Cervical cancer trend in the Republic of Kazakhstan and attitudes towards cervical cancer screening in urban and rural areas
Zhetpisbayeva I. Rommel A. Kassymbekova F. Semenova Y. Sarmuldayeva S. Giniyat A. Tanatarova G. Dyussupova A. Faizova R. Rakhmetova V. Glushkova N.
December 2024Nature Research
Scientific Reports
2024#14Issue 1
Cervical cancer (CC) continues to be a significant global health issue, which in part can be attributed to disparities in access to CC screening services. This study aims to conduct a trend of CC in Kazakhstan and to compare attitudes towards the screening program between women living in urban and rural areas. In the first stage, we conducted a trend study of CC indicators in Kazakhstan using official statistics. In the second stage, a cross-sectional study was conducted using a structured questionnaire to assess adherence to screening. The trend study reveals a decline in cervical cancer mortality rates (from 7.15 to 5.93 per 100,000 female inhabitants) over the period studied, while the incidence remains stable (from 18.51 to 19.38 per 100,000 female inhabitants). Regional variations in Period Prevalence rates were observed. Significant differences were found in screening participation rates between urban n = 41 (74%) and rural n = 23 (38%) women, p < 0.001, as well as awareness of the screening program (urban: n = 15 (27%), rural: n = 35 (58%), p < 0.001). The trend study highlights a decrease in cervical cancer mortality rates over the specified period, accompanied by a consistent incidence rate. Additionally, regional disparities in period prevalence rates of cervical cancer were observed. The primary factor contributing to the low adherence of rural women to screening was found to be a lack of awareness regarding the screening program. Therefore, increasing awareness about the importance of screening is crucial for improving adherence rates among rural women in Kazakhstan.
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Department of General Medical Practice-2, Asfendiyarov Kazakh National Medical University, St.Tole Bi 94, Almaty, 050000, Kazakhstan
Department of Public Health and Social Sciences, Kazakhstan’s Medical University “Kazakhstan School of Public Health”, St.Utepova 19a, Almaty, 050060, Kazakhstan
Department for Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
School of Medicine, Nazarbayev University, Astana, Kazakhstan
Department of the International Medical Faculty, University of International Business, Almaty, Kazakhstan
NJSC “National Center for Children’s Rehabilitation”, Astana, Kazakhstan
Department of Healthcare of Abay Region, Semey, Kazakhstan
Department of General Medical Practice, Semey Medical University, Semey, Kazakhstan
Department of Internal Diseases, Astana Medical University, Astana, Kazakhstan
Department of Epidemiology, Evidence Medicine and Biostatistics, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Department of General Medical Practice-2
Department of Public Health and Social Sciences
Department for Epidemiology and Health Monitoring
School of Medicine
Department of the International Medical Faculty
NJSC “National Center for Children’s Rehabilitation”
Department of Healthcare of Abay Region
Department of General Medical Practice
Department of Internal Diseases
Department of Epidemiology
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