Effect of socioeconomic status and women empowerment status on coverage of oral cancer screening among Indian women within reproductive age group.

Autor: Halder P; Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India. rynedann@gmail.com., Das S; Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, 110049, India., Jeer G; Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, 110049, India., Sarkar S; Department of Surgical Oncology, Saroj Gupta Cancer Center and Research Institute, Kolkata, 700063, India., Das A; Department of Obstetrics and Gynaecology, Employees State Insurance Corporation Hospital and Postgraduate Institute of Medical Sciences and Research, Basaidarpur, New Delhi, 110015, India., Saha A; Department of Radiation Oncology, All India Institute of Medical Sciences, Kalyani, 741245, India., Rathor S; Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Nov 19; Vol. 14 (1), pp. 28597. Date of Electronic Publication: 2024 Nov 19.
DOI: 10.1038/s41598-024-80346-w
Abstrakt: Oral cancer is the second most prevalent cancer in India and 5% of all cancers in women is contributed by oral cancer. In spite of being a part of national programme, the screening coverage rates remain low. Studies have indicated that the societal status of women and their empowerment plays a role in screening coverage for cancer. The objective of the current study is to estimate the coverage of oral cancer screening among Indian women within reproductive age-group across Indian states and union territories (UTs), to explore the relationship of socioeconomic status (SES) and women empower status (WES) with oral cancer screening coverage across Indian states and union territories (UT). Data from the fifth round of the nationally representative cross-sectional survey (National Family Health Survey, NFHS-2019-2021) was used in the present study with 3,48,882 individuals being included in the final analysis. We have cross-tabulated SES and WES composite scores with the Dimension Index (DI) of screening and categorised states and UTs into low, middle and high. We have represented these values over the Indian map. The interaction among these was graphically represented by a bubble plot. Further, we estimated the association of each indicator of SES and WES with screening coverage using multivariable logistic regression. The national coverage of oral cancer screening among women of reproductive age was 0.77% with Andhra Pradesh (7%) and Andaman and Nicobar Islands (10%) recording the highest screening coverage. Despite having high SES and WES scores, Madhya Pradesh and Uttar Pradesh, the screening (DI) was low. States with both high women empowerment status and high socioeconomic status showed high oral cancer screening uptake but the trend was not universal. Still, there were variations in the association among the states. The increased screening was significantly associated with higher access to improved sanitary facility (76%) and clean fuel for cooking (44%). Socio-economic status is an important precursor for better oral cancer screening coverage but women empowerment status did not always translate into good cancer screening uptake. Deep-rooted socio-cultural constructs and stigma associated with cancer and its implications may play a role. Implementation research for better uptake of oral cancer screening coverage is required.
Competing Interests: Declarations Competing interests The authors declare no competing interests. Ethics The NFHS-5 received ethical approval from the International Institute for Population Sciences (IIPS), Mumbai (2019–21) as per Helsinki declaration. It was also reviewed by the International Review Board (IRB), which approved it ethically. After receiving complete information about the goal and methodology of the survey, the respondents signed to confirm their agreement. Interviews were conducted only after receiving each participant’s informed consent. Being an anonymous dataset it is publicly available on the Demographic and Health Surveys (DHS) Programme website that cannot be used to identify survey respondents. The current study was a secondary data analysis from the available records.
(© 2024. The Author(s).)
Databáze: MEDLINE
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