scholarly journals Uptake of Cervical Cancer Screening and Associated Factors Among Women Attending Outpatient Services in Rwamagana Hospital, Rwanda

2021 ◽  
Vol 4 (3) ◽  
pp. 387-397
Author(s):  
Innocent Ndateba ◽  
Athanasie Kabatsinda ◽  
Eléazar Ndabarora
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Associated Factors ◽  
Multiple Logistic Regression Analysis ◽  
Preventive Strategy ◽  
Global Public Health ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Screening Uptake

BackgroundCervical cancer is a global public health threat for women. Rwanda Ministry of Health recommends screening as preventive strategy. However, the screening remains low in Rwanda.ObjectiveTo determine the uptake level of cervical cancer screening and associated factors among Rwandan women.MethodsA quantitative analytical cross-sectional study design was used. We recruited 178 participants using convenience sampling from an estimated 320 women who attended outpatient department in the previous month. The sample size was calculated using the Yamane’s formula. We used chi-square test, t-test and multiple logistic regression analysis to analyse data.ResultsA total of 178 (100%) participants completed the survey. Forty-one (23%) participants had undertaken cervical cancer screening. Knowledge (OR: 1.26,95% CI:1.069-1.485, p=.006) and income were predictors of cervical cancer screening uptake. Participants earning RWF ≥ 63,751 were more likely to uptake cervical cancer screening (OR:11.141, 95% CI:3.136-39.571, p< .001) compared to those earning less than RWF 25,500 monthly.ConclusionCervical cancer screening uptake among study population was low. Participants with more knowledge and high-income were more likely to uptake cervical cancer screening. Improving women’s knowledge and socioeconomic situation would improve the uptake of cervical cancer screening.Rwanda J Med Health Sci 2021;4(3):387-397

Cervical cancer screening among reproductive-aged women: a crossectional survey in Tabanan Regency

2017 ◽  
pp. 18
Author(s):  
Desak Gede Yenny Apriani ◽  
N.L.P. Suariyani ◽  
Mangku Karmaya
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
Breast Cancers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Screening Uptake ◽  
Reproductive Aged Women

Background and purpose: Cervical and breast cancers are the most common malignancies among women in Indonesia. The prevalence of cervical cancer in Bali was 0.6% in 2013. Screening coverage for cervical cancer in Tabanan district varies from 37% to 67%. This study aims to determine factors associated to cervical cancer screening uptake among reproductive-aged women.Methods: A cross-sectional survey was conducted at Baturiti Subdistrict, Tabanan Regency, Bali Province. This study involved 188 reproductive-aged women. Samples were randomly selected from all reproductive-aged women from two villages of Baturiti and Angseri. Data were collected using home interviews by a standardised questionaire. Multivariate analysis was conducted using poisson regression model to determine factors associated to cervical cancer screening uptake.Results: This study showed that the proportion of cervical cancer screening was 38.83%. Variables associated to the uptake of cervical cancer screening were comprehensive knowledge about cervical cancer (APR=10.16; 95%CI: 4.33-24.76), insurance holder (APR=2.95; 95%CI: 1.38-6.64) and aged of ?40 years (APR=1.26; 95%CI: 1.01-1.59). Education level, employment status and perceived benefits were not associated with the screening uptake among reproductive-aged women.Conclusions: Level of knowledge about cervical cancer, insurance ownership and aged over 40 years increase the cervical screening uptake among reproductive-aged women

scholarly journals Cervical Cancer Screening Uptake and Determinant Factors Among Women in Ambo Town, Western Oromia, Ethiopia: Community based Cross Sectional Study

2021 ◽  
Author(s):  
Shewaye Fituma Natae ◽  
Digafe Tsegaye Nigatu ◽  
Mulu Kitaba Negawo ◽  
Wakeshe Willi Mengesha
Keyword(s):  
Cervical Cancer ◽  
Logistic Regression ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Screening Service ◽  
Community Based ◽  
Cross Sectional ◽  
Screening Uptake

