Cervical Cancer Screening Service Uptake and Associated Factors among Age Eligible Women in Mekelle Zone, Northern Ethiopia, 2015: A Community Based Study Using Health Belief Model

Bayu, Hinsermu; Berhe, Yibrah; Aweke, Amlaku Mulat; Alemu, Amare

doi:10.1371/journal.pone.0149908

Cited by 144 publications

(268 citation statements)

References 22 publications

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“…Woman who had two and more than two life time sexual partners were 2.2 times more likely to have precervical cancer than those who had less than two life time sexual partner. The finding is consistent with previous studies conducted in Southern and Northern Ethiopia and Nigeria [5,10,17]. Women who had two and more than two lifetime sexual partners develop precervical cancer because as the number of sexual partner increases, they become more prone to acquiring the HPV infection, which is the causative agent for precervical cancer and invasive cervical cancer.…”

Section: Discussionsupporting

confidence: 91%

“…[95%CI] (24.1-31.4] and the finding is similar with study conducted in India (27.7%) [9], but higher than study finding from south west Ethiopia (12.9%) [5], north Ethiopia Mekele zone (6.7%) [10], Madagascar (11.3%) [11], Malawi (12.4%) [11], and Nigeria (16% [12]. However, it is lower than study findings from Lusaka Zambia among HIV infected women (76%) [13].…”

Section: Discussionsupporting

confidence: 85%

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Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Teka

Kote

Kejela

et al. 2019

Advances in Public Health

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Background. Cervical cancer is one of the major noncommunicable public health problems among the female population affecting not only the women but also the whole community. Annually, more than half a million new patients are diagnosed with it and over 270,000 deaths occur worldwide. There are very few research efforts conducted on prevalence and associated factors of specific target group in the region. So, this study tries to show the magnitude on all women screened for precervical cancer and serves as a secondary data for other research. Objective. The aim of the study was to assess magnitude of precervical cancer and associated factors among screened women in Arba Minch town and zuria woreda health institutions, southern Ethiopia. Methods. A facility based cross-sectional study was conducted in three health facilities at Arba Minch town and zuria woreda, southern Ethiopia, from June 2015 to June 2017. Data were collected by two nurses that are working in the area of expertise and one health officer as supervisor. Data of 528 screened clients were entered into Epi data version 3.1 using checklist, double data entry verification done and exported to SPSS version 20.0. After cleaning the data, descriptive analysis was done and multivariable logistic regression model was employed to identify predictors of precervical cancer. Finally, statistical significance was declared at P < 0.05. Result. In this study, the magnitude of precervical cancer is 27.7% [95%CI] (24.1-31.4)]. Having primary educational status (AOR [95% CI]) = 0.2 [0.1, 0.96)] and secondary educational status (AOR[95% CI]) = 0.1 [0.02,0.3]), having history of smoking [AOR (95% CI) = 3.7 (1.4-9.9)], having two and more than two life time sexual partners [AOR (95% CI) = 2.2 (1.1-4.7)], having age at first sexual intercourse less than eighteen years [AOR (95% CI) = 6.6 (3.14-13.0)] were significantly associated with precervical cancer. Conclusion and Recommendation. The magnitude of precervical cancer is 27.7% as shown in the result of the present study. Level of education, age at first sexual intercourse, history of smoking, and number of sexual partners were predictors of precervical cancer in this study. Thus, any cervical cancer prevention and control effort at the study area should address those predictors pointed out in the present study and should encourage to screen for precervical cancer.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 85%

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Teka

Kote

Kejela

et al. 2019

Advances in Public Health

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“…This finding was congruent with one systematic review finding [34] and finding in Northern part of Ethipia [35]. Those women who had poor knowledge score were more likey to have negative attitude towards proxy factors of cervical cancer.…”

