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A systematic review and meta-analysis synthesize observational evidence to estimate pooled screening prevalence and evaluate barriers among women who did not participate. Search coverage spans January 1 to June 1, 2024, following PRISMA, using random-effects pooling with sensitivity checks. Results quantify low uptake with pronounced country variation and identify information gaps, fear, misconceptions of being healthy, and embarrassment as leading阻 factors.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cervical-cancer-screening-uptake-in-arab-countries-a-systematic-review-with-meta-analysis/332776/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cervical-cancer-screening-uptake-in-arab-countries-a-systematic-review-with-meta-analysis/332776.png","ImageObject",300,407,{"name":92,"@type":93},"Quinn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",18,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the aim of the systematic review and meta-analysis?","Question",{"text":113,"@type":114},"To estimate the rate of cervical cancer screening uptake in Arab countries and identify barriers among women who did not participate.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was screening uptake measured in the study?",{"text":118,"@type":114},"The study pooled prevalence from observational studies using a random-effects model, with sensitivity analyses and PRISMA guideline adherence.",{"name":120,"@type":111,"acceptedAnswer":121},"What barriers most affected women’s screening participation?",{"text":122,"@type":114},"The most frequent reasons were lack of information, the misconception of feeling healthy, fear of the procedure, and embarrassment.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},332776,1790013685,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},962075114765,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Ahmed et al. BMC Cancer (2024) 24:1438 BMC Cancer  \n[https://doi.org/10.1186/s12885-024-13204-7](https://doi.org/10.1186/s12885-024-13204-7)  \nSYSTEMATIC REVIEW Open Access  \nCervical cancer screening uptake in Arab countries: a systematic review with metaanalysis  \nHebatalla Abdelmaksoud Abdelmonsef Ahmed 1*, Mohammed Hamdi Abbas2, Hussein Awad Hussein2, Rehab Salah Fathy Nasr3, Amira Ahmed Lashen4, Heba Khaled5 and Ahmed Azzam6  \nAbstract  \nBackground Cervical cancer, though one of the most common cancers affecting women globally, holds immense potential for prevention through screening. Therefore, we conducted this meta-analysis to assess the rate of cervical cancer screening in Arab countries and identify barriers among those who did not participate.  \nMethods A comprehensive search was conducted from January 1st to June 1st,2024, including all observational studies that reported cervical cancer screening uptake in any Arab country. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence, and sensitivity analyses were conducted to test the robustness of the findings. The study followed PRISMA guidelines.  \nResults This meta-analysis, covering 55 studies and 204,940 Arab women, found an overall cervical cancer screening uptake rate of 18. 2%(95% CI: 13.9–23. 6), with sensitivity analysis confirming the reliability of this estimate. Country disparities were evident, with Bahrain having the highest uptake at 44 . 1%, while Somalia had the lowest at 8. 9% . Among women who underwent screening, the majority were ever-married (94 . 7%) and held positive attitudes towards screening (91 . 0%) . Barriers to screening were common among women who did not participate, with the most frequent reasons being a lack of information (25 . 1%), the misconception of feeling healthy (24 . 5%), fear of the procedure (19 . 3%), and feelings of embarrassment (13 . 2%) . Additionally, women who were screened had lower perceived barrier scores (SMD = -0 .466) and higher perceived benefits scores (SMD = 0 . 379) than those who were not (p \u003C 0. 05) .  \nConclusion This meta-analysis reveals a low overall cervical cancer screening uptake (18 . 2%) among Arab women. Key barriers such as lack of information, fear, the misconception of feeling healthy, and embarrassment hinder uptake. This alarmingly low rate underscores the urgent need for targeted interventions to address these barriers and promote awareness of early detection’s life-saving potential.  \nKeywords Cervical cancer uptake, Arab countries, Meta-analysis  \n*Correspondence:  \nHebatalla Abdelmaksoud Abdelmonsef Ahmed [Heba_Abdelmasoud@med.kfs.edu.eg](Heba_Abdelmasoud@med.kfs.edu.eg)  \n1Public Health & Community Medicine, Faculty of Medicine, Kafr-Elsheikh University, Kafr-Elsheikh, Egypt  \n2Faculty of Medicine, Tanta University, Tanta, Egypt  \n3Faculty of Medicine, Benha University, Benha, Egypt  \n4Faculty of Pharmacy, Tanta University, Tanta, Egypt  \n5Department of Biochemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt  \n6Department of Microbiology and Immunology, Faculty of Pharmacy, Helwan University, Cairo, Egypt  \n© The Author(s) 2024, corrected publication 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this lice","cbCaiazduuEtu3r3","https://ap.wps.com/l/cbCaiazduuEtu3r3","pdf",3347520,14,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Background\n## Global burden of cervical cancer\n## WHO prevention targets and relevance for Arab countries","[{\"question\":\"What was the aim of the systematic review and meta-analysis?\",\"answer\":\"To estimate the rate of cervical cancer screening uptake in Arab countries and identify barriers among women who did not participate.\"},{\"question\":\"How was screening uptake measured in the study?\",\"answer\":\"The study pooled prevalence from observational studies using a random-effects model, with sensitivity analyses and PRISMA guideline adherence.\"},{\"question\":\"What barriers most affected women’s screening participation?\",\"answer\":\"The most frequent reasons were lack of information, the misconception of feeling healthy, fear of the procedure, and embarrassment.\"}]","Cervical cancer screening uptake in Arab countries - a systematic review with meta-analysis | PDF",1789999478,35]