{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:15:23Z","timestamp":1791292523597,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To review our national cervical cancer screening program using existing Ministry of Public Health primary healthcare centers (PHCs) and report the impact of women's knowledge, attitude, behavior, and practices on screening uptake and outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study on cervical cancer screening offered to sexually active Lebanese women aged 21\u2009years and above visiting PHCs. Exclusions were history of complete hysterectomy, gynecologic cancers, and current pregnancy. Data were collected through a questionnaire and conventional cervical smear performed by trained healthcare providers and sent to one centralized cytopathology laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 12\u2009273 eligible women, 1.7% had an abnormal cervical smear test including 161 atypical squamous cells (ASC) of undetermined significance, 6 atypical glandular cells of undetermined significance, 16 low\u2010grade squamous intraepithelial lesion (SIL), 17 ASC\u2014cannot rule out high\u2010grade SIL, 11 high\u2010grade SIL, and one invasive carcinoma. Knowledge and attitudes significantly affected participation in screening; women lacking awareness had rarely undergone a cervical smear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In Lebanon, cytology\u2010based cervical cancer screening is feasible within the PHCs. Positive screen incidence was low. Despite previous campaigns, a low level of knowledge persists, and affects women's com with the screening guidelines. Advocacy and awareness activities by key healthcare providers may help to improve participation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14489","type":"journal-article","created":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T14:37:50Z","timestamp":1664721470000},"page":"86-92","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of implementing cytology\u2010based cervical cancer screening national program in Lebanon: A pilot study"],"prefix":"10.1002","volume":"161","author":[{"given":"Muhieddine","family":"Seoud","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center  Beirut Lebanon"},{"name":"Sheikh Shakhbout Medical City\u2010Mayo Clinic  Abu Dhabi United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2865-7138","authenticated-orcid":false,"given":"Iman","family":"Jaafar","sequence":"additional","affiliation":[{"name":"Epidemiology Department, Cancer Center Scientific Institute of Public Health  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randa","family":"Hamadeh","sequence":"additional","affiliation":[{"name":"Ministry of Public Health  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid","family":"Ammar","sequence":"additional","affiliation":[{"name":"Ministry of Public Health  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Atallah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hotel Dieu de France  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faysal","family":"El\u2010Kak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.06.046"},{"key":"e_1_2_9_3_1","unstructured":"Ministry of Public Health in Lebanon.Cervical Cancer Incidence rate 2016 National Cancer Registry Statistics. 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