Section: Discussionsupporting

confidence: 90%

Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based cross-sectional study

Aweke¹,

Ayanto²,

Ersado³

2017

PLoS ONE

148

122

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BackgroundCervical cancer is the second most common female cancer which Ethiopia put a strategic goal to reduce its incidence and mortality by 2020. Lack of knowledge and poor attitude towards the disease and risk factors can affect screening practice and development of preventive behavior for cervical cancer. The aim of this study was to assess knowledge, attitude, practices and factors for each domain for cervical cancer among women of child bearing age in Hossana town, Southern, Ethiopia.MethodsCommunity based cross sectional study was carried out in June 2015. A total of 583 participants were selected using systematic random sampling technique. Pretested structured interviewer administered questionnaire was used to gather the data. Data were entered in to Epi Info software version 3.5.4 and exported to SPSS version 16 for descriptive and logistic regression analysis.ResultsTwo hundred seventy (46.3%) of the respondents had poor comprehensive knowledge. Only 58 (9.9%) of participants had been screed for the cervical cancer before the survey. Two hundred three (34.8%) of participants had negative attitude towards selected proxy variables. Not having health seeking behavior for cervical cancer [AOR: 5.45, 95% CI: (1.18, 30.58), P <0.031], had not ever received information about cervical cancer and its prevention [AOR: 2.63, 95%CI: (1.78,8.84), P < 0.018] and not actively seeking health information about cervical cancer [AOR: 6.25, (95%CI: (1.26, 31.06) P < 0.025] were significantly associated factors with poor knowledge. Poor knowledge score was associated with poor attitude [AOR: 56.51, 95%CI: (23.76, 134.37), P <0.001]. Had not ever received information about the disease from any source [AOR: 45.24, (95%CI: (11.47, 178.54), P <0.001] was significantly associated factor with not to be screened for the disease.ConclusionThis study highlighted the importance of awareness creation, increasing knowledge, promoting active searching for health information and experiences of receiving information from any information sources regarding cervical cancer. Therefore, it will be essential to integrate cervical cancer prevention strategies with other reproductive health services at all level of health care delivery system.

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“…Cervical cancer ranks as the second most frequent cancer among women in Ethiopia. Awareness creation about the screening was being advocated in the country since 2008 (63). Despite this fact, very few women receive screening services (64).…”

Section: Discussionmentioning

confidence: 99%

Burden of cervical lesion in Ethiopia: Systematic review and meta-analysis

Semachew¹,

Dagget²,

Beyene³

et al. 2019

Preprint

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Though cervical cancer is largely preventable, it is still the second most common female cancer globally and the leading cause of cancer deaths among females in African. Though many efforts has been done to study the burden of the disease in Ethiopia, there are still fragmented primary studies reported cervical lesion. Hence, this systematic review and meta-analysis aimed in estimating the pooled prevalence of cervical cancer and its trend in Ethiopia. Methods: This systematic review and meta-analysis was conducted using available data. PubMed, Web of Science, SCOPUS, Science Direct, Google Scholar, African Index Medicus (AIM), African Journals Online databases and Ethiopian University research repositories were searched following the Preferred Items for Systematic review and Meta-analysis (PRISMA) guideline. STATA 15 statistical software was used to analyse the data. The quality of included studies was assessed using the Joanna Briggs Institute (JBI) quality appraisal tool for meta-analysis. Heterogeneity between studies was assessed using Cochrane Q test and I2 test statistics based on the random effects model. A random effect model was computed to estimate the pooled prevalence of cervical lesion in Ethiopia. In addition, the trend of cervical lesion in the country was depicted. Result: Fifteen studies with a total of 25,348 participants were included in the analysis. The overall pooled prevalence of cervical lesion was 16.36 (95 CI: 10.97-21.75). The subgroup analysis by region showed the highest prevalence of cervical lesion at the Southern Nations and Nationalities Peoples Region (19.65%; 95% CI: 15.51 – 23.80). The trend of cervical lesion showed an increased pattern overtime from 1992 to 2018 in the meta-regression analysis. Conclusion: One among six of the study participants had cervical lesion. The trend also showed that there is still an increased cervical lesion in the country. Best practices in achieving high vaccination coverage shall be adapted from other successful countries. Key words: Cervical cancer, cervical lesion, systematic review, Ethiopia

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Cervical Cancer Screening Service Uptake and Associated Factors among Age Eligible Women in Mekelle Zone, Northern Ethiopia, 2015: A Community Based Study Using Health Belief Model

Cited by 144 publications

References 22 publications

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based cross-sectional study

Burden of cervical lesion in Ethiopia: Systematic review and meta-analysis

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