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Cervical Cancer Screening in Developing Countries: Using Visual Inspection Methods

Title
Cervical Cancer Screening in Developing Countries: Using Visual Inspection Methods
Authors
Lee, HaeokKang, YounheeJu, Woong
Ewha Authors
강윤희주웅
SCOPUS Author ID
강윤희scopus; 주웅scopus
Issue Date
2016
Journal Title
CLINICAL JOURNAL OF ONCOLOGY NURSING
ISSN
1092-1095JCR Link1538-067XJCR Link
Citation
vol. 20, no. 1, pp. 79 - +
Keywords
cultural aspectsepidemiologygynecologic malignanciesprofessional developmentprevention and detectionquality improvement
Publisher
ONCOLOGY NURSING SOC
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Abstract
Background: Cervical cancer is the fourth most common cancer among women worldwide. Most diagnoses occur in developing countries where cases are detected in later stages with poorer prognoses. Cervical cancer is a preventable disease; however, most women in developing and resource-limited countries do not have the access to the same methods of cervical cancer screening as women in developed countries. Objectives: The objectives of this review are to examine and discuss (a) the burden of cervical cancer in developing countries, (b) the socioeconomic determinants of primary and secondary prevention of cervical cancer, and (c) the use of visual inspection methods of screening with acetic acid (VIA) and Lugol's iodine (VILI) as alternative strategies for cervical cancer screening in areas with limited resources. Methods: A critical review was conducted of the literature and recommendations on the role of VIA in cervical cancer prevention in developing countries. Findings: Visual inspection methods of screening for cervical cancer have emerged as a low-cost, safe, and effective alternative to cytology screening and can be administered to a large proportion of targeted women in developing countries. VIA and VILI can be performed by nurses, midwives, and paramedic staff after a short competency-based training program. In addition, visual screening provides immediate results in real time, permitting a single-visit, screen-and-treat approach, which is an effective strategy to overcome issues of nonadherence to follow-up visits among women in developing countries.
DOI
10.1188/16.CJON.79-83
Appears in Collections:
간호대학 > 간호학전공 > Journal papers
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