Ấn phẩm:
Socioeconomic inequalities in cervical cancer screening practices in Vietnam: A decomposition analysis
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Background In Vietnam, cervical cancer remains a critical public health issue, with disparities in screening uptake
reflecting broader socioeconomic inequalities.
Objective This study aims to dissect socioeconomic disparities in cervical cancer screening uptake among
Vietnamese women, using data from the 2020–2021 Multiple Indicator Cluster Survey 6 (MICS).
Methods Employing a cross-sectional design, we analysed MICS Survey data for women’s cervical cancer screening
reports over the past three years. The study utilised decomposition analysis to unravel the contributions of various
determinants to socioeconomic disparities in screening uptake, employing Poisson regression with robust variance
models to explore the association between socioeconomic status, quantified through Wealth Index quintiles, and
screening practices.
Results Among participants, 28.2% reported receiving cervical cancer screening. The positive Erreygers
concentration index value (ECI) was overall 0.296, which was statistically significant at a 1% level, indicating that
cervical cancer screening was predominantly concentrated among individuals with higher wealth index scores.
Decomposition analysis indicated that ethnic minority status significantly contributed to this disparity, alongside
factors such as education and residency.
Conclusion The use of the concentration index in this study elucidates significant socioeconomic and ethnic
inequalities in cervical cancer screening in Vietnam. It underlines the necessity of tailored interventions aimed at the
most disadvantaged groups, including ethnic minorities and low-income populations, to mitigate these disparities.
Strategic policy reforms and targeted health initiatives are essential for promoting equitable access to cervical cancer
screening and improving public health outcomes across Vietnam.
Keywords Cervical cancer, Screening program, Inequality, Concentration index, Erreygers index
Tác giả
Nguyen, Thi Bich-Van
[et al.]
Người hướng dẫn
Nơi xuất bản
Nhà xuất bản
Năm xuất bản
2025
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Health care
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