Improving cervical cancer screening rates: a scoping review of resources and interventions.

Autor: Popalis ML; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA., Ramirez SI; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA., Leach KM; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA., Granzow ME; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA., Stoltzfus KC; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA., Moss JL; Department of Family and Community Medicine, Penn State College of Medicine, Hershey, PA, USA. jmoss1@pennstatehealth.psu.edu.
Jazyk: angličtina
Zdroj: Cancer causes & control : CCC [Cancer Causes Control] 2022 Nov; Vol. 33 (11), pp. 1325-1333. Date of Electronic Publication: 2022 Aug 18.
DOI: 10.1007/s10552-022-01618-2
Abstrakt: Introduction: Cervical cancer mortality can be prevented through early detection with screening methods such as Pap and high-risk human papillomavirus (hrHPV) tests; however, only 81% of women aged 21-65 are up-to-date on screening. Many interventions to increase cervical cancer screening have been implemented, but there is limited understanding about which intervention components are most successful.
Methods: We conducted a scoping review of existing literature and available resources for cervical cancer screening interventions to identify gaps in the research. We used t tests and correlations to identify associations among intervention components and effect sizes.
Results: Out of nine studies, the mean overall effect size for interventions was 11.3% increase in Pap testing for cervical cancer screening (range =  - 4-24%). Interventions that included community health workers or one-on-one interaction had the biggest effect size (p < 0.05). No associations with effect size were noted for literacy level, number of intervention components, or targeting by race/ethnicity.
Conclusions: Future interventions may include educational sessions with community health workers or one-on-one patient interaction to improve cervical cancer screening. Further research is needed to establish effect sizes for large-scale interventions and hrHPV screening interventions.
(© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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