scholarly journals Low uptake of cervical cancer screening among HIV positive women in Gondar University referral hospital, Northwest Ethiopia: cross-sectional study design

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Abebe Dires Nega ◽  
Mulat Adefris Woldetsadik ◽  
Abebaw Addis Gelagay
2019 ◽  
Author(s):  
Kassahun Emru ◽  
Tsega-Ab Abebaw ◽  
Admas Abera Abaerei

Abstract Background: Cervical cancer is the second commonest cancer among women living in less developed countries. Women infected with the Human Immunodeficiency Virus (HIV) are at increased risk. However cervical cancer screening for HIV infected women has been started in limited centers in Addis Ababa, data on the uptake of this service are lacking. Therefore, this study aimed to assess the level and predictors of cervical cancer screening uptake among HIV positive women in Addis Ababa, Ethiopia.Methods: A cross-sectional study was conducted using a structured questionnaire on 411 HIV infected women in St. Paul's and Zewditu Hospitals, from April 20, 2015-May 10, 2015. Both bivariate and multivariable logistic regression analyses were performed to assess predictors of cervical cancer screening uptake. Results: Only 25.5% of the respondents had undergone cervical screening. Respondents who hadn't heard about cervical cancer and the screening were 75% and 78% less likely to be screened than those who had heard about it respectively. Conclusion: The uptake of cervical cancer screening was very low. Awareness about cervical cancer and screening were predictive factors. To increase the level of screening, specific awareness programs should be implemented by relevant authorities. Keywords: Cervical cancer, HIV, Screening, Women, Awareness


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abiyu Ayalew Assefa ◽  
Feleke Hailemichael Astawesegn ◽  
Bethlehem Eshetu

Abstract Background In Ethiopia, cervical cancer is a public health concern, as it is the second most cause of cancer deaths among reproductive age women and it affects the country’s most vulnerable groups like; rural, poor, and HIV-positive women. Despite the strong evidence that cervical cancer screening results in decreased mortality from this disease, its utilization remains low. Methods An institution-based cross-sectional study was conducted from March 2 to April 1/2019 to assess the level and factors affecting utilization of cervical cancer screening among HIV positive women in Hawassa town. Quantitative data collection methods were used. Data were gathered using a structured and pretested questionnaire. Epi-Info version 7 and SPSS version 23 were used for data entry and analysis respectively. Statistically significant association of variables was determined based on Adjusted Odds ratio with its 95% confidence interval and p-value of ≤0.05. Results Of the 342 women interviewed, 40.1% (95% CI: 35.00, 45.33%) of them were screened. Having a post primary education (AOR = 5.1, 95% CI: 1.8, 14.5), less than 500 cell/mm3 CD4 count (AOR = 2.7, 95% CI: 1.2, 5.9); duration since HIV diagnosis (AOR = 4.2, 95% CI: 2.1, 8.5), partner support (AOR = 4.7, 95% CI: 2.3, 9.4), having knowledge about risk factors (AOR = 2.9 (95% CI: 1.2, 6.9) and having favorable attitude towards cervical cancer and its screening (AOR = 3.7 (95% CI: 1.8, 7.5) were associated with cervical cancer screening utilization. Conclusions The study revealed utilization of cervical cancer screening service was low among HIV positive women. Educational status, duration of HIV diagnosis, partner support, knowledge status about risk factor, CD4 count and attitude towards cervical cancer and its screening were associated with cervical cancer screening utilization. Health care workers need to provide intensive counseling services for all ART care attendants to increase utilization.


