Evidence map›Paper›PMID 41057917›Full record

ArticleReproductive health2025

Decomposition analysis of coverage of cervical cancer screening among Indian women within reproductive age-group: distribution and determinants of socioeconomic inequalities using a nationally representative survey.

Pritam Halder, Divya Sharma, Ashish Behera, Arun Kumar Aggarwal, Anshul Mamgai, Pulak Syal, Seema Chopra, Tanvi Kiran

Abstract read
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Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Article
  2. Decomposing Oral Cancer Screening Inequalities Across Wealth Index among Indian Women Aged 30-49 Years: Findings From National Family Health Survey-5.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Pritam HalderDepartment of Community Medicine, School of Public Health, PGIMER, Chandigarh, 160012, India.ORCID http://orcid.org/0009-0008-2407-6807
Divya Sharma *Department of Community Medicine, School of Public Health, PGIMER, Chandigarh, 160012, India. divya2809.sharma@gmail.com.ORCID http://orcid.org/0000-0002-8753-7550
Ashish BeheraDepartment of Internal Medicine, PGIMER , Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-1750-2352
Arun Kumar AggarwalDepartment of Community Medicine, School of Public Health, PGIMER, Chandigarh, 160012, India.
Anshul MamgaiDepartment of Community Medicine, School of Public Health, PGIMER, Chandigarh, 160012, India.
Pulak SyalGMCH 32, Chandigarh, 160032, India.
Seema ChopraDepartment of Obstetrics and Gynaecology, PGIMER , Chandigarh, 160012, India.ORCID http://orcid.org/0000-0002-6015-5034
Tanvi Kiran *Department of Community Medicine, School of Public Health, PGIMER, Chandigarh, 160012, India. tanvikiran3@yahoo.com.ORCID http://orcid.org/0000-0003-1728-142X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCervical cancer (CC) screening promotes early identification and treatment. Increasing participation in screening is difficult because of socioeconomic and cultural impacts. The objective was to estimate distribution and factors contributing to socioeconomic inequalities in CC screening across wealth index among women aged ≥ 30 at the national and subnational levels.

methodsSTATA-v17 was used to analyse the data from the National Family Health Survey-5 in India to estimate the coverage of CC screening among Indian women aged ≥ 30. Concentration index highlighted socio-economic disparities across states and union territories (UTs) based on wealth. Screening inequalities were recorded, stratified by residence, area, states, and UTs. Spatial map was used to depict the difference (richest-poorest) in coverage of CC screening (%) for states/UTs. Erreygers method was performed for further decomposition.

resultsThe overall coverage (1.96%) of CC screening raised as the wealth quintile increased (0.99 to 2.45%). Both high overall coverage and disparity (richest-poorest) was reported in Chandigarh, Punjab, Manipur, Mizoram, Maharashtra, and Kerala. The Inequalities of CC screening was concentrated among the wealthy: overall concentration index- 0.011 (0.010 to 0.013)). The north (0.009 (0.007 to 0.010)) and north-east (0.009 (0.007 to 0.010)) have the highest inequality. BMI (6.15%), number of living children (7.15%), education (9.17%), residential variance (14.17%), regional (21.37%), and non-exposure to media (49.21%) positively contributing to disparities, whereas regular fruit consumption (-7.25%) and caste variation (-10.99%) were negatively influencing factors.

conclusionIndia has a low overall screening adoption percentage. The socioeconomic disparities at different levels can be effectively addressed by early and regular screening, especially for the poor.

Indexed as

Early Detection of CancerHealthcare DisparitiesMass ScreeningUterine Cervical NeoplasmsAdultFemaleHealth SurveysHumansIndiaMiddle AgedSocioeconomic FactorsCancer screeningCervical cancerDecompositionDeterminantsDistributionFactorsIndiaNFHSScreeningSocioeconomic inequality

Identifiers

PMID41057917
PMCPMC12506370

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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.