The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review
Objective: To review the epidemiological evidence of cervical cancer among Indigenous women living in Latin America. Methods: We conducted a systematic review of the evidence contained in 10 databases spanning 2003–2019. Two reviewers independently compared papers' titles and abstracts against...
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552400370X |
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| author | Iria Riberio Novais Camila Olegario Coelho Carla Fabrine Carvalho Fernanda Surita Diama Bhadra Vale |
| author_facet | Iria Riberio Novais Camila Olegario Coelho Carla Fabrine Carvalho Fernanda Surita Diama Bhadra Vale |
| author_sort | Iria Riberio Novais |
| collection | DOAJ |
| description | Objective: To review the epidemiological evidence of cervical cancer among Indigenous women living in Latin America. Methods: We conducted a systematic review of the evidence contained in 10 databases spanning 2003–2019. Two reviewers independently compared papers' titles and abstracts against the inclusionary criteria, and a third reviewer resolved discrepancies. Blinded reviewers performed the selection. The articles were organized into the following categories: rates, access, and screening; prevalence of precursor lesions; prevalence and genotypes of Human papillomavirus (HPV); and HPV coinfections. Results: Of the 874 manuscripts we reviewed, 25 were included in the final analysis. We found that cervical cancer is the leading cancer in terms of incidence and mortality among Indigenous women; it presents in advanced stages and is associated with poor survival rates. The prevalence of precursor lesions was higher in women who were geographically isolated. Screening appears to improve outcomes, but women may experience delays in their diagnosis and treatment. Some studies reported populations with a very high prevalence of high-risk Human papillomavirus (hrHPV), and the most frequent genotypes were not different from those of the general population. Chlamydia trachomatis was significantly associated with HPV infection. Conclusions: The data suggested a lack of indicators regarding cervical cancer and its precursor lesions, HPV infection, and cancer indicators. Health policies should target this vulnerable population. |
| format | Article |
| id | doaj-art-fb277b550466478eaa59a14a81d7c059 |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-fb277b550466478eaa59a14a81d7c0592025-01-11T06:41:18ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102955The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic reviewIria Riberio Novais0Camila Olegario Coelho1Carla Fabrine Carvalho2Fernanda Surita3Diama Bhadra Vale4Department of Obstetrics and Gynecology, University of Campinas. Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.Department of Obstetrics and Gynecology, University of Campinas. Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.Department of Obstetrics and Gynecology, University of Campinas. Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.Department of Obstetrics and Gynecology, University of Campinas. Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.Department of Obstetrics and Gynecology, University of Campinas. Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.; Corresponding author at: Department of Obstetrics and Gynecology, University of Campinas Rua Vital Brasil, 80. CEP 13083-888, Campinas, São Paulo, Brazil.Objective: To review the epidemiological evidence of cervical cancer among Indigenous women living in Latin America. Methods: We conducted a systematic review of the evidence contained in 10 databases spanning 2003–2019. Two reviewers independently compared papers' titles and abstracts against the inclusionary criteria, and a third reviewer resolved discrepancies. Blinded reviewers performed the selection. The articles were organized into the following categories: rates, access, and screening; prevalence of precursor lesions; prevalence and genotypes of Human papillomavirus (HPV); and HPV coinfections. Results: Of the 874 manuscripts we reviewed, 25 were included in the final analysis. We found that cervical cancer is the leading cancer in terms of incidence and mortality among Indigenous women; it presents in advanced stages and is associated with poor survival rates. The prevalence of precursor lesions was higher in women who were geographically isolated. Screening appears to improve outcomes, but women may experience delays in their diagnosis and treatment. Some studies reported populations with a very high prevalence of high-risk Human papillomavirus (hrHPV), and the most frequent genotypes were not different from those of the general population. Chlamydia trachomatis was significantly associated with HPV infection. Conclusions: The data suggested a lack of indicators regarding cervical cancer and its precursor lesions, HPV infection, and cancer indicators. Health policies should target this vulnerable population.http://www.sciencedirect.com/science/article/pii/S221133552400370XCervical CancerIndigenous peopleScreeningVulnerable populationHPV infection |
| spellingShingle | Iria Riberio Novais Camila Olegario Coelho Carla Fabrine Carvalho Fernanda Surita Diama Bhadra Vale The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review Preventive Medicine Reports Cervical Cancer Indigenous people Screening Vulnerable population HPV infection |
| title | The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review |
| title_full | The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review |
| title_fullStr | The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review |
| title_full_unstemmed | The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review |
| title_short | The epidemiology of cervical cancer among indigenous women living in Latin America: A systematic review |
| title_sort | epidemiology of cervical cancer among indigenous women living in latin america a systematic review |
| topic | Cervical Cancer Indigenous people Screening Vulnerable population HPV infection |
| url | http://www.sciencedirect.com/science/article/pii/S221133552400370X |
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