{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:36:31Z","timestamp":1786628191998,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Early detection of oral cancer is critical for reducing morbidity and mortality, yet uptake of screening among women remains low. Socio-economic disparities in screening can hinder equitable health outcomes. This study aimed to quantify inequalities in oral cancer screening among women and identify key contributors using decomposition analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed nationally representative survey data of women aged 30-49 years. Self-reported oral cancer screening was the outcome of interest. Socio-economic inequality was measured using the concentration index, and decomposition analysis was performed to assess the relative contribution of demographic, socio-economic, behavioral, and healthcare access factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Screening uptake was low and disproportionately concentrated among socio-economically advantaged women (Concentration Index: 0.006, 95% Confidence Interval: 0.005\u20130.007). Decomposition analysis revealed that education, household wealth, place of residence, and access to health information were the main contributors to observed inequalities, whereas age and marital status had smaller effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Significant socio-economic inequalities exist in oral cancer screening among women. Policies should focus on equity-oriented strategies, including targeted outreach to disadvantaged groups, integration of screening into primary and women-centric healthcare services, and strengthened health education. Reducing these disparities is essential for improving early detection and ensuring equitable oral cancer prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijcm.ijcm_544_24","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T07:00:13Z","timestamp":1786604413000},"page":"701-709","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Decomposing Oral Cancer Screening Inequalities Across Wealth Index among Indian Women Aged 30-49 Years: Findings From National Family Health Survey-5"],"prefix":"10.4103","volume":"51","author":[{"given":"Pritam","family":"Halder","sequence":"first","affiliation":[{"name":"Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamika","family":"Soni","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit, Vardhman Hospital, Patiala, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Janavi","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"R4-20260813","doi-asserted-by":"crossref","first-page":"107632","DOI":"10.1016\/j.oraloncology.2025.107632","article-title":"Oral cancer screening in 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