An overview of cervical cancer epidemiology and prevention in the Baltic States

dc.contributor.authorKojalo, Una
dc.contributor.authorTisler, Anna
dc.contributor.authorParna, Kersti
dc.contributor.authorKivite-Urtane, Anda
dc.contributor.authorZodzika, Jana
dc.contributor.authorStankunas, Mindaugas
dc.contributor.authorBaltzer, Nicholas
dc.contributor.authorNygard, Mari
dc.contributor.authorUuskula, Anneli
dc.contributor.institutionInstitute of Public Health
dc.date.accessioned2023-04-11T08:05:02Z
dc.date.available2023-04-11T08:05:02Z
dc.date.issued2023-01
dc.descriptionFunding Information: This work was supported through grant EMP416 from the EEA (European Economic Area) and Norway Grants. Publisher Copyright: © 2023, The Author(s).
dc.description.abstractAIMS: To inform future Baltic States-specific policy analyses, we aimed to provide an overview of cervical cancer epidemiology and existing prevention efforts in Estonia, Latvia and Lithuania. METHODS: A structured desk review: we compiled and summarized data on current prevention strategies, population demography and epidemiology (high risk human papillomavirus (HPV) prevalence and cervical cancer incidence and mortality over time) for each Baltic State by reviewing published literature and official guidelines, performing registry-based analyses using secondary data and having discussions with experts in each country. RESULTS: We observed important similarities in the three Baltic States: high burden of the disease (high incidence and mortality of cervical cancer, changes in TNM (Classification of Malignant Tumors) stage distribution towards later stage at diagnosis), high burden of high-risk HPV in general population and suboptimal implementation of the preventive strategies as low screening and HPV vaccination coverage. CONCLUSIONS: Cervical cancer remains a substantial health problem in the region and the efforts in addressing barriers by implementing a four-step plan for elimination cervical cancer in Europe should be made. This goal is achievable through evidence-based steps in four key areas: vaccination, screening, treatment, and public awareness.en
dc.description.statusPeer reviewed
dc.format.extent9
dc.format.extent1032206
dc.identifier.citationKojalo, U, Tisler, A, Parna, K, Kivite-Urtane, A, Zodzika, J, Stankunas, M, Baltzer, N, Nygard, M & Uuskula, A 2023, 'An overview of cervical cancer epidemiology and prevention in the Baltic States', BMC Public Health, vol. 23, no. 1, 660. https://doi.org/10.1186/s12889-023-15524-y
dc.identifier.doi10.1186/s12889-023-15524-y
dc.identifier.issn1471-2458
dc.identifier.otherPubMedCentral: PMC10080753
dc.identifier.otherunpaywall: 10.1186/s12889-023-15524-y
dc.identifier.otherMendeley: 23df6039-6219-3794-b8fb-d6b2984802dc
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/11377
dc.identifier.urlhttps://www-webofscience-com.db.rsu.lv/wos/alldb/full-record/MEDLINE:37029357
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85151956741&partnerID=8YFLogxK
dc.identifier.urlhttps://www.mendeley.com/catalogue/23df6039-6219-3794-b8fb-d6b2984802dc/
dc.language.isoeng
dc.relation.ispartofBMC Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCervical cancer
dc.subjectHuman papillomavirus
dc.subjectPrevention
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAn overview of cervical cancer epidemiology and prevention in the Baltic Statesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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