Bhagwan M. Nene
Determinants of women's participation in cervical cancer screening trail, Maharashtra, India
Tata Memorial Hospital|Nargis Dutt Memorial Cancer Hospital
determine factors associated participation cervical cancer screening followup treatment context randomized controlled trial trial initiated evaluate efficacy cost effectiveness visual inspection acetic acid cytological screening testing human papillomavirus reducing incidence mortality cervical cancer maharashtra indiabetween october 1999 november 2003 women aged 3059 years randomized receive one three tests control group participation analysed three intervention arms differences screened versus analysed according sociodemographic characteristics 100800 eligible women invited screening treated versus analysed according sociodemographic characteristics 932 women diagnosed highgrade lesions participation screening compliance treatment also analysed according type test usedcompared women tested screened women younger aged 3039 better educated ever used contraception higher proportion screened women married lower proportion never pregnant 932 women diagnosed highgrade lesions invasive cancer 853 795 received treatment women higher levels education fewer pregnancies married likely comply treatment differences rates screening compliance treatment results analysed test receivedirrespective test used good participation levels cervical cancer screening achieved rural areas developing countries using appropriate strategies deliver services communication methods delivery strategies aimed encouraging older lesseducated women less contact reproductive services needed increase screening uptake