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In Nigeria, National Cancer Control Plan aims to ensure &gt;50% cancer screening of eligible populations by 2022 for all Nigerians. We describe healthcare utilisation, cancer screening activities and potential barriers to accessing cancer care within an understudied rural community-based adult population in South West Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In April 2018, we conducted a cross-sectional study of community-based adults (&gt;18 years) ~130 km east of Ibadan, 250\u2009km from Lagos in Osun State, South West Nigeria. Participants completed a face-to-face survey in local dialect. We used a questionnaire to assess demographics, health status, income, medical expenditures, doctor visits and cancer screening history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We enrolled 346 individuals: with median age of 52 years and 75% women. Of the entire cohort, 4% had medical insurance. 46% reported a major medical cost in the last year. Cancer screening activities were infrequent in eligible participants: 1.5% reported having had cervical cancer screening, 3.3% mammogram and 5% colonoscopy screening. Cancer screening assessment was less frequent in those with less income and lower education levels. Using a multivariable logistic regression model including personal income, insurance status and education, higher personal income was associated with more cancer screening activity (OR 2.7, 95%\u2009CI 1.3 to 5.7,\u2009p&lt;0.01). Despite this, most individuals had contact with a primary healthcare doctor (52% in the last year), and over 70% access to radio and TV suggesting the opportunity to expand community-based screening interventions and awareness exists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite national increases in cancer cases, we highlight a deficiency in cancer screening and universal healthcare coverage within a community-based adult Nigerian population. Subject to availability of governmental resources, increasing financial risk protection, awareness and targeted resource allocation may help expand access in Nigeria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-040352","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T12:45:17Z","timestamp":1627303517000},"page":"e040352","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":28,"title":["Healthcare utilisation, cancer screening and potential barriers to accessing cancer care in rural South West Nigeria: a cross-sectional study"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3501-5432","authenticated-orcid":false,"given":"Avinash","family":"Sharma","sequence":"first","affiliation":[{"name":"Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olusegun Isaac","family":"Alatise","sequence":"additional","affiliation":[{"name":"Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelli","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samson Gbenga","family":"Ogunleye","sequence":"additional","affiliation":[{"name":"Surgery, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adewale Abdulwasiu","family":"Aderounmu","sequence":"additional","affiliation":[{"name":"Surgery, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marquerite L","family":"Samson","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funmilola","family":"Wuraola","sequence":"additional","affiliation":[{"name":"Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olalekan","family":"Olasehinde","sequence":"additional","affiliation":[{"name":"Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T Peter","family":"Kingham","sequence":"additional","affiliation":[{"name":"Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmeng","family":"Du","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"2025120601084028000_11.7.e040352.1","doi-asserted-by":"crossref","first-page":"2036","DOI":"10.1016\/S0140-6736(18)30482-3","article-title":"Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the sustainable development agenda","volume":"391","author":"Niessen","year":"2018","journal-title":"Lancet"},{"key":"2025120601084028000_11.7.e040352.2","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-018-0306-9"},{"key":"2025120601084028000_11.7.e040352.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31992-5"},{"key":"2025120601084028000_11.7.e040352.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32252-9"},{"key":"2025120601084028000_11.7.e040352.5","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2025120601084028000_11.7.e040352.6","doi-asserted-by":"crossref","unstructured":"Olaleye O , Ekrikpo U . 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