2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Meried Eshete ◽  
Mohammedbirhan Abdulwuhab Atta ◽  
Hedija Yenus Yeshita

Background. Cervical cancer is a global health problem. It is the second most common cancer in women worldwide, and it is the most frequent form and the leading cause of cancer mortality among Ethiopian women. Cervical cancer screening can reduce at least 50% of cervical cancer deaths. In Ethiopia, practice of cervical cancer screening is below 1%. Hence, this study aimed at assessing cervical cancer screening acceptance and determinant factors among women in Dabat district of Northwest Ethiopia. Methods. A community-based cross-sectional study design was conducted in Dabat district in Northwest Ethiopia, 2016. The multistage sampling method was used to recruit 790 women from the selected rural and urban kebeles. Data were collected using a structured questionnaire. Multivariate logistic regression analysis method was employed to determine factors significantly associated with the acceptance of cervical cancer screening with a 95% CI at p value <0.05. Results. The overall awareness of cervical cancer screening was 12.1% (95% CI: 9.6, 14.5), and 17.1% (95% CI 14.4, 19.8) of them accepted the screening. In multivariate logistic regression analysis, having knowledge about cervical cancer (AOR = 2.6, 95% CI: 1.7, 3.8), parity women who had more children (AOR = 3.1, 95% CI: 1.7, 5.5) and those who perceived the severity of the disease (AOR = 1.9, 95% CI (1.3–3.1)) were statistically significant factors for acceptance of cervical cancer screening. Conclusions. Most of the women had poor awareness and acceptance of cervical cancer screening. The findings also revealed that women of multiparous, knowledge about cervical cancer, and perceived the disease as severe were shown to be significant factors of acceptance for cervical cancer screening. Hence, continuous health education and appropriate counseling to women should be performed.


2021 ◽  
Vol 17 ◽  
pp. 174550652110170
Author(s):  
Kassahun Emru ◽  
Tsega-Ab Abebaw ◽  
Admas Abera

Background: Cervical cancer is the second commonest cancer among women living in less developed countries. Although cervical cancer screening for HIV-infected women has been started in different centers in Addis Ababa, there is a paucity of data on the uptake of this service, particularly among HIV-infected women. Objective: This study is aimed to assess the level and determinants of cervical cancer screening uptake among HIV-positive reproductive-age women in Addis Ababa, Ethiopia. Methods: A cross-sectional study was conducted using a structured questionnaire on 411 HIV-infected women aged 15–49 years in St. Paul’s and Zewditu Hospitals. Data were collected using a pre-tested structured questionnaire on randomly selected study participants’ proportional allocation in the two hospitals. Logistic regression analyses were used to assess predictors of cervical cancer screening uptake. Results: Only 25.5% of HIV-positive reproductive-age women have been screened for cervical cancer. Respondents who have not heard about cervical cancer and the screening were 75% and 78% less likely to be screened compared to their counterparts, respectively. Conclusion: The uptake of cervical cancer screening was low in the study area. Awareness about cervical cancer screening was positively associated with cervical cancer screening uptake. Specific awareness programs focusing HIV positive women need to be implemented.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alem Getaneh ◽  
Birhanemeskel Tegene ◽  
Teshome Belachew

Abstract Background Cervical cancer is a major public health problem. In the world, cervical cancer is the fourth most common cancer among women and it is one of the leading causes of cancer mortality in females. It is the second most common women cancer in Ethiopia with almost 6300 new cases and 4884 deaths annually. Despite the high burden of new cases and deaths, there is a scarcity of data on knowledge, attitude and practices (KAP) towards cervical cancer screening among female university students in Ethiopia particularly in the study area. Therefore, the present study was aimed to assess the KAP of undergraduate female students towards cervical cancer screening. Methods An institution based cross-sectional study was conducted in April 2018 at the University of Gondar, College of Medicine and Health Sciences undergraduate female students. Pretested, self-administered questionnaire was used for data collection. Four hundred and three female students were recruited by a simple random sampling method and the data were entered and analyzed using SPSS version 20 statistical packages. Descriptive data analysis was used to report the results. Results More than half of the respondents (59.3.3%) had good knowledge, whereas nearly 67.7% of the respondents had favorable attitude towards cervical cancer. However, less than 1% of the respondents had been screened for cervical cancer. Conclusion Although undergraduate female students had apparently good knowledge and favorable attitude, their practices on cervical cancer screening were quite low. Therefore, the health sectors and the gender streaming office of the university mobilize students to strengthen the uptake the cervical cancer screening practice.


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