Cervical Cancer Mortality in Romania: Trends, Regional and Rural-Urban Inequalities, and Policy Implications

被引:9
作者
Furtunescu, Florentina [1 ]
Bohiltea, Roxana Elena [2 ]
Neacsu, Adrian [2 ,3 ]
Grigoriu, Corina [2 ,4 ]
Pop, Corina Silvia [5 ,6 ]
Bacalbasa, Nicolae [2 ]
Ducu, Ionita [4 ]
Iordache, Ana-Maria [7 ]
Costea, Radu Virgil [8 ,9 ]
机构
[1] Carol Davila Univ Med & Pharm Bucharest, Fac Med, Dept Publ Hlth & Management, Bucharest 050463, Romania
[2] Carol Davila Univ Med & Pharm Bucharest, Dept Obstet & Gynecol, Bucharest 020021, Romania
[3] Sfantul Ioan Emergency Clin Hosp, Dept Obstet & Gynecol, Bucharest 042122, Romania
[4] Univ Emergency Hosp Bucharest, Dept Obstet & Gynecol, Bucharest 050098, Romania
[5] Carol Davila Univ Med & Pharm Bucharest, Dept Internal Med & Gastroenterol, Bucharest 020021, Romania
[6] Univ Emergency Hosp Bucharest, Dept Internal Med & Gastroenterol, Bucharest 050098, Romania
[7] Natl Inst Res & Dev Optoelect, Optospintron Dept, INOE 2000,409 Atomistilor, Magurele 077125, Romania
[8] Carol Davila Univ Med & Pharm Bucharest, Dept Surg, Bucharest 020021, Romania
[9] Univ Emergency Hosp Bucharest, Dept Surg, Bucharest 050098, Romania
来源
MEDICINA-LITHUANIA | 2022年 / 58卷 / 01期
关键词
cervical cancer deaths; age-standardized mortality; cervical cancer screening; cervical cancer mortality; QUALITY-ASSURANCE; EUROPEAN GUIDELINES;
D O I
10.3390/medicina58010018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Despite being largely preventable, cervical cancer mortality still remains an important public health problem globally, in Europe, and in Romania. The European Union member states are urged to implement systematic, population-based screenings for cervical cancer, but the programs developed by the countries remain very heterogeneous. This study aimed to investigate the differences in cervix cancer mortality between Romania and EU and within Romania over the last two decades and to reveal the major sources of inequalities and the policy implications. Materials and Methods: We analyzed the number of deaths and the mortality rates by cervical cancer, standardized using the direct method, over two decades (2001-2016 for the EU, and 2001-2019 for the national and sub-national analyses). Trends, mortality reduction over the years, and mortality differences at the beginning and end of the time interval have been calculated for the EU and Romania, at national and sub-national levels (rural-urban and regions). Results: Our results revealed differences in cervical cancer mortality between Romania and EU and within Romania (among regions and rural-urban areas). These differences used to be very high in the past and are still persisting. Conclusions: The country should revisit its national cervical cancer screening program, which has been implemented for many years, but with a very limited participation rate. Due to the similar problems existing in Central-Eastern Europe, targeted support from the EU for the members from this geographical area could contribute to the minimization of differences in cervical cancer mortality among the EU members.
引用
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页数:13
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