Khan Mohammad Jobair, Kannan Priya, Winser Stanley John
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong (SAR), China.
Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong (SAR), China.
Res Health Serv Reg. 2024 Nov 6;3(1):17. doi: 10.1007/s43999-024-00053-x.
Cervical cancer, albeit preventable, is the second-most deadly gynecological cancer in developing nations. Little is known about cervical cancer among Bangladeshi women. This study aims to estimate the prevalence of cervical cancer screening and demographic correlates to identify potential variabilities in screening rates among different demographic groups and regions.
This study used secondary data from the WHO STEPS 2018 Survey. We used Bayesian regression to perform the bivariate analyses between the outcome and each explanatory factor, as it generates more acceptable results and improves parameter estimates. The top-ranked socio-demographic factors were identified using a two-step cluster analysis. This method determines the relevance of predictor variables and automatically establishes the number of clusters.
The prevalence of Bangladeshi women who had ever been screened for cervical cancer was 6.2%. In the adjusted model, women with the following socio-demographic factors had a higher likelihood of developing cervical cancer: being 18-29 years old (AOR = 3.3, 95% CI: 0.24, 15.27) or 45-59 years old (AOR = 2.8, 95% CI: 1.22, 6.0), currently married (AOR = 2.3, 95% CI: 1.36, 3.70), and employed (AOR = 2.4, 95% CI: 1.40, 4.06). Women in the Barisal division were found to have higher odds of being screened for cervical cancer (AOR = 21, 95% CI: 0.66, 121.97). Cluster analysis found residence status predisposes women to cervical cancer screening.
There is a significant potential for substantial reductions in the burden of cervical cancer in Bangladesh by strengthening the application of cervical cancer screening. Future studies should examine how socioeconomic status, culture, and healthcare access affect cervical cancer screening trends for different divisions in Bangladesh. An independent national cancer registry is urgently needed to evaluate screening trends and outcomes.
宫颈癌虽然是可预防的，但在发展中国家却是第二大致命的妇科癌症。孟加拉国女性对宫颈癌的了解甚少。本研究旨在估计宫颈癌筛查的患病率以及人口统计学相关因素，以确定不同人口群体和地区筛查率的潜在差异。
本研究使用了世界卫生组织2018年全球成人烟草调查（STEPS）的二手数据。我们使用贝叶斯回归对结果与每个解释因素进行双变量分析，因为它能产生更可接受的结果并改善参数估计。使用两步聚类分析确定排名靠前的社会人口学因素。该方法确定预测变量的相关性并自动确定聚类数量。
曾经接受过宫颈癌筛查的孟加拉国女性患病率为6.2%。在调整后的模型中，具有以下社会人口学因素的女性患宫颈癌的可能性更高：年龄在18 - 29岁（调整后比值比[AOR] = 3.3，95%置信区间[CI]：0.24，15.27）或45 - 59岁（AOR = 2.8，95% CI：1.22，6.0），目前已婚（AOR = 2.3，95% CI：1.36，3.70），以及就业（AOR = 2.4，95% CI：1.40，4.06）。发现巴里萨尔专区的女性接受宫颈癌筛查的几率更高（AOR = 21，95% CI：0.66，121.97）。聚类分析发现居住状况使女性更倾向于进行宫颈癌筛查。
通过加强宫颈癌筛查的应用，孟加拉国在大幅降低宫颈癌负担方面具有巨大潜力。未来的研究应探讨社会经济地位、文化和医疗服务可及性如何影响孟加拉国不同专区的宫颈癌筛查趋势。迫切需要一个独立的国家癌症登记处来评估筛查趋势和结果。
