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A Systematic Review of the Effectiveness of Health Education Interventions to Increase Cervical Cancer Screening Uptake Publisher Pubmed



Agide FD1, 2 ; Garmaroudi G6 ; Sadeghi R6 ; Shakibazadeh E6 ; Yaseri M3 ; Koricha ZB4 ; Tigabu BM5
Authors
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Authors Affiliations
  1. 1. Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Health, Behavior and Society, Institute of Health Sciences, Jimma University, Jimma, Ethiopia
  5. 5. Department of Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Fourth floor, Poursina Ave., Enghelab SQ., PO Box: 1417613151, Tehran, Iran

Source: European Journal of Public Health Published:2018


Abstract

Background: Cervical cancer screening reduced cancer morbidity and mortality in developed countries. Health education interventions are expected to enhance screening and early detection. Thus, this review is aimed to see the effectiveness of the interventions in cervical cancer screening uptake. Methods: Online databases (PubMed/MEDLINE/PubMed Central, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science and Google Scholar) were searched for all published eligible research articles in the past 12 years (as of January 2005–2017). A total of 17 research articles were included. The interventions were classified as ‘individual level’, ‘community level’ and ‘cultural sensitive educations’ which contains various interventions in their content as compared with usual care. A quality coding system was assessed using Cochrane checklists and rated by each researcher independently and the average score was given accordingly. This study was registered in PROSPERO 2017: CRD42017060405. Results: The review dovetailed 17 studies. Ten studies (58.82%) were conducted in the United States, three in Iran (17.65%) and one each in Malaysia, China, Cameroon and Nigeria (23.53%). Almost all levels of the interventions boosted the screening uptake and the Pap test. However, the individual level health education interventions were prioritized in many of the studies. Conclusion: The review indicated that health education interventions have immense contributions in boosting the screening uptake. However, the effectiveness varies with study setting, populations and the way of delivery. Therefore, the limited quality of the studies indicated that further research is required to develop a simple and effective intervention to boost cervical cancer screening uptake. © The Author(s) 2018.
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