Cervical cancer screening programs for female sex workers: a scoping review

Article Article scientifique Revue de la littérature Cervical cancer screening programs for female sex workers: a scoping review eng 2023-09-29 2023-09-29 author Vimpere Léa Noria Global Studies Institute, Université de Genève, Geneva, Switzerland.,Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland. 959728 author Sami Jana Gynecology Division, Department of Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland. 775969 author Jeannot Emilien 0000-0002-6625-3575 Faculty of Medicine, Institute of Global Health, Geneva, Switzerland.,Addiction Medicine, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. 649786 Institut de santé globale (COSPR) 1226779 10.3389/fpubh.2023.1226779 37841741 2296-2565 PMC10570451 https://www.frontiersin.org/articles/10.3389/fpubh.2023.1226779/full Background: Cervical cancer (CC) is the fourth most common neoplasia affecting women worldwide. Female sex workers (FSWs) are among those at highest risk of developing and succumbing to CC. Yet, they are often overlooked in CC screening programs and have limited access to CC healthcare globally. The development of CC screening programs for this high-risk target population is necessary to reduce the global burden of this disease and to reach the World Health Organization's objective of accelerating the elimination of CC. Objective: This review summarizes findings on CC screening programs for FSWs that have been implemented worldwide, and assesses their effectiveness and sustainability. Methods: A scoping review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A literature search was performed on PubMed, Swisscovery, and Google Scholar for studies describing and assessing CC screening programs for FSWs. In addition, targeted searching online Non-Governmental and International Organizations websites identified grey literature. A single reviewer screened titles and abstracts, and extracted data from the research findings. Results: The search identified 13 articles published from 1989 to 2021. All implemented programs successfully reached FSWs and provided them with CC screening during the study period. The most effective and sustainable strategies were the Screen and Treat approach, introducing CC screening into existing STI services in drop-in or outreach clinics, HPV-DNA self-sampling, and integrating sex-workers-specific services in public health facilities. Follow-up was deemed the main challenge in providing and enhancing CC healthcare to FSWs with rates of loss to follow-up ranging from 35 to 60%. Conclusion: FSWs are often omitted in national CC screening programs. The further development and improvement of CC healthcare, including follow-up systems, for this high-priority target population are imperative. Cervical cancer Cervical cancer screening Female sex workers Global health Programs Dewey 320 Dewey 613 Dewey 618 24 Global Studies Institute 0DJ 66 Institut de santé globale 22A1 58 Département de pédiatrie, gynécologie et obstétrique 223 false Frontiers in public health 11 8dbe7693-7cf0-4cda-ba74-0d36fa0af519 Article (Published version) Public Article-scientifique-from-europePmc.pdf 733158 application/pdf CC BY 4c23dfbfd0d9663e3397975314da12f6be3341489013d83065f09ee6eae4a225 9f1f4f34-3979-47cd-a1c7-b8d5f112fad3 Appendix Public Table_1.DOCX 781864 application/vnd.openxmlformats-officedocument.wordprocessingml.document Suppl. table c92a06f9700590312fb175bc3159a789dc0c28a6fcc8e7b578922b3d2151b4c9 openAccess Centres et instituts / Global Studies Institute Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de santé globale Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Cervical cancer screening programs for female sex workers: a scoping review	Frontiers in public health			2023	42	12

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Vimpere, Léa Noria