Evidence map›Paper›PMID 33602194›Full record

ArticleBMC women's health2021

Challenges and opportunities associated with cervical cancer screening programs in a low income, high HIV prevalence context.

Adebola Adedimeji, Rogers Ajeh, Amanda Pierz, Relindis Nkeng, Jackson Jr Ndenkeh, Norbert Fuhngwa, Denis Nsame, Miriam Nji, Anastase Dzudie, Kathryn M Anastos and 1 more

Abstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. Demographic and social determinants of human immunodeficiency virus status among women with cervical cancer in a low-resource setting.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Adebola AdedimejiDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA. adebola.adedimeji@einsteinmed.org.ORCID 0000-0002-8012-9124
Rogers AjehClinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Amanda PierzDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Relindis NkengClinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Jackson Jr NdenkehClinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Norbert FuhngwaClinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Denis NsameLimbe Regional Hospital, Limbe, Southwest Region, Cameroon.
Miriam NjiRollins School of Public Health, Emory University, Atlanta, GA, USA.
Anastase DzudieClinical Research Education, Networking and Consultancy, Yaoundé, Cameroon.
Kathryn M AnastosDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Philip E CastleDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.

Funding

WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI STEVEN C. ALMO · 1985 to 2026
$111.2M
"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
National Institutes for Allergy and Infectious Diseases 5U01AI096299-04National Institutes of Health, National Cancer Institute 3P30CA013330-43S1ANCI NIH HHS P30 CA013330NIAID NIH HHS U01 AI096299
6 · The paper itself

Abstract

backgroundCervical cancer is a leading cause of death among Cameroon women. The burden of cervical cancer is in part traceable to the inadequate understanding of socio-contextual determinants of access to screening and prevention opportunities. We explored multilevel individual, community and structural factors that facilitate or inhibit cervical cancer prevention in women at risk in a low-income, high HIV prevalence context.

methodsWe utilized an exploratory qualitative approach to obtain data through focus group discussions and in-depth interviews from May to August, 2018. A two-stage purposive sampling strategy was used to select 80 women and 20 men who participated in 8 focus group discussions and 8 in-depth interviews. The socio-ecological model guided data analyses to identify micro-, meso-, and macro-level determinants of cervical cancer screening.

resultsMicro-level factors including lack of awareness and knowledge about cervical cancer, lack of access to information, excessive cost of cervical cancer screening, low risk perceptions, and poor health seeking behaviors were major barriers for women seeking cervical cancer screening. Meso-level factors, such as social networks, socio-cultural norms, perceptions of the role of men and HIV-related stigma when screening is integrated into HIV care, also engender negative attitudes and behaviors. Macro-level barriers to cervical cancer screening included poorly equipped health facilities and a lack of national cancer prevention policies and programs.

conclusionIn the context of the call for elimination of cervical cancer as a public health problem, our findings highlight challenges and opportunities that should be considered when implementing interventions to increase uptake of cervical cancer screening in low-middle income settings.

Indexed as

HIV InfectionsUterine Cervical NeoplasmsCameroonEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMass ScreeningPrevalenceQualitative ResearchCameroonCervical cancer screeningHuman immunodeficiency virus (HIV)Low-incomeSocial determinants

Identifiers

PMID33602194
PMCPMC7890622

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.