Abstract 77: The Cervical Cancer Treatment Gap Among Mexican Women Without Social Security From 2006-2016 After the Introduction of Public Financing for Treatment

Abstract

Listen

Translate article

Abstract Purpose: Women in low-and-middle income countries face persistent barriers to cervical cancer treatment. To reduce financial barriers to cervical cancer treatment, in 2005 Mexico implemented public financing for treatment for women with Seguro Popular, a government insurance program for individuals without social security. Methods: We estimated the cervical cancer treatment gap for each year of the 11-year period following this policy change by comparing the number of cervical cancer cases with treatment financed by Seguro Popular with estimates of cervical cancer incident cases among women without social security. We used a nationwide administrative database to estimate the number of women receiving financing for treatment. To estimate the number of incident cervical cancer cases among the population without social security, we used national surveys with information on insurance affiliation and incidence estimates from the Global Burden of Disease Study. Results: From 2006, the first complete year financing for treatment was available, until 2016, the nation-wide treatment gap remained between 0.45 (95% CI 0.43, 0.48) and 0.60 (95% CI 0.59, 0.62). There was no substantial change in the years immediately following the introduction of financing and there was a minimal downward trend over the entire study period (β = -0.012 [95% CI: -.02, -0.001]). The treatment gap was higher in states with greater marginalization. Conclusions: These results suggest that substantial barriers to cervical treatment persisted after the introduction of public financing for treatment among women without social security. Cervical cancer control programs must be strengthened to reduce barriers to treatment, particularly in the most marginalized Mexican states. Citation Format: Sean McClellan, Karla Unger-Saldaña, Priscilla Espinoza-Tamez, Erick Suazo-Zepeda, Michael B. Potter, Salim Abraham Barquet-Muñoz, Leticia Torres-Ibarra, Hector Lamadrid-Figueroa, Martín Lajous. The Cervical Cancer Treatment Gap Among Mexican Women Without Social Security From 2006-2016 After the Introduction of Public Financing for Treatment [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 77.