期刊
JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
卷 12, 期 -, 页码 -出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/21501327211041862
关键词
cervical cancer screening; barriers; facilitators; cervical cancer survivors; cancer registries
资金
- Centers for Disease Control and Prevention, Task Orders [200-2015-F-88212, 200-2016-F-90920]
- Centers for Disease Control and Prevention's National Program of Cancer Registries: New Jersey State Cancer Registry (NJSCR) [5U58DP006279-02]
- Louisiana Tumor Registry (LTR) [5U58DP003915]
- Michigan Cancer Surveillance Program (MCSP) [NU58DP003921]
- National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) Program [HHSN 261201300021I NCI, N01PC-2013-00021]
- SEER [HHSN 261201300016I]
The study found that half of cervical cancer survivors in the US did not receive appropriate screening prior to diagnosis, and 28% of them did not follow up on abnormal results. The most commonly identified screening barrier by participants was the lack of imagination that they could develop cervical cancer.
Background: Screening and timely follow-up have lowered cervical cancer incidence in the US; however, screening coverage, incidence, and death rates have remained fairly stable in recent years. Studies suggest that half of women diagnosed with cervical cancer don't receive appropriate screening prior to diagnosis; cervical cancer survivors can provide crucial insight into barriers and facilitators to screening. Methods: Participants were cervical cancer survivors >= 21 years, identified through population-based central cancer registries (CR) in 3 US states or a social network (SN), Cervivor. CR participants completed a mailed survey on screening history, barriers, and facilitators to screening and sociodemographic data. SN participants completed the same survey online. Results: CR participants (N = 480) were older, with a lower proportion of non-Hispanic white, married, and insured women compared to SN participants (N = 148). Fifty percent of CR and 79% of SN participants were screened 5 years prior to their diagnoses. Of those screened, 28% in both groups reported not following-up on abnormal results. For both groups, the most frequently identified screening barrier was that participants never imagined they would develop cervical cancer (percent agree CR = 76%; SN = 86%), and the facilitator was wanting to take care of their bodies (CR = 95%; SN = 94%). Conclusion: Addressing key barriers to obtaining screening and timely follow-up related to lack of knowledge of cervical cancer risk and screening tests and addressing insurance coverage in the design or modification of interventions may increase cervical cancer screening and lower cervical cancer incidence in the US.
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