JAMA: A study of cervical cancer screening rates in 55 low- and middle-income countries in 2005-18.

As an important component of the World Health Organization's global strategy to eliminate cervical cancer, cervical cancer screening for women aged 30 to 49 is important, but studies of cervical cancer screening rates in low- and middle-income countries (LMICs) are inadequate.
researchers recently examined lifetime cervical cancer screening rates in LMICs women.
2005-2018, a nationally representative cross-sectional household survey was conducted in 55 LMICs, with an average response rate of 93.8 per cent.
population-based sample included 1136,289 women aged 15 or over, of whom 6,885 (0.6 per cent) lacked knowledge about cervical cancer screening.
analysis of participants' world regions, countries, national economic, social and health system characteristics, and individual socio-demographic information, the main endpoint of the study was self-reported cervical cancer screening of participants.
129,404 female participants were eventually included in the main endpoint analysis, with 542,475 participants between the ages of 30 and 49.
Among participants aged 30 to 49, 43.6 per cent self-reported screening at the national level, with latin American and Caribbean countries with the highest screening rates (84.6 per cent at the national level) and sub-Saharan African countries with the lowest screening rates (16.9 per cent).
there are significant differences in self-reported lifetime cervical cancer screening rates between countries in the region and among countries with similar levels of gross domestic product and total health expenditure per capita.
in some countries, rural areas, low-educated or poor women are least likely to be screened.
2005-2018, cross-sectional studies of 55 low- and middle-income countries showed significant differences in self-reported lifetime cervical cancer screening rates, with an average screening rate of only 44 per cent.
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