Evidence map›Paper›PMID 40210933›Full record

ArticleScientific reports2025

Wealth-related inequalities of women's cervical cancer screening in 11 Sub-Saharan African countries: evidence from a pooled decomposition analysis.

Beminate Lemma Seifu, Yohannes Mekuria Negussie, Angwach Abrham Asnake, Hiwot Atlaye Asebe, Bezawit Melak Fente, Zufan Alamrie Asmare, Mamaru Melkam, Meklit Melaku Bezie, Alemayehu Kasu Gebrehana, Sintayehu Simie Tsega

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
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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

10 authors.

Beminate Lemma SeifuDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia. Beminetlemma1915@gmail.com.
Yohannes Mekuria NegussieDepartment of Medicine, Adama General Hospital and Medical College, Adama, Ethiopia.
Angwach Abrham AsnakeDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Hiwot Atlaye AsebeDepartment of Public Health, College of Medicine and Health Sciences, Samara University, Samara, Ethiopia.
Bezawit Melak FenteDepartment of General Midwifery, School of Midwifery, College of Medicine & Health Sciences, University of Gondar, Gondar, Ethiopia.
Zufan Alamrie AsmareDepartment of Ophthalmology, School of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia.
Mamaru MelkamDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Meklit Melaku BezieDepartment of Public Health Officer, College of Medicine and Health Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Alemayehu Kasu GebrehanaDepartment of Midwifery, College of Health Sciences, Salale University, Salale, Ethiopia.
Sintayehu Simie TsegaDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical cancer is a preventable disease and ranks as the fourth most common cancer, as well as a major cause of cancer deaths among women globally. Despite initiatives by the World Health Organization to reduce cervical cancer incidence through vaccination, screening, and treatment, significant inequalities in healthcare access persist, particularly in low-income regions where economic and infrastructural barriers hinder access to screening services. Therefore, this study aimed to examine wealth-related inequalities in cervical cancer screening among women in Sub-Saharan African countries. The study analyzed 138,605 weighted samples of reproductive-aged women from DHS data spanning 2015 to 2023 across SSA countries. To assess socioeconomic-related inequality in cervical cancer screening uptake, the Erreygers normalized concentration index and its concentration curve were utilized. Additionally, a decomposition analysis was conducted to identify factors contributing to this inequality. The weighted Erreygers normalized concentration index was 0.25 with a standard error of 0.0078 (P value < 0.0001), indicating a statistically significant pro-rich distribution of wealth-related inequalities in cervical cancer screening uptake among reproductive-aged women. The decomposition analysis identified media exposure (20%), wealth index (15.58%), educational status (6.23%), and place of residence (2.18%) significantly contribute to screening inequalities. To address cervical cancer screening disparities in SSA, targeted strategies such as awareness campaigns for low-income groups, free screening services, mobile units in rural areas, and health literacy programs are recommended. Training community health workers and policy advocacy are also crucial. Comprehensive interventions should enhance media outreach, health education, and healthcare accessibility in both urban and rural areas to ensure equitable screening rates.

Indexed as

Early Detection of CancerHealthcare DisparitiesUterine Cervical NeoplasmsAdolescentAdultAfrica South of the SaharaFemaleHealth Services AccessibilityHumansMass ScreeningMiddle AgedSocioeconomic FactorsYoung AdultCervical cancerConcentration indexDecomposition analysisSocioeconomic-related inequalitySub-Saharan Africa

Identifiers

PMID40210933
PMCPMC11986150

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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.