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Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys

Author

Listed:
  • Anna Gottschlich

    (University of Michigan)

  • Pamela Ochoa

    (PRA Health Sciences)

  • Alvaro Rivera-Andrade

    (Institute of Nutrition of Central America and Panama-INCAP)

  • Christian S. Alvarez

    (University of Michigan
    National Cancer Institute)

  • Carlos Mendoza Montano

    (Institute of Nutrition of Central America and Panama-INCAP)

  • Claudia Camel

    (Guatemala Ministry of Health and Social Assistance (MSPAS))

  • Rafael Meza

    (University of Michigan)

Abstract

Objectives Examine the association between commonly reported barriers to health care, including discordant spoken languages between patients and providers, and reported previous cervical cancer screening. Methods Data from the nationally representative Guatemala National Maternal and Child Health Survey from the Demographic and Health Surveys Program were used to explore associations between barriers and screening rates nationwide and in high-risk populations, such as rural and indigenous communities. Negative binomial regressions were run accounting for survey sample weights to calculate prevalence ratios. Results 64.0%, 57.5% and 47.5% of women reported ever screening, in the overall, indigenous, and rural populations, respectively. Overall, never screened for cervical cancer was associated with the following health barriers: needing permission, cost, distance, not wanting to go alone, and primary language not spoken by health providers, even after adjustment for age, ethnicity, and literacy. Conclusions Offering screening programs alone is not enough to reduce the burden of cervical cancer in Guatemala. Measures need to be taken to reduce barriers to health care, particularly in rural areas, where screening rates are lowest.

Suggested Citation

  • Anna Gottschlich & Pamela Ochoa & Alvaro Rivera-Andrade & Christian S. Alvarez & Carlos Mendoza Montano & Claudia Camel & Rafael Meza, 2020. "Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 217-226, March.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:2:d:10.1007_s00038-019-01319-9
    DOI: 10.1007/s00038-019-01319-9
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    References listed on IDEAS

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    1. Trude Andreassen & Adriana Melnic & Rejane Figueiredo & Kåre Moen & Ofelia Şuteu & Florian Nicula & Giske Ursin & Elisabete Weiderpass, 2018. "Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 609-619, June.
    2. Markovic, Milica & Kesic, Vesna & Topic, Lidija & Matejic, Bojana, 2005. "Barriers to cervical cancer screening: A qualitative study with women in Serbia," Social Science & Medicine, Elsevier, vol. 61(12), pages 2528-2535, December.
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