Abstract Background: Cervical cancer is one of the principal causes of cancer death among women worldwide. It is the second most common cancer and the leading cause of cancer-related death in Ethiopian women; about 77.6% of women died of 6,294 new cases reported in 2019. Early screening for cervical cancer has substantial advantage to reduce the incidence, morbidity, and mortality attributed to cervical cancer. So far, there are limited evidence on the level of cervical cancer screening uptake and its determinant in low- and middle-income countries including Ethiopia. Consequently, the current study aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, western Oromia, Ethiopia.Methods: A community-based cross-sectional study was conducted among 422 women aged 20-65years. Systematic random sampling was employed to recruit the eligible women from randomly selected sub-districts found in Ambo town. Interviewer-administered questionnaire was used to collect the data. Epi info was used for data entry and management from which it was exported to SPSS version 25 for detailed analysis. Variables in binary logistic regression with a p-value <0.25 were candidate for multivariable logistic regression. Estimates were presented using odds ratios (ORs) with 95% CI. Statistical Significance was declared at p value<0.05.Results: In the present study 392 women were participated giving a response rate of 93%. Overall, 63% of the respondents were known the availability of cervical cancer screening service. Only 8.7% (34) of the study participants were received cervical cancer screening in their lifetime. Being in the age group of 30-39 years (AOR=3.2; 95% CI [1.22, 8.36]) and 40-49years (AOR=4.8; 95% CI [1.42, 16.41]), having cervical cancer related discussion with health care provider (AOR=3.5; 95% CI [1.17, 10.7]), and knowing availability cervical cancer screening service (AOR=2.8; 95% CI [1.03, 7.87]) were significantly associated with uptake of cervical cancer screening. Conclusion: In this study, cervical cancer screening uptake is very low. The study also highlighted important factors that affect uptake of cervical cancer screening service. Therefore, this study result call urgent interventions by all stockholders to increase cervical cancer service uptake through continues promotions and by securing its availability and accessibility for all eligible women at all levels.

scholarly journals Cervical Cancer Screening Uptake and Associated Factors among HIV-Positive Women in Ethiopia: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Birye Dessalegn Mekonnen
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Associated Factors ◽  
Meta Analysis ◽  
Cervical Screening ◽  
Hiv Positive ◽  
Screening Uptake ◽  
Hiv Positive Women ◽  
Pooled Prevalence

Background. Women living with human immunodeficiency virus (HIV) are more likely to develop an increased risk of invasive cervical cancer. Morbidity and mortality due to cervical cancer could be reduced with early detection through cervical screening. Though uptake of cervical screening was investigated in Ethiopia, inconsistent findings were reported. Therefore, this systematic review and meta-analysis was designed to estimate the pooled prevalence of cervical cancer screening uptake among HIV-positive women and its associated factors in Ethiopia. Methods. A comprehensive search of PubMed/MEDLINE, Scopus, EMBASE, CINAHL, Google Scholar, Science Direct, and Cochrane Library was conducted. The data were extracted using a standardized data extraction format. Statistical analysis was done using the STATA, version 14, software. The heterogeneity of the studies was assessed using the I2 test. Funnel plots and Egger’s test were used to check publication bias. A random effects model was computed to estimate the pooled prevalence of cervical cancer screening uptake. Moreover, pooled odds ratios with 95% confidence intervals were used to determine the association of identified determinant factors with cervical cancer screening uptake. Results. A total of 10358 studies were retrieved, and 7 studies were included in the meta-analysis. The pooled prevalence of cervical cancer screening uptake among HIV-positive women in Ethiopia was 18.17% (95% CI : 11.23, 25.10) with exhibited heterogeneity (I2 = 96.6%; p<0.001). Educational status of women (AOR = 3.50; 95% CI : 1.85, 6.07), knowledge of women on cervical cancer (AOR = 3.26; 95% CI : 2.50, 4.43), and perceived susceptibility (AOR = 3.26; 95% CI : 2.26, 4.26) were significantly associated with cervical cancer screening uptake among HIV-positive women. Conclusion. The uptake of cervical cancer screening among HIV-positive women in Ethiopia was low. The findings of this study suggest the need to improve the existing national strategies of cervical cancer screening so as to strengthen reproductive health education and promotion, in addition to providing screening services. Furthermore, cervical screening service should be integrated to the routine care and treatment, so that HIV-positive women can get counseling services in every clinical contact.

