Evidence map›Paper›PMID 38489259›Full record

ArticlePLOS global public health2024

The economic burden of cervical cancer on women in Uganda: Findings from a cross-sectional study conducted at two public cervical cancer clinics.

Hallie Dau, Esther Nankya, Priscilla Naguti, Miriam Basemera, Beth A Payne, Marianne Vidler, Joel Singer, Avery McNair, Maryam AboMoslim, Laurie Smith and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
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

13 authors.

Hallie DauSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-6193-4032
Esther NankyaUganda Cancer Institute, Kampala, Uganda.
Priscilla NagutiUganda Cancer Institute, Kampala, Uganda.
Miriam BasemeraCancer Unit, Jinja Regional Referral Hospital, Jinja, Uganda.ORCID https://orcid.org/0009-0004-1955-5708
Beth A PayneWomen's Health Research Institute, Vancouver, British Columbia, Canada.
Marianne VidlerDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada.
Joel SingerSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Avery McNairSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Maryam AboMoslimSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Laurie SmithWomen's Health Research Institute, Vancouver, British Columbia, Canada.
Jackson OremUganda Cancer Institute, Kampala, Uganda.
Carolyn NakisigeUganda Cancer Institute, Kampala, Uganda.
Gina OgilvieSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited research on how a cervical cancer diagnosis financially impacts women and their families in Uganda. This analysis aimed to describe the economic impact of cervical cancer treatment, including how it differs by socio-economic status (SES) in Uganda. We conducted a cross-sectional study from September 19, 2022 to January 17, 2023. Women were recruited from the Uganda Cancer Institute and Jinja Regional Referral Hospital, and were eligible if they were ≥ of 18 years and being treated for cervical cancer. Participants completed a survey that included questions about their out-of-pocket costs, unpaid labor, and family's economic situation. A wealth index was constructed to determine their SES. Descriptive statistics were reported. Of the 338 participants, 183 were from the lower SES. Women from the lower SES were significantly more likely to be older, have ≤ primary school education, and have a more advanced stage of cervical cancer. Over 90% of participants in both groups reported paying out-of-pocket for cervical cancer. Only 15 participants stopped treatment because they could not afford it. Women of a lower SES were significantly more likely to report borrowing money (higher SES n = 47, 30.5%; lower SES n = 84, 46.4%; p-value = 0.004) and selling possessions (higher SES n = 47, 30.5%; lower SES n = 90, 49.7%; p-value = 0.006) to pay for care. Both SES groups reported a decrease in the amount of time that they spent caring for their children since their cervical cancer diagnosis (higher SES n = 34, 31.2%; lower SES n = 36, 29.8%). Regardless of their SES, women in Uganda incur out-of-pocket costs related to their cervical cancer treatment. However, there are inequities as women from the lower SES groups were more likely to borrow funds to afford treatment. Alternative payment models and further economic support could help alleviate the financial burden of cervical cancer care in Uganda.

Identifiers

PMID38489259
PMCPMC10942052

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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.