Identifying Clusters of Reproductive-Age Women Not Screened for Cervical and Breast Cancer in Ghana  

作　　者：Clement Kwabena Apaw Ruthie Sophie Mnyanga Christiana Asiedu Jonathan Teye Clement Kwabena Apaw;Ruthie Sophie Mnyanga;Christiana Asiedu;Jonathan Teye(Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China;The Saviour Church Nursing and Midwifery Training College, Osiem, Ghana;School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana;FLOSAM Institute of Nursing, Midwifery and Allied Health Sciences, Oforikrom-Suhum, Ghana;Anhui University of Science and Technology, Huainan, China)

机构地区：[1]Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China [2]The Saviour Church Nursing and Midwifery Training College, Osiem, Ghana [3]School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana [4]FLOSAM Institute of Nursing, Midwifery and Allied Health Sciences, Oforikrom-Suhum, Ghana [5]Anhui University of Science and Technology, Huainan, China

出　　处：《Advances in Breast Cancer Research》2025年第1期29-49,共21页乳腺癌(英文)

摘　　要：Purpose: There is a significant rise in mortality rates from breast and cervical cancers in Low- and Middle-Income Countries. In Ghana, approximately 4482 women are diagnosed with these diseases at advanced stages. Unfortunately, the early detection rate for these cancers is low compared to other women’s health services. This situation underscores the need to identify the locations of reproductive-age women who have not been screened for these cancers, to implement targeted public health interventions. This study aims to pinpoint these women’s locations for tailored interventions. Method: Bivariate analysis assessed the relationship between the independent and outcome variables. Hot spot analysis and Kriging Ordinary interpolation were employed to pinpoint the locations of these women. Results: Breast cancer examination and cervical cancer test rates were low, with a strong association between the two screening services. Several significant variables were identified: place of residence (p Conclusion: Low participation in these screening services was related to women’s age and the outreach efforts of fieldworkers. Breast and cervical cancer screenings are interconnected and could be combined to improve attendance rates. The Community-based Health Planning and Services (CHPS) implementation strategy could be cost-effective for screening women through targeted interventions, especially in identified clusters.Purpose: There is a significant rise in mortality rates from breast and cervical cancers in Low- and Middle-Income Countries. In Ghana, approximately 4482 women are diagnosed with these diseases at advanced stages. Unfortunately, the early detection rate for these cancers is low compared to other women’s health services. This situation underscores the need to identify the locations of reproductive-age women who have not been screened for these cancers, to implement targeted public health interventions. This study aims to pinpoint these women’s locations for tailored interventions. Method: Bivariate analysis assessed the relationship between the independent and outcome variables. Hot spot analysis and Kriging Ordinary interpolation were employed to pinpoint the locations of these women. Results: Breast cancer examination and cervical cancer test rates were low, with a strong association between the two screening services. Several significant variables were identified: place of residence (p Conclusion: Low participation in these screening services was related to women’s age and the outreach efforts of fieldworkers. Breast and cervical cancer screenings are interconnected and could be combined to improve attendance rates. The Community-based Health Planning and Services (CHPS) implementation strategy could be cost-effective for screening women through targeted interventions, especially in identified clusters.

关 键 词：Breast Cancer Examination Cervical Cancer Screening Family Planning Community-Based Health and Planning Services (CHPS) Kriging Ordinary Analysis Non-Screened Reproductive-Age Women 

分 类 号：R73[医药卫生—肿瘤]