ArticleInternational journal of public health2020
Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys.
Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- The effect of the music-supported education program on the awareness and health beliefs of Roma women about cervical cancer and screening.BMC public health · 2025Trial
- HPV vaccine awareness and uptake in rural Indigenous communities in Guatemala: a cross-sectional study.BMJ open · 2025Article
- Development of a Cervical Cancer Screening Program in Rural Guatemala.Global health, science and practice · 2025Article
- Cancer Mortality by Ethnicity in Colombia Between 2011 and 2022: A Population-Based Study.International journal of public health · 2025Article
- Low Levels of Lifetime Pap Test Receipt Among Vulnerable Guatemalans.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024Article
- Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action.Frontiers in public health · 2024Review
- Cervical cancer knowledge and barriers and facilitators to screening among women in two rural communities in Guatemala: a qualitative study.BMC women's health · 2022Article
- Loss to Follow-Up and the Care Cascade for Cervical Cancer Care in Rural Guatemala: A Cross-Sectional Study.JCO global oncology · 2022Article
- Cervical cancer mortality in Peru: regional trend analysis from 2008-2017.BMC public health · 2021Article
- Using self-collection HPV testing to increase engagement in cervical cancer screening programs in rural Guatemala: a longitudinal analysis.BMC public health · 2020Article
- Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesExamine the association between commonly reported barriers to health care, including discordant spoken languages between patients and providers, and reported previous cervical cancer screening.
methodsData from the nationally representative Guatemala National Maternal and Child Health Survey from the Demographic and Health Surveys Program were used to explore associations between barriers and screening rates nationwide and in high-risk populations, such as rural and indigenous communities. Negative binomial regressions were run accounting for survey sample weights to calculate prevalence ratios.
results64.0%, 57.5% and 47.5% of women reported ever screening, in the overall, indigenous, and rural populations, respectively. Overall, never screened for cervical cancer was associated with the following health barriers: needing permission, cost, distance, not wanting to go alone, and primary language not spoken by health providers, even after adjustment for age, ethnicity, and literacy.
conclusionsOffering screening programs alone is not enough to reduce the burden of cervical cancer in Guatemala. Measures need to be taken to reduce barriers to health care, particularly in rural areas, where screening rates are lowest.
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