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Understanding Geospatial Factors Associated With Cervical Cancer Screening Uptake in Amazonian Peruvian Women.

Benjamin W Barrett¹, Valerie A Paz-Soldan², Diana Mendoza-Cervantes³

¹Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

JCO Global Oncology

|August 7, 2020

Summary

Geospatial analysis in Iquitos, Peru, reveals that cervical cancer (CC) screening uptake is influenced by household clustering and proximity to health facilities. Addressing accessibility barriers is crucial for effective CC screening programs.

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Area of Science:

Public Health
Geospatial Analysis
Cancer Epidemiology

Background:

Cervical cancer (CC) is a significant health burden for Peruvian women.
Screening service access strongly correlates with CC screening uptake.
Understanding geospatial factors is key to improving screening rates.

Purpose of the Study:

Investigate geospatial features influencing cervical cancer screening utilization in Iquitos, Peru.
Analyze the spatial distribution of screened households in relation to health facilities.
Identify neighborhood-level dynamics affecting screening access.

Main Methods:

Utilized geolocated data and screening information from a 2017 Knowledge, Attitudes, and Practice (KAP) survey.
Collected cross-sectional CC screening history from 619 women aged 18-65.
Applied spatial statistics, including K-functions, to analyze household clustering patterns.

Main Results:

Screened households exhibited significant clustering compared to unscreened households.
Screened households were located closer to health facilities than unscreened households.
Neighborhood factors like outreach and socioeconomic conditions may create screening pockets.

Conclusions:

Geospatial features are critical determinants of CC screening uptake.
Further research into neighborhood dynamics is needed to understand screening rate influences.
Improving accessibility and addressing travel/time barriers are essential for effective CC screening programs.