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Prevalence of Cervical Cancer Screening in Asia: A Systematic Review and Meta-Analysis
Aliza K C Bhandari1,2, Zin Wai Htay3, Rokshana Parvin1
1Division of Prevention, National Cancer Centre Institute for Cancer Control, Tokyo, Japan.
Asian Pacific Journal of Cancer Prevention : APJCP
|December 29, 2025
Summary
Cervical cancer screening rates in Asia remain low, averaging 28% over the last decade. Insufficient data hinders accurate tracking, necessitating improved national surveys and registries for better cancer prevention strategies.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Cervical cancer is a leading cause of cancer mortality in women, particularly in low- and middle-income countries.
- This study addresses the critical need for understanding cervical cancer screening prevalence in Asia.
Purpose of the Study:
- To systematically review and meta-analyze the prevalence and trends of cervical cancer screening across Asian National Cancer Centres Alliance (ANCCA) member countries.
- To identify data gaps and inform strategies for improving screening rates in the region.
Main Methods:
- A comprehensive search of PubMed, Web of Science, and Scopus databases was conducted.
- Two independent reviewers screened titles, abstracts, and full texts, resolving conflicts through discussion.
- Random-effects meta-analysis was performed on data from 19 ANCCA countries/regions (2012-2023).
Main Results:
- 54 studies were included, reporting on cervical cancer screening rates between 2012 and 2023.
- A pooled estimate from eight countries with sufficient data indicated a screening rate of approximately 28% (95% CI: 0.25-0.32) over the past decade.
- Significant data limitations were observed due to a lack of nationally representative surveys and cancer registries.
Conclusions:
- Many Asian countries lack adequate data on cervical cancer screening, hindering effective public health interventions.
- Strengthening national capacities for surveys and cancer registries is crucial.
- Collaborative efforts between governments and the private sector are essential to enhance cervical cancer screening rates across Asia.
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