Determinants of Cervical Cancer Screening Uptake among Women in Orlu Local Government Area, Imo State, Nigeria.

2019 ◽  
Vol 2 (1) ◽  
pp. 42-58
Author(s):  
S.D. Ejikunle ◽  
F. Anolue ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
G.I. Eberendu ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Control Strategies ◽  
Local Government Area ◽  
Effective Control ◽  
Cross Sectional ◽  
Imo State ◽  
Screening Uptake

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and is the leading cause of cancer deaths among women in developing countries. Optimal cervical cancer screening uptake is one of the most cost effective control strategies for the disease. Objectives: To assess the determinants of cervical cancer screening uptake among women in Orlu Local Government Area, Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer-administered questionnaires was conducted among women in Orlu Local Government Area of Imo State. All the women in the community attending the annual 2018 August meeting were recruited for this study. Results:The study showed that the mean age of the respondents was 42±2.8 years. Furthermore, 82.3% of respondents attained postsecondary school educational level. Also 80.5% of respondents have heard about cervical cancer screening but level of cervical cancer screening uptake was very low among the respondents (13.5%). Significant associations were found between embarrassment, lack of symptoms, lack of physician request, lack of counselling, cost, unavailability of services and cervical cancer screening uptake. Conclusion: Despite the high knowledge of cervical cancer screening among women in Orlu LGA, uptake of cervical cancer screening was low. Enhancing health education and provision of free and widely accessible health screening services may increase uptake among these women. Key words: Cervical cancer, screening, Orlu women, uptake.

scholarly journals Cervical cancer screening uptake and correlates among HIV-infected women: a cross-sectional survey in Côte d’Ivoire, West Africa

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029882 ◽  
Author(s):  
Boris Tchounga ◽  
Simon Pierre Boni ◽  
Jean Jacques Koffi ◽  
Apollinaire G Horo ◽  
Aristophane Tanon ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cote D’Ivoire ◽  
Screening Uptake ◽  
Côte D'ivoire

ObjectivesDespite the increasing number of interventions aiming to integrate cervical cancer screening into HIV clinics in sub-Saharan Africa, Women living with HIV (WLHIV) still have a high risk of developing cervical cancer. The aim of this study was to estimate the coverage of cervical cancer screening and associated factors among WLHIV in Abidjan, Côte d’Ivoire.DesignCross-sectional survey conducted from May to August 2017.SettingsOutpatient setting in the four highest volume urban HIV clinics of government’s or non-governmental organisation’s sector in Côte d’Ivoire.ParticipantsAll WLHIV, aged 25–55 years, followed since at least 1 year, selected through a systematic sampling procedure.InterventionA standardised questionnaire administered to each participant by trained healthcare workers.OutcomeCervical cancer screening uptake.ResultsA total of 1991 WLHIV were included in the study, aged in median 42 years (IQR 37–47), and a median CD4 count (last known) of 563 (378-773) cells/mm3. Among the participants, 1913 (96.1%) had ever heard about cervical cancer, 1444 (72.5%) had been offered cervical cancer screening, mainly in the HIV clinic for 1284 (88.9%), and 1188 reported a personal history of cervical cancer screening for an overall coverage of 59.7% (95% CI 57.6 to 62.0). In multivariable analysis, university level (adjusted OR (aOR) 2.1; 95% CI 1.4 to 3.1, p<0.001), being informed on cervical cancer at the HIV clinic (aOR 1.5; 95% CI 1.1 to 2.0, p=0.017), receiving information self-perceived as ‘clear and understood’ on cervical cancer (aOR 1.7; 95% CI 1.4 to 2.2, p<0.001), identifying HIV as a risk factor for cervical cancer (aOR 1.4; 95% CI 1.1 to 1.8, p=0.002) and being proposed cervical cancer screening in the HIV clinic (aOR 10.1; 95% CI 7.6 to 13.5, p<0.001), were associated with cervical cancer screening uptake.ConclusionInitiatives to support cervical cancer screening in HIV care programmes resulted in effective access to more than half of the WLHIV in Abidjan. Efforts are still needed to provide universal access to cervical cancer screening, especially among socioeconomically disadvantaged WLHIV.

