Social determinants of health associated with cervical cancer screening among women living in developing countries: a scoping review

2012 ◽  
Vol 286 (6) ◽  
pp. 1487-1505 ◽  
Author(s):  
Leslie Williams-Brennan ◽  
Denise Gastaldo ◽  
Donald C. Cole ◽  
Lawrence Paszat
Keyword(s):  
Cervical Cancer ◽  
Developing Countries ◽  
Cancer Screening ◽  
Social Determinants Of Health ◽  
Cervical Cancer Screening ◽  
Social Determinants ◽  
Scoping Review ◽  
Determinants Of Health

scholarly journals Impact of Patient Adherence and Test Performance on the Cost-Effectiveness of Cervical Cancer Screening in Developing Countries

2010 ◽  
Vol 20 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Rebecca B. Perkins ◽  
Sarah M. Langrish ◽  
Linda J. Stern ◽  
James F. Burgess ◽  
Carol J. Simon
Keyword(s):  
Cervical Cancer ◽  
Developing Countries ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Test Performance ◽  
Patient Adherence ◽  
The Cost

scholarly journals Exploring the association of social determinants of health and clinical quality measures and performance in HRSA-funded health centres

2021 ◽  
Vol 9 (3) ◽  
pp. e000853
Author(s):  
Michael Topmiller ◽  
Jessica McCann ◽  
Jennifer Rankin ◽  
Hank Hoang ◽  
Joshua Bolton ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Deprivation ◽  
Health Centre ◽  
Quality Measures ◽  
Service Area ◽  
Determinants Of Health ◽  
Clinical Quality ◽  
Health Centres

ObjectiveThis paper explores the impact of service area-level social deprivation on health centre clinical quality measures.DesignCross-sectional data analysis of Health Resources and Services Administration (HRSA)-funded health centres. We created a weighted service area social deprivation score for HRSA-funded health centres as a proxy measure for social determinants of health, and then explored adjusted and unadjusted clinical quality measures by weighted service area Social Deprivation Index quartiles for health centres.SettingsHRSA-funded health centres in the USA.ParticipantsOur analysis included a subset of 1161 HRSA-funded health centres serving more than 22 million mostly low-income patients across the country.ResultsHigher levels of social deprivation are associated with statistically significant poorer outcomes for all clinical quality outcome measures (both unadjusted and adjusted), including rates of blood pressure control, uncontrolled diabetes and low birth weight. The adjusted and unadjusted results are mixed for clinical quality process measures as higher levels of social deprivation are associated with better quality for some measures including cervical cancer screening and child immunisation status but worse quality for other such as colorectal cancer screening and early entry into prenatal care.ConclusionsThis research highlights the importance of incorporating community characteristics when evaluating clinical outcomes. We also present an innovative method for capturing health centre service area-level social deprivation and exploring its relationship to health centre clinical quality measures.

scholarly journals Factors Influencing Utilization of Cervical Cancer Screening Services in Kenya: The Case of Nyeri County

2018 ◽  
Vol 7 (4) ◽  
pp. 236
Author(s):  
Gichogo Agnes Wangeci ◽  
David Macharia
Keyword(s):  
Cervical Cancer ◽  
Developing Countries ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Precancerous Lesions ◽  
Survey Study ◽  
Mortality And Morbidity ◽  
Awareness Campaigns ◽  
Factors Influencing ◽  
Screening Services

<span lang="EN-US">Globally, cervical cancer continues to be a major cause of mortality and morbidity among women with developing countries accounting for more than 86% of the deaths from the disease. In Kenya, cervical cancer ranks as the second most frequent cancer among women: regrettably, with 80% of the cases presented during the late stages of the disease when the scope of successful treatment is limited. An opportunity to prevent occurrence of cervical cancer exists through cervical cancer screening for early detection and treatment of precancerous lesions before these develop to cancer. However, only a negligible proportion of women benefit from cervical cancer screening services in developing countries, including Kenya. The purpose of this descriptive survey study was to determine the factors influencing utilization of cervical cancer screening services; and focused on the women seeking maternal and family planning services at Central Provincial General Hospital, Kenya. The study established that, as in most developing countries, utilization of cervical cancer screening services was low, regardless of the women’s education level, autonomy in decision making and even good family support. The low level of awareness on the need for screening services and the long waiting time at the clinic for those seeking the services were identified as the two key issues that negatively influenced the utilization of the screening services, It is therefore recommended that the Ministry of Health and other agencies, including individuals of good will, collaborate in designing and implementing awareness campaigns through the media and other appropriate avenues, including one-to-one encounters, targeting both men and women in the communities. It is also recommended that the male partners support their women in accessing this vital life-saving service.</span>

scholarly journals Meaningful Information in the Age of Big Data: A Scoping Review on Social Determinants of Health Data Collection for Electronic Health Records

