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Educational Inequalities In Cervical Cancer Mortality In The Baltic Countries And Finland In The Context Of Organized Screening: A Register-based Study 2000-2015.

Home
Research Domains
Language, Communication And Culture
Cultural Studies
Postcolonial Studies
Educational Inequalities In Cervical Cancer Mortality In The Baltic Countries And Finland In The Context Of Organized Screening: A Register-based Study 2000-2015.

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Educational inequalities in cervical cancer mortality in the Baltic countries and Finland in the context of organized screening: A register-based study 2000-2015.

Oskar Nõmm^1,2, Kaire Innos¹, Domantas Jasilionis^3,4

¹Department of Epidemiology and Biostatistics, National Institute for Health Development, Tallinn, Estonia.

International Journal of Cancer

|January 24, 2026

View abstract on PubMed

Summary

This summary is machine-generated.

Keywords:

cervical cancer education inequalities mortality

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Cervical cancer (CC) mortality is high in Baltic countries compared to Finland. Organized screening reduced CC mortality in younger women in Estonia and Lithuania, but older, less educated women in the Baltics are not benefiting equally.

Area of Science:

Public Health
Epidemiology
Cancer Research

Background:

Cervical cancer (CC) mortality rates remain notably high in the Baltic countries.
Significant educational inequalities in CC mortality exist within these regions.
Organized CC screening programs were introduced later in the Baltics (2004-2009) compared to Finland (1963).

Purpose of the Study:

To analyze cervical cancer mortality trends in Baltic countries and Finland.
To investigate educational inequalities in cervical cancer mortality.
To assess the impact of organized screening on CC mortality and its disparities.

Main Methods:

Longitudinal mortality follow-up studies using population census data (Baltics) and register-based data (Finland).
Analysis of cervical cancer deaths (ICD-10 code C53) linked from national registries.

Calculation of age-standardized mortality rates (ASMRs) and rate ratios, stratified by education and age groups (30-49 and 50-64 years) for two periods (2000-2007 and 2008-2015).

Main Results:

Baltic countries exhibited 5-9 times higher overall ASMRs than Finland, with greater educational disparities.
Absolute inequalities in younger women's CC mortality decreased in Estonia and Lithuania, but increased in Latvia.
Absolute inequalities in older women's CC mortality increased in the Baltics, while relative inequalities rose across all countries.
Increasing CC mortality among older, low-educated women in the Baltics indicates unequal benefit from prevention efforts.

Conclusions:

The introduction of organized screening may be linked to reduced CC mortality and inequalities in younger women in Estonia and Lithuania.
Alarming increases in CC mortality among older, low-educated women in the Baltics highlight persistent and potentially widening disparities.
Targeted interventions are crucial to ensure equitable benefits from cervical cancer prevention strategies across all educational and age groups in the Baltic region.