Spatial variations in cervical cancer prevention in Colombia: Geographical differences and associated socio-demographic factors

被引：4

作者：

Bermedo-Carrasco, Silvia ^{[1
]}

Waldner, Cheryl ^{[2
,3
]}

Pena-Sanchez, Juan Nicolas ^{[4
]}

Szafron, Michael ^{[5
]}

机构：

[1] Univ Saskatchewan, Sch Publ Hlth, 104 Clin Pl, Saskatoon, SK S7N 5E5, Canada

[2] Univ Saskatchewan, Western Coll Vet Med, 52 Campus Dr, Saskatoon, SK S7N 5B4, Canada

[3] Univ Saskatchewan, Sch Publ Hlth, 52 Campus Dr, Saskatoon, SK S7N 5B4, Canada

[4] Univ Saskatchewan, Coll Med, 103 Hosp Dr, Saskatoon, SK S7N 0W8, Canada

[5] Univ Saskatchewan, Sch Publ Hlth, 104 Clin Pl, Saskatoon, SK S7N 5E5, Canada

来源：

SPATIAL AND SPATIO-TEMPORAL EPIDEMIOLOGY | 2016年 / 19卷

关键词：

Spatial analysis; Cervical cancer prevention; Papillomavirus vaccines; Pap test; Bayesian analysis; Colombia;

D O I：

10.1016/j.sste.2016.07.002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We examined spatial variations in the frequencies of women who had not heard of human papillomavirus vaccination (NHrd-Vac) and who had not had Pap testing (NHd-Pap) among Colombian administrative divisions (departments), before and after considering differences in socio-demographic factors. Following global and local tests for clustering, Bayesian Poisson hierarchical models identified department factors associated with NHrd-Vac and NHdPap, as well as the extent of the spatially structured and unstructured heterogeneity. Models of spatial variations for both outcomes included the department percentage of women with subsidised health insurance. The relative risks of NHrd-Vac and NHd-Pap were highest in several departments adjacent to the Colombian border. Our finding that the risk of not having adequate access to cervical cancer (CC) prevention programmes in Colombia was location-dependent, could be used to focus resources for CC prevention programmes. (C) 2016 Elsevier Ltd. All rights reserved.

引用

页码：78 / 90

页数：13

共 65 条

[1] Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria [J].

Abiodun, Olumide A. ;

Olu-Abiodun, Oluwatosin O. ;

Sotunsa, John O. ;

Oluwole, Francis A. .

BMC PUBLIC HEALTH, 2014, 14

[2] Spatial analysis of breast and cervical cancer incidence in small geographical areas in Cuba, 1999-2003 [J].

Alvarez, Patricia Lorenzo-Luaces ;

Guerra-Yi, Marta E. ;

Faes, Christel ;

Alvare, Yaima Galan ;

Molenberghs, Geert .

EUROPEAN JOURNAL OF CANCER PREVENTION, 2009, 18 (05) :395-403

[3]

Assuncao RM, 1999, STAT MED, V18, P2147, DOI 10.1002/(SICI)1097-0258(19990830)18:16<2147::AID-SIM179>3.0.CO

[4]

2-I

[5]

Ayala Garcia J., 2014, SALUD COLOMBIA MAS C

[6] Inequities in cervical cancer screening among Colombian women: A multilevel analysis of a nationwide survey [J].

Bermedo-Carrasco, Silvia ;

Pena-Sanchez, Juan Nicolas ;

Lepnurm, Rein ;

Szafron, Michael ;

Waldner, Cheryl .

CANCER EPIDEMIOLOGY, 2015, 39 (02) :229-236

[7] Predictors of having heard about human papillomavirus vaccination: Critical aspects for cervical cancer prevention among Colombian women [J].

Bermedo-Carrasco, Silvia ;

Feng, Cindy Xin ;

Pena-Sanchez, Juan Nicolas ;

Lepnurm, Rein .

GACETA SANITARIA, 2015, 29 (02) :112-117

[8]

Bivand RS, 2008, USE R, P1

[9]

Castro-Jiménez Miguel A., 2006, Rev. salud pública, V8, P248, DOI 10.1590/S0124-00642006000300010

[10]

Cortes D, 2012, INEQUIDAD REGIONAL C

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