Factors influencing cervical cancer screening among reproductive age group women in India: A multilevel analysis of nationwide survey 2019–2021

Q1 Social Sciences Global Transitions Pub Date : 2023-12-18 DOI:10.1016/j.glt.2023.11.003

Jeetendra Yadav , Nilima , Siddharth Kaushik , Nutan Kumari

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Abstract

Trends and factors associated with cervical cancer screening (CCS) among women of reproductive age are essential for designing cancer prevention strategies to reduce mortality. The present study investigates the factors contributing to CCS in India through multilevel modeling on data from women files of the fifth round of the National Family Health Survey (NFHS- 5). Districts, villages, and individuals were considered as the levels under investigation. Age, contraception use, and wealth index impacted the CCS significantly. The percentage of CCS is 1.2, and it varies across socioeconomic factors. The prevalence of cervical cancer screening is high among women in the 30–49 age group, in the rich wealth index, and not utilizing condoms as contraception. The screening percentage was found to be highest in southern states. A pressing need was felt for organizing awareness camps and all-inclusive dissemination of information, especially in the Northern part of India.

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影响印度育龄妇女宫颈癌筛查的因素：对 2019-2021 年全国调查的多层面分析

育龄妇女宫颈癌筛查（CCS）的趋势和相关因素对于制定癌症预防战略以降低死亡率至关重要。本研究通过对第五轮全国家庭健康调查（NFHS- 5）的妇女档案数据进行多层次建模，调查了印度导致宫颈癌筛查的因素。县、村和个人被视为调查对象。年龄、避孕药具使用情况和财富指数对 CCS 有显著影响。宫颈癌筛查率为 1.2%，不同社会经济因素的影响也不同。宫颈癌筛查在 30-49 岁年龄组、财富指数较高、未使用避孕套避孕的妇女中普及率较高。南部各州的筛查比例最高。人们认为迫切需要组织宣传营和全面的信息传播，特别是在印度北部地区。

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