Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women
Abstract Background Cervical cancer, albeit preventable, is the second-most deadly gynecological cancer in developing nations. Little is known about cervical cancer among Bangladeshi women. This study aims to estimate the prevalence of cervical cancer screening and demographic correlates to identify...
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Springer
2024-11-01
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| Series: | Research in Health Services & Regions |
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| Online Access: | https://doi.org/10.1007/s43999-024-00053-x |
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| author | Mohammad Jobair Khan Priya Kannan Sayma Stanley John Winser |
| author_facet | Mohammad Jobair Khan Priya Kannan Sayma Stanley John Winser |
| author_sort | Mohammad Jobair Khan |
| collection | DOAJ |
| description | Abstract Background Cervical cancer, albeit preventable, is the second-most deadly gynecological cancer in developing nations. Little is known about cervical cancer among Bangladeshi women. This study aims to estimate the prevalence of cervical cancer screening and demographic correlates to identify potential variabilities in screening rates among different demographic groups and regions. Methods This study used secondary data from the WHO STEPS 2018 Survey. We used Bayesian regression to perform the bivariate analyses between the outcome and each explanatory factor, as it generates more acceptable results and improves parameter estimates. The top-ranked socio-demographic factors were identified using a two-step cluster analysis. This method determines the relevance of predictor variables and automatically establishes the number of clusters. Results The prevalence of Bangladeshi women who had ever been screened for cervical cancer was 6.2%. In the adjusted model, women with the following socio-demographic factors had a higher likelihood of developing cervical cancer: being 18–29 years old (AOR = 3.3, 95% CI: 0.24, 15.27) or 45–59 years old (AOR = 2.8, 95% CI: 1.22, 6.0), currently married (AOR = 2.3, 95% CI: 1.36, 3.70), and employed (AOR = 2.4, 95% CI: 1.40, 4.06). Women in the Barisal division were found to have higher odds of being screened for cervical cancer (AOR = 21, 95% CI: 0.66, 121.97). Cluster analysis found residence status predisposes women to cervical cancer screening. Conclusion There is a significant potential for substantial reductions in the burden of cervical cancer in Bangladesh by strengthening the application of cervical cancer screening. Future studies should examine how socioeconomic status, culture, and healthcare access affect cervical cancer screening trends for different divisions in Bangladesh. An independent national cancer registry is urgently needed to evaluate screening trends and outcomes. |
| format | Article |
| id | doaj-art-3cf44c06f2d64847a2d98d670c9c2ba1 |
| institution | OA Journals |
| issn | 2730-9827 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Springer |
| record_format | Article |
| series | Research in Health Services & Regions |
| spelling | doaj-art-3cf44c06f2d64847a2d98d670c9c2ba12025-08-20T02:13:54ZengSpringerResearch in Health Services & Regions2730-98272024-11-013111110.1007/s43999-024-00053-xPopulation-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi womenMohammad Jobair Khan0Priya Kannan1Sayma2Stanley John Winser3Department of Rehabilitation Sciences, The Hong Kong Polytechnic UniversityRehabilitation Sciences, The Hong Kong Polytechnic UniversityDepartment of English, Uttara UniversityDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic UniversityAbstract Background Cervical cancer, albeit preventable, is the second-most deadly gynecological cancer in developing nations. Little is known about cervical cancer among Bangladeshi women. This study aims to estimate the prevalence of cervical cancer screening and demographic correlates to identify potential variabilities in screening rates among different demographic groups and regions. Methods This study used secondary data from the WHO STEPS 2018 Survey. We used Bayesian regression to perform the bivariate analyses between the outcome and each explanatory factor, as it generates more acceptable results and improves parameter estimates. The top-ranked socio-demographic factors were identified using a two-step cluster analysis. This method determines the relevance of predictor variables and automatically establishes the number of clusters. Results The prevalence of Bangladeshi women who had ever been screened for cervical cancer was 6.2%. In the adjusted model, women with the following socio-demographic factors had a higher likelihood of developing cervical cancer: being 18–29 years old (AOR = 3.3, 95% CI: 0.24, 15.27) or 45–59 years old (AOR = 2.8, 95% CI: 1.22, 6.0), currently married (AOR = 2.3, 95% CI: 1.36, 3.70), and employed (AOR = 2.4, 95% CI: 1.40, 4.06). Women in the Barisal division were found to have higher odds of being screened for cervical cancer (AOR = 21, 95% CI: 0.66, 121.97). Cluster analysis found residence status predisposes women to cervical cancer screening. Conclusion There is a significant potential for substantial reductions in the burden of cervical cancer in Bangladesh by strengthening the application of cervical cancer screening. Future studies should examine how socioeconomic status, culture, and healthcare access affect cervical cancer screening trends for different divisions in Bangladesh. An independent national cancer registry is urgently needed to evaluate screening trends and outcomes.https://doi.org/10.1007/s43999-024-00053-xBayesian regression modelCervical cancerScreeningPrevalenceSociodemographic correlatesWHO STEPS survey |
| spellingShingle | Mohammad Jobair Khan Priya Kannan Sayma Stanley John Winser Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women Research in Health Services & Regions Bayesian regression model Cervical cancer Screening Prevalence Sociodemographic correlates WHO STEPS survey |
| title | Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women |
| title_full | Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women |
| title_fullStr | Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women |
| title_full_unstemmed | Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women |
| title_short | Population-based cross-sectional survey of cervical cancer screening prevalence and socio-demographic correlates in Bangladeshi women |
| title_sort | population based cross sectional survey of cervical cancer screening prevalence and socio demographic correlates in bangladeshi women |
| topic | Bayesian regression model Cervical cancer Screening Prevalence Sociodemographic correlates WHO STEPS survey |
| url | https://doi.org/10.1007/s43999-024-00053-x |
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