Risk of Cervical Cancer and High-Grade Lesions in Vulnerable Women in High and Upper Middle-Income Countries: Systematic Review and Meta-Analysis
Опубликована: Янв. 1, 2025
Язык: Английский
Risk of cervical cancer and high-grade lesions in vulnerable women in high and upper middle-income countries: systematic review and meta-analysis.
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Март 26, 2025
Abstract
Background:
Cervical
cancer
(CC)
is
largely
preventable
but
still
causes
around
300,000
deaths
annually,
particularly
among
vulnerable
women.
Methods:
This
systematic
review
and
meta-analysis
included
studies
from
four
databases
(MEDLINE,
EMBASE,
CENTRAL,
ISI
Web
of
Science)
up
to
February
2024
(from
2004
for
HIV).
We
examined
seven
groups
in
middle-
high-income
countries:
women
low
socioeconomic
status
(WLSES),
prisoners,
sex
workers,
with
substance
use
disorders
(WSUD),
mental
illness
(WMI),
migrants,
living
HIV
(WLWH).
Observational
on
CC
high-grade
lesion
(HGL)
risk,
incidence,
or
prevalence
were
included.
Independent
reviewers
assessed
all
articles.
The
main
outcome
was
HGL
measured
by
incidence
rate
ratio
(IRR),
risk
(RR),
standardized
(SIR),
odds
(OR).
PROSPERO
registration:
CRD42024535331.
Findings:
126
studies.
Vulnerable
had
a
significantly
higher
(RR
2.78,
95%CI
2.32-3.32)
2.51,
2.02-3.11),
WSUD,
WLWH
facing
2-
5-fold
increased
risk.
Interpretation:
Marginalised
face
highlighting
the
need
targeted
policies
improve
screening
treatment
access.
Funding:
this
funded
CBIG-SCREEN
project
(The
has
received
funding
EU
Horizon
2020
research
innovation
program
under
Grant
Agreement
No
964049).
Язык: Английский
Screening and routine diagnosis of mental disorders among migrants in primary care: A cross-sectional study
Journal of Migration and Health,
Год журнала:
2023,
Номер
8, С. 100205 - 100205
Опубликована: Янв. 1, 2023
Migrants
in
host
countries
are
at
risk
for
the
development
of
mental
health
conditions.
The
two
aims
study
were
to
describe
routine
diagnoses
disorders
among
migrant
patients
primary
healthcare
level
and
associated
factors,
test
utility
an
innovative
assessment
by
evaluating
whether
professionals
followed
recommendations
proposed
clinical
decision
support
system
(CDSS)
tool.
A
cross-sectional
was
carried
out
eight
care
centres
(PCCs)
four
non-randomly
selected
regions
Catalonia,
Spain
from
March
December
2018.
Routine
data
based
on
International
Classification
Diseases
(10th
edition),
including
mental,
behavioural
neuro
developmental
(F01-F99),
symptoms
signs
involving
emotional
state
(R45),
sleep
(G47),
extracted
electronic
records.
proportion
conditions
estimated
logistic
regression
models
used
assess
any
possible
association
with
disorders.
assessed
questionnaires
performed
migrants
fulfilling
screening
criterion
(country
origin
active
conflict
2017)
given
screened
patients.
Of
14,130
that
visited
PCCs
during
period,
7,358
(52.1%)
women
a
median
age
38.0
years-old.
There
520/14,130
(3.7%)
diagnosed
disorder,
being
more
frequent
(342/7,358;
4.7%,
p-value<0.001),
Latin-America
(177/3,483;
5.1%,
p<0.001)
those
who
recently
arrived
(170/3,672;
4.6%,
p<0.001).
lower
reported
coming
conflicted
2017
(116/3,669,
3.2%,
p=0.053).
Out
547
520
patients,
69/14,130
(0.5%)
mood
disorders,
346/14,130
(2.5%)
anxiety
127/14,130
(0.9%)
sleeping
Mood
common
Eastern
Europe
(25/2,971;
0.8%,
(126/3,483;
3.6%,
p<0.001),
while
both
type
often
(p<0.001).
In
adjusted
model,
(aOR:
1.5,
[95%
CI
1.2-1.8,
p<0.001]),
than
one
visit
centre
period
4.4,
[95%CI
2.8-6.8,
p<0.001])
presented
infectious
disease
2.1,
1.5-3.1,
had
higher
odds
having
disorder.
Lastly,
1,840
country
attended
where
CDSS
tool
implemented,
29
(1.6%)
correctly
identified
individual.
Mental
is
condition
may
be
overlooked
healthcare.
Interventions
this
must
reinforced
adapted
needs
circumstances
ensure
equity
services.
Язык: Английский
Biopsychosocial impacts of alcohol abuse: Integrative review
Aline Souto Ribeiro,
Beatriz Majella Binato,
Danielle Galdino de Paula
и другие.
Seven Editora eBooks,
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 9, 2024
Based
on
the
premise
that
alcohol
use
is
a
complex,
multifactorial
issue
of
great
relevance
to
society,
it
understood
there
no
simple
and
universal
answer
can
account
for
all
problems
involved
in
drug
arising
from
it.
To
identify
analyze
biopsychosocial
factors
users,
an
integrative
review
was
carried
out
based
articles
available
VHL
online
search
portals,
being
listed:
PubMed
Scielo.
The
initial
identified
202
publications
subject,
18
met
objectives
study
were
listed,
inclusion
criteria.
lexical
analyses,
with
Iramuteq®
program,
highlighted
proximity
between
words
classes,
evidencing
significant
distribution
textual
corpus,
revealing
two
groups:
Group
1:
Biopsychosocial
consumption:
behaviors
associated
gender
age
group
and;
2:
Early
early
approach
x
long-term
consequences.
reviewed
studies
demonstrate
greater
association
risk
behavior
psychological
disorders
women
who
abusive
consumption
experienced
by
children
adolescents,
this
problem
having
direct
relationship
culture
social
context.
Язык: Английский