, cervical screening must be delivered in an inclusive, culturally safe and context-appropriate manner. There are multiple tools and strategies that can be implemented to improve participation of never- and under-screened groups, and to enhance equity in cervical screening.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | cervical cancer; cervical screening; equity; human papillomavirus testing; screening barriers |
| Subjects: | R Medicine > RG Gynecology and obstetrics |
| Divisions: | Faculty of Medicine > Obstetrics & Gynaecology Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 14 Feb 2025 01:34 |
| Last Modified: | 14 Feb 2025 01:34 |
| URI: | http://eprints.um.edu.my/id/eprint/47435 |
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