Ethnic inequalities in coverage and use of women's cancer screening in Peru.
Humans
Female
Peru
/ ethnology
Middle Aged
Adult
Early Detection of Cancer
/ statistics & numerical data
Breast Neoplasms
/ diagnosis
Healthcare Disparities
/ statistics & numerical data
Mammography
/ statistics & numerical data
Aged
Papanicolaou Test
/ statistics & numerical data
Uterine Cervical Neoplasms
/ diagnosis
Ethnicity
/ statistics & numerical data
Socioeconomic Factors
Vaginal Smears
/ statistics & numerical data
Early detection of cancer
Ethnicity
Health inequities
Peru
Sociodemographic factors
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
24 Jul 2024
24 Jul 2024
Historique:
received:
12
03
2024
accepted:
24
06
2024
medline:
26
7
2024
pubmed:
26
7
2024
entrez:
25
7
2024
Statut:
epublish
Résumé
This study aimed to assess ethnic inequalities in the coverage and utilization of cancer screening services among women in Peru. Data from the 2017-2023 Demographic and Family Health Survey in Peru were analyzed to evaluate ethnic disparities in screening coverage for breast and cervical cancer, including clinical breast examination (CBE), Pap smear test (PST), and mammography. Measures such as the GINI coefficient and Slope Index of Inequality (SII) were used to quantify coverage and utilization disparities among ethnic groups. The study included 70,454 women aged 30-69. Among women aged 40-69, 48.31% underwent CBE, 84.06% received PST, and 41.69% underwent mammography. It was found inequalities in coverage for any cancer screening (GINI: 0.10), mammography (GINI: 0.21), CBE (GINI: 0.19), and PST (GINI: 0.06), in 25 Peruvian regions. These inequalities were more pronounced in regions with larger populations of Quechua, Aymara, and Afro-Peruvian women. In rural areas, Quechua or Aymara women (SII: -0.83, -0.95, and - 0.69, respectively) and Afro-Peruvian women (SII: -0.80, -0.92, and - 0.58, respectively) experienced heightened inequalities in the uptake of CBE, mammography, and PST, respectively. Like Quechua or Aymara women (SII: -0.50, SII: -0.52, and SII: -0.50, respectively) and Afro-Peruvian women (SII: -0.50, SII: -0.58, and SII: -0.44, respectively) with only a primary education. Ethnic inequalities affect breast and cervical cancer screening coverage across regions in Peru. In Quechua, Aymara, and Afro-Peruvian women the uptake of mammography, CBE, and PST was less frequently than their white or mestizo counterparts. These inequalities are attributed to sociodemographic conditions such as lower education levels and residence in rural or non-capital areas.
Identifiants
pubmed: 39048988
doi: 10.1186/s12905-024-03225-6
pii: 10.1186/s12905-024-03225-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
418Informations de copyright
© 2024. The Author(s).
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