Enhancement of underused cervical cancer prevention services in rural Oaxaca, Mexico.

[Screening and follow-up for cervical cancer prevention in rural Mexico using visual inspection].

OBJECTIVE To compare the standard cervical cancer screening procedure--the Papanicolaou test or Pap smear--with detection through visual inspection using acetic acid (VIA), and visual inspection with acetic acid assisted by Aviscope (VIAM). MATERIAL AND METHODS The study was conducted between October 1998 and December 2000, in two Mixteca regions in Oaxaca, Mexico. A field trial design was us...

Factors affecting utilization of cervical cancer prevention services in low-resource settings.

Strategies for introducing or strengthening cervical cancer prevention programs must focus on ensuring that appropriate, cost-effective services are available and that women who most need the services will, in fact, use them. This article summarizes the experiences of research projects in Bolivia, Peru, Kenya, South Africa, and Mexico. Factors that affect participation rates in cervical cancer ...

Cancer education, prevention and early detection in indigenous population in the Isthmus of Tehuantepec, Oaxaca, Mexico: The Cancer Prevention and Research Center (CEPREC) Project.

Decreasing cervical cancer mortality in Mexico: effect of Papanicolaou coverage, birthrate, and the importance of diagnostic validity of cytology.

BACKGROUND The reduction in cervical cancer mortality in developed countries has been attributed to well-organized, population-based prevention and control programs that incorporate screening with the Papanicolaou (Pap) smear. In Mexico, there has been a decrease in cervical cancer mortality, but it is unclear what factors have prompted this reduction. METHODS Using data from national indicat...

Cervical cancer, a disease of poverty: mortality differences between urban and rural areas in Mexico.

OBJECTIVE To examine cervical cancer mortality rates in Mexican urban and rural communities, and their association with poverty-related factors, during 1990-2000. MATERIAL AND METHODS We analyzed data from national databases to obtain mortality trends and regional variations using a Poisson regression model based on location (urban-rural). RESULTS During 1990-2000 a total of 48,761 cervical...