Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana

<h4>Background</h4> The most commonly diagnosed cancers among women are breast and cervical cancers, with cervical cancer being a relatively bigger problem in low and middle income countries (LMICs) than breast cancer. <h4>Methods</h4> The main aim of this study was to asses...

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Main Authors: Mpho Keetile, Kagiso Ndlovu, Gobopamang Letamo, Mpho Disang, Sanni Yaya, Kannan Navaneetham
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336819/?tool=EBI
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spelling doaj-dac36a8b3ab64a0eab1efd54a74fa9c82021-08-08T04:31:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in BotswanaMpho KeetileKagiso NdlovuGobopamang LetamoMpho DisangSanni YayaKannan Navaneetham<h4>Background</h4> The most commonly diagnosed cancers among women are breast and cervical cancers, with cervical cancer being a relatively bigger problem in low and middle income countries (LMICs) than breast cancer. <h4>Methods</h4> The main aim of this study was to asses factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana. This study is part of the broad study on Chronic Non-Communicable Diseases in Botswana conducted (NCD survey) in 2016. The NCD survey was conducted across 3 cities and towns, 15 urban villages and 15 rural areas of Botswana. The survey collected information on several NCDs and risk factors including cervical and breast cancer screening. The survey adopted a multistage sampling design and a sample of 1178 participants (males and females) aged 15 years and above was selected in both urban and rural areas of Botswana. For this study, a sub-sample of 813 women aged 15–64 years was selected and included in the analysis. The inequality analysis was conducted using decomposition analysis using ADePT software version 6. Logistic regression models were used to show the association between socioeconomic variables and cervical and breast cancer screening using SPSS version 25. All comparisons were considered statistically significant at 5%. <h4>Results</h4> Overall, 6% and 62% of women reported that they were screened for breast and cervical cancer, respectively. Women in the poorest (AOR = 0.16, 95% CI = 0.06–0.45) and poorer (AOR = 0.37, 95% CI = 0.14–0.96) wealth quintiles were less likely to report cervical cancer screening compared to women in the richest wealth quintile. Similarly, for breast cancer, the odds of screening were found to be low among women in the poorest (AOR = 0.39, 95% CI = 0.06–0.68) and the poorer (AOR = 0.45, 95% CI = 0.13–0.81)) wealth quintiles. Concentration indices (CI) showed that cervical (CI = 0.2443) and breast cancer (CI = 0.3975) screening were more concentrated among women with high SES than women with low SES. Wealth status was observed to be the leading contributor to socioeconomic inequality observed for both cervical and breast cancer screening. <h4>Conclusions</h4> Findings in this study indicate the need for concerted efforts to address the health care needs of the poor in order to reduce cervical and breast cancer screening inequalities.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336819/?tool=EBI
collection DOAJ
language English
format Article
sources DOAJ
author Mpho Keetile
Kagiso Ndlovu
Gobopamang Letamo
Mpho Disang
Sanni Yaya
Kannan Navaneetham
spellingShingle Mpho Keetile
Kagiso Ndlovu
Gobopamang Letamo
Mpho Disang
Sanni Yaya
Kannan Navaneetham
Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
PLoS ONE
author_facet Mpho Keetile
Kagiso Ndlovu
Gobopamang Letamo
Mpho Disang
Sanni Yaya
Kannan Navaneetham
author_sort Mpho Keetile
title Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
title_short Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
title_full Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
title_fullStr Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
title_full_unstemmed Factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana
title_sort factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in botswana
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2021-01-01
description <h4>Background</h4> The most commonly diagnosed cancers among women are breast and cervical cancers, with cervical cancer being a relatively bigger problem in low and middle income countries (LMICs) than breast cancer. <h4>Methods</h4> The main aim of this study was to asses factors associated with and socioeconomic inequalities in breast and cervical cancer screening among women aged 15–64 years in Botswana. This study is part of the broad study on Chronic Non-Communicable Diseases in Botswana conducted (NCD survey) in 2016. The NCD survey was conducted across 3 cities and towns, 15 urban villages and 15 rural areas of Botswana. The survey collected information on several NCDs and risk factors including cervical and breast cancer screening. The survey adopted a multistage sampling design and a sample of 1178 participants (males and females) aged 15 years and above was selected in both urban and rural areas of Botswana. For this study, a sub-sample of 813 women aged 15–64 years was selected and included in the analysis. The inequality analysis was conducted using decomposition analysis using ADePT software version 6. Logistic regression models were used to show the association between socioeconomic variables and cervical and breast cancer screening using SPSS version 25. All comparisons were considered statistically significant at 5%. <h4>Results</h4> Overall, 6% and 62% of women reported that they were screened for breast and cervical cancer, respectively. Women in the poorest (AOR = 0.16, 95% CI = 0.06–0.45) and poorer (AOR = 0.37, 95% CI = 0.14–0.96) wealth quintiles were less likely to report cervical cancer screening compared to women in the richest wealth quintile. Similarly, for breast cancer, the odds of screening were found to be low among women in the poorest (AOR = 0.39, 95% CI = 0.06–0.68) and the poorer (AOR = 0.45, 95% CI = 0.13–0.81)) wealth quintiles. Concentration indices (CI) showed that cervical (CI = 0.2443) and breast cancer (CI = 0.3975) screening were more concentrated among women with high SES than women with low SES. Wealth status was observed to be the leading contributor to socioeconomic inequality observed for both cervical and breast cancer screening. <h4>Conclusions</h4> Findings in this study indicate the need for concerted efforts to address the health care needs of the poor in order to reduce cervical and breast cancer screening inequalities.
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336819/?tool=EBI
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