Interventions to improve the uptake of cervical cancer screening among lower socioeconomic groups: A systematic review
Open accessAbstract
Cervical cancer is the fourth most common cancer in women worldwide. Screening can reduce both the incidence and mortality of the disease but is often not utilized by lower socioeconomic groups. A systematic review, including studies of interventions to improve breast and cervical cancer screening uptake, up to 2006, found targeted interventions could be effective. A formal update has been conducted on the effectiveness of interventions to improve the uptake of cervical cancer screening among lower socioeconomic groups. A systematic computerized literature search was undertaken in June 2016 for relevant papers published since 2006. Data was extracted on study participants, setting, intervention and control using a predefined extraction tool and a full quality assessment was undertaken using the Cochrane risk of bias tool. This update yielded 16 studies of mixed quality, in addition to the 13 studies from the original review. The interventions were categorized into local interventions including HPV self-testing, lay health advisors, inreach, outreach and mixed, and strategies enhancing attendance within an organized program. This review has found two large, randomized controlled trials for the use of HPV self-testing to increase cervical screening uptake. Both reviews have found varying success using lay health advisors, with the majority of included papers reporting a statistically significant increase in screening uptake. HPV self-testing can improve uptake of cervical cance…
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There is limited data on the use of self-sampling in India.
“While there have been reports of their successful use in Africa, Latin America and in developed countries, there is limited data of their use in India (Lazcano-Ponce et al., 2011; Rees et al., 2018).”
From Acceptability and Concordance of Self- Versus Clinician- Sampling for HPV Testing among Rural South Indian Women (2021) · cites this paper as Rees et al., 2018
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- Authors
- Rees, I., Jones, D., Chen, H., & Macleod, U.
- Affiliations
- University of Hull (GB)
- Corresponding author
- Rees, Imogen
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 111
- Pages
- 323-335
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2774162496
- Cited by
- 92
- References
- 52
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 6 · 2023: 11 · 2022: 13 · 2021: 14 · 2020: 13 · 2019: 14 · 2018: 2
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion)
- Warwick Research Archive Portal (University of Warwick) (submittedVersion)
- Funders
- Hull York Medical School
- INSPIRE programme
- Academy of Medical Sciences
- Wellcome Trust
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- cervical cancer screening, screening uptake, socioeconomic status, HPV self-testing, lay health advisors, organized screening programs, breast cancer screening, health interventions
- MeSH terms
- Uterine Cervical Neoplasms, Female, Humans, Mass Screening, Socioeconomic Factors, Healthcare Disparities, Early Detection of Cancer
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