2019 ◽  
Author(s):  
Kelsey Berg ◽  
Chelsea Doktorchik ◽  
Hude Quan ◽  
Vineet Saini
Keyword(s):  
Big Data ◽  
Data Collection ◽  
Electronic Health Records ◽  
Social Determinants Of Health ◽  
Health Systems ◽  
Social Determinants ◽  
Scoping Review ◽  
Determinants Of Health ◽  
Health Records ◽  
Automated Technology

Abstract Background: Electronic Health Records (EHRs) are key tools for integrating patient data into health information systems (IS). Advances in automated data collection methodology, particularly the collection of social determinants of health (SDOH), provide opportunities to advance health promotion and illness prevention through advanced analytics (i.e. “Big Data” techniques). We ask how current data collection processes in EHRs permit SDOH data to flow throughout health systems. Methods: Using a scoping review framework, we searched through medical literature to identify current practices in SDOH data collection within EHR systems. We extracted relevant information on data collection methodology, specifically focusing on uses of automated technology. We discuss our findings in the context of research methodology and potential for health equity. Results: Practitioners collect a variety of SDOH data at point of care through EHR, predominantly via embedded screening tools and clinical notes, and primarily capturing data on financial security, housing status, and social support. Health systems are increasingly using digital technology in data collection, including natural language processing algorithms. However overall use of automated technology is limited to date. End uses of data pertain to improving system efficiency, patient care-coordination, and addressing health disparities. Discussion & Conclusion: EHRs can realistically promote collection and meaningful use of SDOH data, although EHRs have not extensively been used to collect and manage this type of information. Future applied research on systems-level application of SDOH data is necessary, and should incorporate a range of stakeholders and interdisciplinary teams of researchers and practitioners in fields of health, computing, and social sciences.

scholarly journals Teaching the Social Determinants of Health in Undergraduate Medical Education: a Scoping Review

2019 ◽  
Vol 34 (5) ◽  
pp. 720-730 ◽  
Author(s):  
Ashti Doobay-Persaud ◽  
Mark D. Adler ◽  
Tami R. Bartell ◽  
Natalie E. Sheneman ◽  
Mayra D. Martinez ◽  
...  
Keyword(s):  
Medical Education ◽  
Social Determinants Of Health ◽  
Undergraduate Medical Education ◽  
Social Determinants ◽  
Scoping Review ◽  
Determinants Of Health ◽  
The Social

scholarly journals Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrícia Marques ◽  
Mariana Nunes ◽  
Maria da Luz Antunes ◽  
Bruno Heleno ◽  
Sónia Dias
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Migrant Women ◽  
Factors Associated ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Background Cervical cancer screening has been effective in reducing incidence and mortality of cervical cancer, leading European countries to implement screening programs. However, migrant women show lower screening participation compared to nationals. This scoping review aims to provide a synthesis of the growing evidence on factors associated with participation in cervical cancer screening among migrant women in Europe. Methods Electronic peer-reviewed databases were searched in November 2019 for studies on factors related to the participation of migrants in cervical cancer screening conducted in EU/EFTA countries, using comprehensive search expressions. Retrieved articles were screened and those eligible were selected for data extraction. Quantitative and qualitative studies were included. Factors were classified in barriers and facilitators and were divided into further categories. Results Twenty out of 96 articles were selected and analyzed. Factors associated with participation in cervical cancer screening were classified in categories related to sociodemographic, healthcare-system, psychological, migration, knowledge, language, and cultural factors. Lack of information, lack of female healthcare providers, poor language skills, and emotional responses to the test (especially fear, embarrassment and discomfort) were the most reported barriers to cervical cancer screening. Encouragement from healthcare providers and information available in migrants’ languages were frequently stated as facilitators. Results on the role of sociodemographic factors, such as age, education, employment and marital status, are the most conflicting, highlighting the complexity of the issue and the possibility of interactions between factors, resulting in different effects on cervical cancer screening participation among migrant women. Several identified barriers to screening are like those to access to healthcare services in general. Conclusions Efforts to increase migrant women’s participation in CCS must target barriers to access to healthcare services in general but also specific barriers, including cultural differences about sexuality and gender, past traumatic personal experiences, and the gender and competences of healthcare professionals performing CCS. Healthcare services should strengthen resources to meet migrants’ needs, including having CCS information translated and culturally adapted, as well as healthcare providers with skills to deal with cultural background. These findings can contribute to improve CCS programs among migrant women, reducing health disparities and enhancing their overall health and well-being.

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