{"entity":{"id":"paper-toan-vietnam-cervical-screening-steps-jcpo-2026","kind":"paper","name":"Trends and disparities in cervical cancer screening prevalence in Vietnam: Evidence from the 2015 and 2021 WHO STEPS surveys","aka":[],"tldr":"In Viet Nam's national WHO STEPS surveys, the share of women who had ever been screened for cervical cancer fell from 24.86% in 2015 to 16.36% in 2021, with wider gaps by ethnicity, wealth and region.","summary":"A secondary analysis of the nationally representative 2015 and 2021 Vietnam WHO STEPS surveys, defining screening as a self-reported history of ever having a Pap smear, visual inspection with acetic acid or Lugol's iodine, or an HPV test, with survey-weighted estimates and logistic regression.\n\nAmong 4,168 women, 20.47% had ever been screened: 24.86% in 2015 and 16.36% in 2021. Kinh women (adjusted odds ratio 2.56), urban residents (1.27) and women who were or had been married were more likely to have been screened.","asOf":"2026-11-04","links":[{"label":"Journal of Cancer Policy 2026","url":"https://doi.org/10.1016/j.jcpo.2026.100748"},{"label":"PubMed","url":"https://pubmed.ncbi.nlm.nih.gov/42069248/"}],"tags":[],"related":[],"cancers":["cervical"],"sections":[],"technologies":["hpv-testing"],"targets":[],"drugs":[],"companies":[],"institutions":["moh-vietnam"],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"journal":"Journal of Cancer Policy","year":2026,"doi":"10.1016/j.jcpo.2026.100748","pmid":"42069248","authors":"Thi Ngoc Toan A, Palmer MR, Phung TL, Nguyen PT","paperType":"observational","findings":["Ever screened: 24.86% (2015) and 16.36% (2021), p < 0.001.","Kinh ethnicity: adjusted odds ratio 2.56 (95% CI 1.45 to 4.50); urban residence 1.27 (1.01 to 1.60).","Disparities by ethnicity, wealth and geography widened between the two surveys."],"whatItMeans":"Cervical screening reached far fewer women than the 2016 to 2025 national plan aimed for, and the 2026 to 2035 plan moves to HPV testing, including self-sampling, and asks for insurance to pay for screening.","caveats":["Self-reported screening.","The abstract does not give results by age group."],"participants":4168},"route":"/key-papers/paper-toan-vietnam-cervical-screening-steps-jcpo-2026/","neighbours":{"cancer":[{"id":"cervical","kind":"cancer","name":"Cervical cancer","route":"/cancers/cervical/"}],"technology":[{"id":"hpv-testing","kind":"technology","name":"HPV DNA testing and self-sampling","route":"/technologies/hpv-testing/"}],"institution":[{"id":"moh-vietnam","kind":"institution","name":"Ministry of Health, Viet Nam","route":"/institutions/moh-vietnam/"}]}}