Self-reported participation in cervical cancer screening among Polish women in 2004–2019
, 1, 2, 3, 1, 34
Abstract
Objectives: We aimed to assess self-reported participation in cervical cancer screening among Polish women between 2004 and 2019 and to identify the groups with the lowest participation rate.
Material and methods: Data on declared participation in cervical cancer screening were obtained from the European Health Interview Survey from 2004 to 2019.
Results: In 2019, 86.7% of Polish women aged ≥ 15 years declared that they had ever undergone a Pap test. Compared to 2004, the coverage of ever-screened women improved by 16.6 percentage points. The proxy population coverage was 72.9%. The highest proportion of women who underwent a Pap smear in the last three years was observed among those aged 35–44 years and 25–34 years (84.0% and 83.2%, respectively), and the lowest among women aged ≥ 75 years (20.5%). The proportion screened within the last three years also varied by education (up to lower secondary education 26.4%, up to post-secondary non-tertiary education 62.8%, and the highest level of education 83.7%), urbanization (large cities 66.7%, suburbs, and smaller cities 62.8%, and rural areas 59.0%), income (poorest households 42.5%, wealthiest households 70.6%), and declared health status (best 68.9%, worst 41.4%). The lowest participation in screening was observed in the southeastern regions and the highest in the northwestern regions of Poland.
Conclusions: In Poland, in 2019, the approximate coverage of cervical cancer screening was high compared to other European countries and has improved over the last 15 years. A complete screening registry is required to confirm questionnaire-based self-reported data. Targeted interventions should be implemented to address low participation in the identified regions and socioeconomic groups.
Keywords: early detection of cancercervical cancerpapanicolaou testcytology
References
- International Agency for Research on Cancer. GLOBOCAN 2020. https://gco.iarc.fr/today/home (accessed on 24-07-2023).
- Polish National Cancer Registry. Reports 2023. https://onkologia.org.pl/pl/raporty (accessed on 24-07-2023).
- Markowitz L, Dunne E, Saraiya M, et al. Quadrivalent human papillomavirus vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2007; 56(Rr-2): 1–24.
- European Centre for Disease Prevention and Control. Guidance on HPV vaccination in EU countries: focus on boys, people living with HIV and 9-valent HPV vaccine introduction 2020. https://www.ecdc.europa.eu/en/publications-data/guidance-hpv-vaccination-eu-focus-boys-people-living-hiv-9vHPV-vaccine (accessed on 24-07-2023).
- https://dziennikmz.mz.gov.pl/legalact/2023/16/ (accessed on 24-07-2023).
- Bruni L, Serrano B, Roura E, et al. Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis. Lancet Glob Health. 2022; 10(8): e1115–e1127.
- Polish Ministry of Health. Profilaktyka raka szyjki macicy. 2023. https://pacjent.gov.pl/program-profilaktyczny/profilaktyka-raka-szyjki-macicy (accessed on 24-07-2023).
- Health status of population in Poland in 2019. Statistics Poland, Warsaw 2021.
- United Nations Educational, Scientific, and Cultural Organization. International Standard Classification of Education (ISCED) 2011. http://uis.unesco.org/en/topic/international-standard-classification-education-isced (accessed on 24-07-2023).
- Eurostat. The degree of urbanisation (DEGURBA). https://ec.europa.eu/eurostat/web/degree-of-urbanisation/background (accessed on 24-07-2023).
- Statistics Poland. Degree of urbanisation (DEGURBA). https://stat.gov.pl/en/regional-statistics/classification-of-territorial-units/union-territorial-typologies-tercet/degree-of-urbanisation-degurba/ (accessed on 24-07-2023).
- Eurostat. Statistics explained. Equivalised income. 2021. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:Equivalised_income#:~:text=Equivalised%20income%20is%20a%20measure,poverty%20and%20social%20exclusion%20indicator (accessed on 24-07-2023).
- Eurostat. European health interview survey. 2019. https://ec.europa.eu/eurostat/web/microdata/european-health-interview-survey (accessed on 24-07-2023).
- Didkowska J, Wojciechowska U, Michalek IM, et al. Cancer incidence and mortality in Poland in 2019. Sci Rep. 2022; 12(1): 10875.
- Segi M. Cancer mortality for selected sites in 24 countries (1950–57). Department of Public Health. Tohoku University of Medicine, Sendai, Japan 1960.
- Eurostat. Eurostat – Health care activities, screening definitions 2021. https://ec.europa.eu/eurostat/cache/metadata/Annexes/hlth_ps_scre_esms_an1.pdf (accessed on 24-07-2023).
- Staley H, Shiraz A, Shreeve N, et al. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2021; 9(9): CD002834.
- Rees I, Jones D, Chen H, et al. Interventions to improve the uptake of cervical cancer screening among lower socioeconomic groups: A systematic review. Prev Med. 2018; 111: 323–335.
- Nessler K, Ball F, Chan SK, et al. Barriers and attitudes towards cervical cancer screening in primary healthcare in Poland - doctors' perspective. BMC Fam Pract. 2021; 22(1): 260.
- Nessler K, Chan SK, Ball F, et al. Impact of family physicians on cervical cancer screening: cross-sectional questionnaire-based survey in a region of southern Poland. BMJ Open. 2019; 9(8): e031317.
- Polish Ministry of Health. Jakie są kompetencje położnej POZ?. 2022. https://pacjent.gov.pl/system-opieki-zdrowotnej/jakie-sa-kompetencje-poloznej-poz (accessed on 24-07-2023).
- Williams J, Rakovac I, Victoria J, et al. Cervical cancer testing among women aged 30-49 years in the WHO European Region. Eur J Public Health. 2021; 31(4): 884–889.
