Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review
Background: Cervical cancer remains a significant public health issue in low- and middle-income countries (LMICs), where screening coverage is low due to cultural barriers and stigma. In many communities, reproductive health is considered a taboo subject, limiting women's access to accurate in...
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YCAB Publisher
2025-06-01
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| Series: | Public Health of Indonesia |
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| Online Access: | https://stikbar.org/ycabpublisher/index.php/PHI/article/view/966 |
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| author | Epina Felizita Bando Mohamed Saifulaman Mohamed Said Tukimin bin Sansuwito Jipri Suyanto |
| author_facet | Epina Felizita Bando Mohamed Saifulaman Mohamed Said Tukimin bin Sansuwito Jipri Suyanto |
| author_sort | Epina Felizita Bando |
| collection | DOAJ |
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Background: Cervical cancer remains a significant public health issue in low- and middle-income countries (LMICs), where screening coverage is low due to cultural barriers and stigma. In many communities, reproductive health is considered a taboo subject, limiting women's access to accurate information and preventive services. The stigma associated with human papillomavirus (HPV), the primary cause of cervical cancer, often stems from misconceptions linking the infection to promiscuity, which leads to fear of judgment and social exclusion.
Objectives: This study aims to explore the influence of cultural barriers and stigma on cervical cancer screening practices in diverse populations, particularly in LMICs.
Methods: A systematic literature review was conducted using three major databases: PubMed, ScienceDirect, and Google Scholar. Studies published between 2020 and 2024 were screened based on titles, methodologies, interventions, and outcomes. A total of 79 relevant articles were reviewed and synthesized using a narrative framework.
Results: The analysis of nine key studies highlights that women in LMICs, including Zimbabwe, Ethiopia, and India, face stigma, misinformation, and limited access to healthcare, all of which hinder screening participation. Similar challenges are observed among migrant and Indigenous populations in high-income countries. HPV self-sampling has emerged as a culturally acceptable and accessible method that increases participation, particularly when supported by trained health workers. However, concerns about test reliability and discomfort remain.
Conclusion: To improve cervical cancer screening outcomes, culturally responsive education, access to self-sampling, and community-based interventions are essential. Addressing social determinants of health and involving local health workers are key strategies to enhance participation and reduce cervical cancer burden globally.
Keywords: cervical cancer screening; stigma; cultural barriers; HPV; health education; self-sampling; social determinants of health
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| format | Article |
| id | doaj-art-de63763b5eeb46de9f3e11cdc5016e80 |
| institution | Kabale University |
| issn | 2528-1542 2477-1570 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | YCAB Publisher |
| record_format | Article |
| series | Public Health of Indonesia |
| spelling | doaj-art-de63763b5eeb46de9f3e11cdc5016e802025-08-20T03:44:39ZengYCAB PublisherPublic Health of Indonesia2528-15422477-15702025-06-0111210.36685/phi.v11i2.966Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review Epina Felizita Bando 0Mohamed Saifulaman Mohamed Said 1Tukimin bin Sansuwito2Jipri Suyanto3Lincoln University College, MalaysiaLincoln University College, MalaysiaLincoln University College, MalaysiaFaculty of Health Science, Dehasen University, Bengkulu, Indonesia Background: Cervical cancer remains a significant public health issue in low- and middle-income countries (LMICs), where screening coverage is low due to cultural barriers and stigma. In many communities, reproductive health is considered a taboo subject, limiting women's access to accurate information and preventive services. The stigma associated with human papillomavirus (HPV), the primary cause of cervical cancer, often stems from misconceptions linking the infection to promiscuity, which leads to fear of judgment and social exclusion. Objectives: This study aims to explore the influence of cultural barriers and stigma on cervical cancer screening practices in diverse populations, particularly in LMICs. Methods: A systematic literature review was conducted using three major databases: PubMed, ScienceDirect, and Google Scholar. Studies published between 2020 and 2024 were screened based on titles, methodologies, interventions, and outcomes. A total of 79 relevant articles were reviewed and synthesized using a narrative framework. Results: The analysis of nine key studies highlights that women in LMICs, including Zimbabwe, Ethiopia, and India, face stigma, misinformation, and limited access to healthcare, all of which hinder screening participation. Similar challenges are observed among migrant and Indigenous populations in high-income countries. HPV self-sampling has emerged as a culturally acceptable and accessible method that increases participation, particularly when supported by trained health workers. However, concerns about test reliability and discomfort remain. Conclusion: To improve cervical cancer screening outcomes, culturally responsive education, access to self-sampling, and community-based interventions are essential. Addressing social determinants of health and involving local health workers are key strategies to enhance participation and reduce cervical cancer burden globally. Keywords: cervical cancer screening; stigma; cultural barriers; HPV; health education; self-sampling; social determinants of health https://stikbar.org/ycabpublisher/index.php/PHI/article/view/966cervical cancer screening, barrier, education, social determinant of health, cultural issues |
| spellingShingle | Epina Felizita Bando Mohamed Saifulaman Mohamed Said Tukimin bin Sansuwito Jipri Suyanto Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review Public Health of Indonesia cervical cancer screening, barrier, education, social determinant of health, cultural issues |
| title | Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review |
| title_full | Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review |
| title_fullStr | Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review |
| title_full_unstemmed | Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review |
| title_short | Cultural Barrier and Cervical Cancer Stigma on Screening Program in Community: A Systematic Literature Review |
| title_sort | cultural barrier and cervical cancer stigma on screening program in community a systematic literature review |
| topic | cervical cancer screening, barrier, education, social determinant of health, cultural issues |
| url | https://stikbar.org/ycabpublisher/index.php/PHI/article/view/966 |
| work_keys_str_mv | AT epinafelizitabando culturalbarrierandcervicalcancerstigmaonscreeningprogramincommunityasystematicliteraturereview AT mohamedsaifulamanmohamedsaid culturalbarrierandcervicalcancerstigmaonscreeningprogramincommunityasystematicliteraturereview AT tukiminbinsansuwito culturalbarrierandcervicalcancerstigmaonscreeningprogramincommunityasystematicliteraturereview AT jiprisuyanto culturalbarrierandcervicalcancerstigmaonscreeningprogramincommunityasystematicliteraturereview |