The social and economic impacts of cervical cancer on women and children in low- and middle-income countries: A systematic review

Abstract

Background: There is limited knowledge on the social and economic impacts of a diagnosis of cervical cancer on women and children in low- and middle-income countries (LMICs).

Objectives: To determine the social and economic impacts associated with cervical cancer among women and children living in LMICs.

Search strategy: The MEDLINE, PsychInfo, CINAHL, Pais International, and CAB Global Health databases were systematically searched to retrieve studies up to June 2021.

Selection criteria: Studies were included if they reported on either the social or economic impacts of women or children in a LMIC.

Data collection and analysis: Data was independently extracted by two co-authors. The authors performed a quality assessment on all included articles.

Main results: In all, 53 studies were included in the final review. Social impacts identified included social support, education, and independence. Economic impacts included employment and financial security. No study reported the economic impact on children. Studies that utilized quantitative methods typically reported more positive results than those that utilized qualitative methods.

Conclusions: Additional mixed-methods research is needed to further understand the social support needs of women with cervical cancer. Furthermore, research is needed on the impact of a mother's diagnosis of cervical cancer on her children.

Keywords: Uganda; cervical cancer; children; economic; global health; social; socioeconomic; women.