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Iranian Journal of Public Health، جلد ۵۲، شماره ۱۱، صفحات ۲۳۱۳-۲۳۲۴
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عنوان انگلیسی Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review
چکیده انگلیسی مقاله Background: Widespread use of screening in high-income countries has led to significant reductions in mortality from cervical cancer. However, in Iran, the main reason for the late diagnosis of cervical cancer was the failure to perform a Pap smear (Papanicolaou).  We aimed to investigate the status of cervical cancer prevention and its challenges and solutions in Iran. Method: We conducted a systematic review of literature published from 1974 to 2021 in the electronic databases, including PubMed, Web of Science, Embase, Scopus, and Google Scholar, and retrieved all English-language articles. Following the application of the inclusion and exclusion criteria, full-text articles were identified and evaluated for eligibility. Finally, these publications were analyzed as part of the synthesis. Results: Lower social-economic level, inadequate knowledge of screening tests and health centers for Pap test performance leading to worse outcomes such as lower screening participation or coverage. Conclusion: By addressing these challenges through increasing education, increasing service accessibility, expanding screening programs, improving public awareness, improving insurance coverage, and establishing a control protocol for follow-up, it is possible to reduce cervical cancer incidence and mortality.
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نویسندگان مقاله | Narges Pirani
1. Health Policy, Ministry of Health and Medical Education, Tehran, Iran 2. Health Promotion Research Center, Health School, Iran University of Medical Sciences, Tehran, Iran


| Mehdi Jafari
Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


| Rafat Bagherzadeh
English Department, School of Public Health, Iran University of Medical Sciences, Tehran, Iran


| Marziyeh Keikhosravi
Ganjavian Hospital, Khuzestan, Iran


| Hadis Pirani
Public Administration, Payam Noor University, Khuzestan, Iran
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/29202
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