Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review
Objective To systematically identify interventions that increase the use of mammography screening in women living in low-income and middle-income countries (LMICs).Design Systematic review.Data sources MEDLINE, Embase, Global Health, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Con...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e066928.full |
| _version_ | 1797904568679399424 |
|---|---|
| author | Obinna Ikechukwu Ekwunife Izuchukwu Loveth Ejie Ifeoma Jovita Nduka Charles Ebuka Okafor George Uchenna Eleje |
| author_facet | Obinna Ikechukwu Ekwunife Izuchukwu Loveth Ejie Ifeoma Jovita Nduka Charles Ebuka Okafor George Uchenna Eleje |
| author_sort | Obinna Ikechukwu Ekwunife |
| collection | DOAJ |
| description | Objective To systematically identify interventions that increase the use of mammography screening in women living in low-income and middle-income countries (LMICs).Design Systematic review.Data sources MEDLINE, Embase, Global Health, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials, Google Scholar and African regional databases.Eligibility criteria Studies conducted in LMICs, published between 1 January 1990 and 30 June 2021, in the English language. Studies whose population included asymptomatic women eligible for mammography screening. Studies with a reported outcome of using mammography by either self-report or medical records. No restrictions were set on the study design.Data extraction and synthesis Screening, data extraction and risk-of-bias assessment were conducted by two independent reviewers. A narrative synthesis of the included studies was conducted.Results Five studies met the inclusion criteria consisting of two randomised controlled trials, one quasi-experiment and two cross-sectional studies. All included studies employed client-oriented intervention strategies including one-on-one education, group education, mass and small media, reducing client out-of-pocket costs, reducing structural barriers, client reminders and engagement of community health workers (CHWs). Most studies used multicomponent interventions, resulting in increases in the rate of use of mammography than those that employed a single strategy.Conclusion Mass and small media, group education, reduction of economic and structural barriers, client reminders and engagement of CHWs can increase use of mammography among women in LMICs. Promoting the adoption of these interventions should be considered, especially the multicomponent interventions, which were significantly effective relative to a single strategy in increasing use of mammography.PROSPERO registration number CRD42021269556. |
| first_indexed | 2024-04-10T09:51:02Z |
| format | Article |
| id | doaj.art-7798b16207cd4b318df994b5c5ba0109 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T09:51:02Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-7798b16207cd4b318df994b5c5ba01092023-02-17T04:30:10ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-066928Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic reviewObinna Ikechukwu Ekwunife0Izuchukwu Loveth Ejie1Ifeoma Jovita Nduka2Charles Ebuka Okafor3George Uchenna Eleje41 Clinical Pharmacy and Pharmacy Management, Nnamdi Azikiwe University, Awka, Nigeria2 Department of Clinical Pharmacy and Pharmacy Management, Nnamdi Azikiwe University, Awka, Nigeria1 Clinical Pharmacy and Pharmacy Management, Nnamdi Azikiwe University, Awka, Nigeria3 Centre for Applied Health Economics, School of Medicine and Dentistry, Griffith University, Nathan, Queensland, Australia5 Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, NigeriaObjective To systematically identify interventions that increase the use of mammography screening in women living in low-income and middle-income countries (LMICs).Design Systematic review.Data sources MEDLINE, Embase, Global Health, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials, Google Scholar and African regional databases.Eligibility criteria Studies conducted in LMICs, published between 1 January 1990 and 30 June 2021, in the English language. Studies whose population included asymptomatic women eligible for mammography screening. Studies with a reported outcome of using mammography by either self-report or medical records. No restrictions were set on the study design.Data extraction and synthesis Screening, data extraction and risk-of-bias assessment were conducted by two independent reviewers. A narrative synthesis of the included studies was conducted.Results Five studies met the inclusion criteria consisting of two randomised controlled trials, one quasi-experiment and two cross-sectional studies. All included studies employed client-oriented intervention strategies including one-on-one education, group education, mass and small media, reducing client out-of-pocket costs, reducing structural barriers, client reminders and engagement of community health workers (CHWs). Most studies used multicomponent interventions, resulting in increases in the rate of use of mammography than those that employed a single strategy.Conclusion Mass and small media, group education, reduction of economic and structural barriers, client reminders and engagement of CHWs can increase use of mammography among women in LMICs. Promoting the adoption of these interventions should be considered, especially the multicomponent interventions, which were significantly effective relative to a single strategy in increasing use of mammography.PROSPERO registration number CRD42021269556.https://bmjopen.bmj.com/content/13/2/e066928.full |
| spellingShingle | Obinna Ikechukwu Ekwunife Izuchukwu Loveth Ejie Ifeoma Jovita Nduka Charles Ebuka Okafor George Uchenna Eleje Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review BMJ Open |
| title | Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review |
| title_full | Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review |
| title_fullStr | Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review |
| title_full_unstemmed | Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review |
| title_short | Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review |
| title_sort | interventions to increase mammography screening uptake among women living in low income and middle income countries a systematic review |
| url | https://bmjopen.bmj.com/content/13/2/e066928.full |
| work_keys_str_mv | AT obinnaikechukwuekwunife interventionstoincreasemammographyscreeninguptakeamongwomenlivinginlowincomeandmiddleincomecountriesasystematicreview AT izuchukwulovethejie interventionstoincreasemammographyscreeninguptakeamongwomenlivinginlowincomeandmiddleincomecountriesasystematicreview AT ifeomajovitanduka interventionstoincreasemammographyscreeninguptakeamongwomenlivinginlowincomeandmiddleincomecountriesasystematicreview AT charlesebukaokafor interventionstoincreasemammographyscreeninguptakeamongwomenlivinginlowincomeandmiddleincomecountriesasystematicreview AT georgeuchennaeleje interventionstoincreasemammographyscreeninguptakeamongwomenlivinginlowincomeandmiddleincomecountriesasystematicreview |