Evidence map›Paper›PMID 40866086›Full record

ArticleBMJ global health2025

The relationship between rural residence and cervical cancer screening in three sub-Saharan countries with different national screening policies.

Jonas M Ndeke, Molly Rosenberg, Karen E Yeates, Douglas Landsittel

Abstract read
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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jonas M NdekeDepartment of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, USA jndeke@iu.edu.ORCID 0000-0002-5433-0991
Molly RosenbergDepartment of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, USA.
Karen E YeatesDepartment of Medicine, Queen's University School of Medicine, Kingston, Ontario, Canada.
Douglas LandsittelDepartment of Epidemiology and Biostatistics, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, USA.

Funding

Clinical and Translational Cancer Control Research Training ProgramT32CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, Gary R Morrow · 2019 to 2026
$2.7M
Interdisciplinary Training in Cancer Prevention and ControlT32CA117865 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Victoria Lee Champion, Catherine E Mosher · 2016 to 2026
$2.4M
NCI NIH HHS T32 CA102618NCI NIH HHS T32 CA117865
6 · The paper itself

Abstract

purposeTo compare cervical cancer screening prevalence between urban and rural women aged 30-49 years in three sub-Saharan African countries chosen by their country-specific screening strategy (Burkina Faso, which has a systematic population-based cervical cancer screening programme in place; Tanzania, where opportunistic screening options only are implemented; and Ghana, which has implemented neither one).

methodsWe used the most recent Demographic and Health Surveys data from Burkina Faso, Ghana and Tanzania. We restricted our analysis to women aged 30-49 eligible for cervical cancer screening and categorised them by their place of residence as urban or rural. We calculated screening proportions using country-specific survey weights to estimate the absolute prevalence difference in cervical cancer screening between urban/rural residents.

resultsRural participants represented 69.5% in Burkina Faso, 64.6% in Tanzania and 42.8% in Ghana. Burkina Faso women reported higher cervical cancer screening prevalence at 19.9%, and Ghana participants reported the lowest at 7.4%. Compared with urban participants, rural women screened less across countries, with an absolute prevalence difference in screening wider in Tanzania at 13.1% (95% CI 10.6% to 15.7%), followed by Burkina Faso at 11.1% (95% CI 7.7% to 14.6%) and narrower in Ghana at 5.9% (95% CI 4.1% to 7.7%).

conclusionWe found a consistently low screening uptake and a screening prevalence gap disfavouring rural women from these three sub-Saharan African countries, with the narrowest urban/rural gap in Ghana and the widest in Tanzania, which has a large opportunistic cervical cancer screening programme. Our findings offer no indication of a potential benefit of having a systematic screening programme as a tool that can mitigate the screening gap between urban and rural populations. Further screening uptake studies, including more countries, are needed on this topic, which should account for the existing country-specific non-screening related factors in the healthcare system that may influence cervical cancer screening uptake.

Indexed as

Early Detection of CancerHealth PolicyMass ScreeningRural PopulationUrban PopulationUterine Cervical NeoplasmsAdultAfrica South of the SaharaBurkina FasoFemaleGhanaHumansMiddle AgedPrevalenceTanzaniaCancerEpidemiologyGlobal HealthPublic HealthScreening

Identifiers

PMID40866086
PMCPMC12406890

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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.