Objectives: To analyze the inequalities in Papanicolaou test uptake according to the sociodemographic characteristics of Peruvian women 30 to 59 years of age using information from the 2015-2017 Demographic and Family Health Survey (ENDES, acronym in Spanish). Methods: This is an analytical, cross-sectional study based on information acquired from the 2015-2017 ENDES surveys. Sociodemographic characteristics were reported using absolute frequencies and weighted proportions with a 95% confidence interval, considering. Results: with a p value <0.05 as statistically significant. Concentration curves (CC) and concentration indices (IndC) were created based on the interaction of the wealth index and uptake of Pap smear, taking into account the different characteristics of the population studied for the measure of inequalities. Results: All the CC were distributed below the line of equality. Similarly, all the IndC were higher than zero, indicating inequality in the realization of Pap smear, favoring those with a higher wealth index. The highest IndC values were obtained from women aged 50 to 59 (IndC 0.2932), those who lived in the jungle (IndC 0.2305) and those without health insurance (IndC 0.1732). Conclusion: We found sociodemographic inequalities in the uptake of Pap smear in Peru, favoring women with a higher wealth index. There is need for more funding to promote cervical cancer screening programs and to create systems that ensure equal access to health care in Peru.
Objectives: To analyze the inequalities in Papanicolaou test uptake according to the sociodemographic characteristics of Peruvian women 30 to 59 years of age using information from the 2015-2017 Demographic and Family Health Survey (ENDES, acronym in Spanish). Methods: This is an analytical, cross-sectional study based on information acquired from the 2015-2017 ENDES surveys. Sociodemographic characteristics were reported using absolute frequencies and weighted proportions with a 95% confidence interval, considering. Results: with a p value <0.05 as statistically significant. Concentration curves (CC) and concentration indices (IndC) were created based on the interaction of the wealth index and uptake of Pap smear, taking into account the different characteristics of the population studied for the measure of inequalities. Results: All the CC were distributed below the line of equality. Similarly, all the IndC were higher than zero, indicating inequality in the realization of Pap smear, favoring those with a higher wealth index. The highest IndC values were obtained from women aged 50 to 59 (IndC 0.2932), those who lived in the jungle (IndC 0.2305) and those without health insurance (IndC 0.1732). Conclusion: We found sociodemographic inequalities in the uptake of Pap smear in Peru, favoring women with a higher wealth index. There is need for more funding to promote cervical cancer screening programs and to create systems that ensure equal access to health care in Peru.
Entities:
Keywords:
Health Surveys; Papanicolaou Test; Peru; Population Characteristics; Socioeconomic Factors; Uterine Cervical Neoplasms
Authors: Michelle B Shin; Patricia J Garcia; Enrique M Saldarriaga; José L Fiestas; Kristjana H Ásbjörnsdóttir; Sarah J Iribarren; Ruanne V Barnabas; Sarah Gimbel Journal: Lancet Reg Health Am Date: 2021-12-29