2025
Barriers and facilitators to a combined strategy of HPV vaccination and cervical cancer screening among Mexican women
León-Maldonado L, Cabral A, Pages G, Brown B, Allen-Leigh B, Lazcano-Ponce E, Bosch F, Spiegelman D, Torres-Ibarra L, Hernández-Ramírez R, Egger E, Rivera-Paredez B, Salmerón J. Barriers and facilitators to a combined strategy of HPV vaccination and cervical cancer screening among Mexican women. Human Vaccines & Immunotherapeutics 2025, 21: 2483018. PMID: 40172917, PMCID: PMC11970787, DOI: 10.1080/21645515.2025.2483018.Peer-Reviewed Original ResearchConceptsInterpersonal-level barriersHigh-quality careFacilitators to participationExperiences of stigmaCervical cancer screeningLack of timeCommunity-level facilitatorsConstant comparative methodPublic health interventionsHealth center personnelInstitutional-level barriersSeverity of cervical cancerHPV-based screeningSemi-structured interviewsCancer screeningHealth interventionsPerceived severity of cervical cancerHealth centersPhone remindersSocioecological modelIntrapersonal levelInconvenient hoursFamily encouragementPerceived severityHPV vaccination
2023
Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
Paneru B, Karmacharya A, Bharati A, Makaju S, Adhikari B, Kafle D, Shakya S, Spiegelman D, Seth S, Stangl A, Shrestha A, Shrestha A. Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal. PLOS ONE 2023, 18: e0285771. PMID: 37200234, PMCID: PMC10194964, DOI: 10.1371/journal.pone.0285771.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMass ScreeningNepalParityPregnancyUterine Cervical NeoplasmsConceptsCervical cancer screening uptakeCancer screening uptakeScreening uptakeMultivariable logistic regressionCancer Stigma ScaleCancer stigmaCervical cancerAge of menarcheFirst sexual intercourseLogistic regressionNepalese womenSexual intercourseReproductive health variablesCervical cancer screeningEffective screening programsSemi-urban areasCross-sectional studyPercent of womenMean total scoreFamily planning usersScreening servicesCancer screeningCommon cancerDisease burdenScreening program
1999
Risk factors for cervical squamous intraepithelial lesions among HIV‐1 seropositive women in Dar es Salaam, Tanzania
Kapiga SH, Msamanga GI, Spiegelman D, Mwakyoma H, Fawzi WW, Hunter DJ. Risk factors for cervical squamous intraepithelial lesions among HIV‐1 seropositive women in Dar es Salaam, Tanzania. International Journal Of Gynecology & Obstetrics 1999, 67: 87-94. PMID: 10636052, DOI: 10.1016/s0020-7292(99)00125-3.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHIV SeropositivityHIV-1HumansLymphocyte CountMiddle AgedRisk FactorsT-Lymphocyte SubsetsTanzaniaUterine Cervical DysplasiaUterine Cervical NeoplasmsConceptsSquamous intraepithelial lesionsCervical squamous intraepithelial lesionsRisk factorsIntraepithelial lesionsPrevalence of SILRisk of SILHigh-grade squamous intraepithelial lesionsLow-grade squamous intraepithelial lesionsHIV-1-seropositive womenMid-upper arm circumferenceNon-significant increased riskFederation of GynecologyDar es SalaamLifetime sexual partnersLymphocyte subsetsSeropositive womenIncreased riskArm circumferenceCervical smearsLive birthsCell countSexual partnersHIVWomenSexual behavior
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