Barriers to the uptake of cervical cancer services and attitudes towards adopting new interventions in Peru

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Barriers to the uptake of cervical cancer services and attitudes towards adopting new interventions in Peru


JournalPreventive Medicine Reports
Publication date – Oct – 2020
Authors – Lavanya Vasudevana, Sandra Stinnett, Cecelia Mizelle, Katherine Melgar, Christina Makarushka, Michelle Pieters, Luis Enrique Roman Sanchez, Jose Jeronimo, Megan J.Huchkobh, Rae Jean Proeschold-Bell
KeywordsCervical cancer Peru Low and middle-income country Barriers Uterine Cervical Neoplasms Mass Screening or Early Detection of Cancer Therapeutics
Open access – Yes
SpecialityObstetrics and Gynaecology, Surgical oncology
World region South America
Country: Peru
Language – English
Submitted to the One Surgery Index on October 21, 2020 at 1:32 am
Abstract:

Cervical cancer mortality is high among Peruvian women of reproductive age. Understanding barriers and facilitators of cervical cancer screening and treatment could facilitate development of contextually-relevant interventions to reduce cervical cancer incidence and mortality. From April – October 2019, we conducted a cross-sectional survey with 22 medical personnel and administrative staff from Liga Contra el Cancer, in Lima, Peru. The survey included structured and open-ended questions about participants’ roles in cervical cancer prevention and treatment, perceptions of women’s barriers and facilitators for getting screened and/or treated for cervical cancer, as well as attitudes towards adopting new cervical cancer interventions. For structured questions, the frequency of responses for each question was calculated. For responses to open-ended questions, content analysis was used to summarize common themes. Our data suggest that the relative importance and nature of barriers that Peruvian women face are different for cervical cancer screening compared to treatment. In particular, participants mentioned financial concerns as the primary barrier to treatment and a lack of knowledge or awareness of human papillomavirus and/or cervical cancer as the primary barrier to screening uptake among women. Participants reported high willingness to adopt new interventions or strategies related to cervical cancer. Building greater awareness about benefits of cervical cancer screening among women, and reducing financial and geographic barriers to treatment may help improve screening rates, decrease late-stage diagnosis and reduce mortality in women who have a pre-cancer diagnosis, respectively. Further studies are needed to generalize study findings to settings other than Lima, Peru.

OSI Number – 20688

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