Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study

Objective: This study aimed to investigate cervical cancer screening participation, knowledge of cervical cancer and screening, attitudes toward relevant healthcare services, and associated factors among migrant Burmese women in Mangshi, a county on the China-Myanmar border in Southwest China's...

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Main Authors: Jiawei Hu, Honghao Wang, Shuang Zhao, Liuye Huang, Xiaoqing Chen, Xuelian Zhao, Yong Zhang, Fanghui Zhao
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S221133552500244X
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author Jiawei Hu
Honghao Wang
Shuang Zhao
Liuye Huang
Xiaoqing Chen
Xuelian Zhao
Yong Zhang
Fanghui Zhao
author_facet Jiawei Hu
Honghao Wang
Shuang Zhao
Liuye Huang
Xiaoqing Chen
Xuelian Zhao
Yong Zhang
Fanghui Zhao
author_sort Jiawei Hu
collection DOAJ
description Objective: This study aimed to investigate cervical cancer screening participation, knowledge of cervical cancer and screening, attitudes toward relevant healthcare services, and associated factors among migrant Burmese women in Mangshi, a county on the China-Myanmar border in Southwest China's Yunnan province. Methods: A cross-sectional study was conducted in Mangshi Maternal and Child Health Hospital from October 2020 to December 2021. Migrant Burmese women attending routine gynecological examinations were recruited via convenient sampling. An interviewer-administered questionnaire was utilized to collect data. Logistic regressions were utilized to assess factors associated with cervical cancer screening participation and knowledge level. Results: Among 1504 participants, 31.3 % ever attended cervical cancer screening. In the recommended age group of 25–64 years, the participation rate was 35.2 %. Screening participation was associated with age, marital status, occupation, and history of genital tract infection. Approximately 20.9 % had heard of human papillomavirus, 23.2 % knew cervical cancer is preventable, and 41.6 % had heard of cervical cancer screening. Awareness of risk factors, screening techniques, and symptoms was limited. The median knowledge score was 2.0 out of 19.0. Knowledge level was associated with education, age at menarche, number of sexual partners, and history of genital tract infection. Most (99.7 %) participants were willing to attend cervical cancer screening, but only 84.5 % would accept therapy if necessary. The most common barrier to therapy was unaffordable cost. Conclusions: Migrant Burmese women in Mangshi had suboptimal screening participation and inadequate cervical cancer knowledge. Screening policies should prioritize socioeconomically disadvantaged women. Enhancing targeted health education is essential.
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spelling doaj-art-9d66a44c0cab4c6d8f5d23bae587e3852025-08-25T04:14:23ZengElsevierPreventive Medicine Reports2211-33552025-10-015810320510.1016/j.pmedr.2025.103205Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional studyJiawei Hu0Honghao Wang1Shuang Zhao2Liuye Huang3Xiaoqing Chen4Xuelian Zhao5Yong Zhang6Fanghui Zhao7Department of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UKDepartment of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaClinical Trial Research Center, Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USADepartment of Gynecology and Obstetrics, Mangshi Maternal and Child Health Hospital, Mangshi, Dehong Dai and Jingpo Autonomous Prefecture, Yunnan, ChinaDepartment of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaDepartment of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; Corresponding authors at: 17 South Panjiayuan Lane, P.O. Box 2258, Beijing 100021, China.Department of Epidemiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; Corresponding authors at: 17 South Panjiayuan Lane, P.O. Box 2258, Beijing 100021, China.Objective: This study aimed to investigate cervical cancer screening participation, knowledge of cervical cancer and screening, attitudes toward relevant healthcare services, and associated factors among migrant Burmese women in Mangshi, a county on the China-Myanmar border in Southwest China's Yunnan province. Methods: A cross-sectional study was conducted in Mangshi Maternal and Child Health Hospital from October 2020 to December 2021. Migrant Burmese women attending routine gynecological examinations were recruited via convenient sampling. An interviewer-administered questionnaire was utilized to collect data. Logistic regressions were utilized to assess factors associated with cervical cancer screening participation and knowledge level. Results: Among 1504 participants, 31.3 % ever attended cervical cancer screening. In the recommended age group of 25–64 years, the participation rate was 35.2 %. Screening participation was associated with age, marital status, occupation, and history of genital tract infection. Approximately 20.9 % had heard of human papillomavirus, 23.2 % knew cervical cancer is preventable, and 41.6 % had heard of cervical cancer screening. Awareness of risk factors, screening techniques, and symptoms was limited. The median knowledge score was 2.0 out of 19.0. Knowledge level was associated with education, age at menarche, number of sexual partners, and history of genital tract infection. Most (99.7 %) participants were willing to attend cervical cancer screening, but only 84.5 % would accept therapy if necessary. The most common barrier to therapy was unaffordable cost. Conclusions: Migrant Burmese women in Mangshi had suboptimal screening participation and inadequate cervical cancer knowledge. Screening policies should prioritize socioeconomically disadvantaged women. Enhancing targeted health education is essential.http://www.sciencedirect.com/science/article/pii/S221133552500244XCervical cancerCervical cancer screeningImmigrantBurmesePracticeKnowledge
spellingShingle Jiawei Hu
Honghao Wang
Shuang Zhao
Liuye Huang
Xiaoqing Chen
Xuelian Zhao
Yong Zhang
Fanghui Zhao
Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
Preventive Medicine Reports
Cervical cancer
Cervical cancer screening
Immigrant
Burmese
Practice
Knowledge
title Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
title_full Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
title_fullStr Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
title_full_unstemmed Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
title_short Participation, knowledge, and attitudes toward cervical cancer screening among migrant Burmese women on China-Myanmar border: a cross-sectional study
title_sort participation knowledge and attitudes toward cervical cancer screening among migrant burmese women on china myanmar border a cross sectional study
topic Cervical cancer
Cervical cancer screening
Immigrant
Burmese
Practice
Knowledge
url http://www.sciencedirect.com/science/article/pii/S221133552500244X
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