HPV and Cervical Cancer Prevention in Refugee Women: An Intersectional Approach
Notice bibliographique
Résumé
Background: HPV-related cervical cancer (CC) is Canada’s 4th most commonly diagnosed cancer in women aged 14-44. Refugee women resettling in the Greater Toronto Area (GTA) due to conflict, human rights violations, and climate disasters in their homelands are at an increased risk for HPV-related cancer. Refugee women are at an elevated risk for HPV-related CC due to barriers to accessing routine sexual health and HPV-preventative care. Cultural differences, lack of awareness of sexual and reproductive health, and trauma exacerbate the risk of HPV in women arriving from developing nations. Existing services in the GTA fail to reach this population due to growing gaps in intersectional care that consider women's various backgrounds. The knowledge gaps in healthcare services about intersectional refugee women perpetuate an increased burden on this population.
 Objective: This scoping review aimed to understand the different barriers that refugee women who resettle in the GTA experience. Furthermore, the review was also done to understand how an intersectional approach facilitating health promotion about sexual and reproductive healthcare can increase routine uptake of HPV screening preventative services in the GTA.
 Methods: A search on PubMed, JSTOR, and MEDLINE was done using terms for HPV, CC, refugee women, screening, Pap tests, and HPV vaccines. Articles analyzing equitable and intersectional care to address knowledge gaps were included. Results: 29 articles were included in this review. The literature review results highlighted that refugee women in the GTA experience a disproportionate risk rate for HPV-related CC. This disease burden was correlated with the inadequacy of programs explicitly targeted at refugee women who require an intersectional approach to address the knowledge gaps.Conclusion: Culturally appropriate and patient-centred care is needed to reduce HPV-related CC rates among refugee populations in the GTA. This includes knowledge translation and accessible health literacy programs to bridge the gap between refugees and healthcare providers. The lack of intersectional care is a common barrier for refugee women in accessing preventative services to reduce HPV. Thus, it is essential to focus on public health initiatives that can increase awareness and provide trauma-informed and culturally appropriate care to improve outcomes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».