scholarly journals Role of awareness on cervical cancer screening uptake among HIV positive women in Addis Ababa, Ethiopia: A cross-sectional study

2021 ◽  
Vol 17 ◽  
pp. 174550652110170
Author(s):  
Kassahun Emru ◽  
Tsega-Ab Abebaw ◽  
Admas Abera
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Screening Uptake ◽  
Hiv Positive Women

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.

scholarly journals Women’s knowledge and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross- sectional study

2019 ◽  
Author(s):  
Qiao Weng ◽  
Jie Jiang ◽  
Fatma Mrisho Haji ◽  
Lamlet Hassan Nondo ◽  
Huaijun Zhou
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Family Income ◽  
Cross Sectional Study ◽  
Education Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Screening Uptake ◽  
Previous Disease

Abstract Background: Cervical cancer is the most common cancer and the leading cause of cancer death among women in Tanzania. Knowledge and willingness of cervical cancer screening are important determinants of prevention services. This study aimed to describe women's awareness about cervical cancer and to explore the attitudes, acceptability and barriers toward cervical cancer screening in Zanzibar, Tanzania, in order to help organizing the forthcoming China-Zanzibar cervical cancer screening program. Methods: A cross-sectional study was conducted from March to June 2018, involving 1483 women who responded to questionnaires concerning general demographic characteristics, screening willingness and awareness of cervical cancer from 10 districts in Zanzibar. Chi-square tests, analysis of variance, rank sum tests and stepwise multiple regression were conducted using STATA 15.0 software. Results : The average Total Knowledge Scores(TKS) was 7.83±5.32 on a 23 scale. Education level and family income were positively correlated with TKS (Coef=1.075, 95% CI=0.687-1.462 and Coef=0.810, 95% CI=0.262-1.358 respectively). Previous schistosomiasis history (OR = 24.140, 95% CI= 3.306-176.266) and family genetic disease history (OR = 3.140, 95% CI= 1.644-5.997) were strong predictors of free screening. Women were less likely to be screened freely if they had 7 or more deliveries (OR = 0.300, 95% CI= 0.150-0.598) and were unknown about previous family tumor history (OR = 0.381, 95% CI= 0.218-0.665). As for non-free screening, age and education level were negatively associated while family income was positively associated with willingness to uptake non-free screening; divorced or widowed marriage and unawareness about previous family tumor history were predictors of reluctance to screening while previous disease history was the strong predictor of non-free screening uptake. Among 129 women who were reluctant and 50 who were uncertain to participate in the free screening, 51.4% thought it was unnecessary, 18.44% showed obvious fear and 20.67% were worrying about extra infection. Conclusions: The findings revealed that the knowledge of cervical cancer was poor. Education level, family income and awareness of previous disease history were the significant influencing factors of screening uptake. Specific awareness programs to increase knowledge and willingness to uptake screening should be designed and implemented in the public without delay.

scholarly journals Role of awareness on cervical cancer screening uptake among HIV positive women in Addis Ababa, Ethiopia. A cross-sectional study

2019 ◽  
Author(s):  
Kassahun Emru ◽  
Tsega-Ab Abebaw ◽  
Admas Abera Abaerei
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Screening Uptake ◽  
Hiv Positive Women

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

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