Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study

Legasu, Temesgen Dessalegne; Temesgen, Kibir; Tefera, Zenebe; Chekole, Moges Sisay; Demeke, Fekade; Fetene, Jemberu Chane; Tibebu, Abebe Tadesse; Taye, Birhan Tsegaw; Ali, Mohammed Ahmed

doi:10.1186/s12905-022-02071-8

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…Furthermore, individuals aged 40-49 years had 4.37 times the odds of undergoing cervical cancer screening compared to those aged 50 years and older. This finding was supported by a study done in Southern Ethiopia ( 31 , 32 ). A possible explanation for this might be that young age groups are productive and have a chance of getting more gynecological examinations, giving birth, and getting more health information about sexual and reproductive health, including cervical cancer, that promote screening services, so women of this age group might have better knowledge and intention to be screened.…”

Section: Discussionsupporting

confidence: 76%

Cervical cancer screening uptake and associated factors among Women Living with Human Immunodeficiency Virus in public hospitals, eastern Ethiopia

Tesfaye,

Weldegebreal,

Ayele

et al. 2023

Front. Oncol.

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BackgroundCervical cancer, the second leading cancer in Ethiopia women, is six times higher among women infected with the Human Immune Virus 1-infected women. Its screening provides protective advantages, and is linked to a decrease in the incidence of invasive cervical cancer and mortality. Although cancer screening has great advantages for early treatment and prevention of further complications, cervical cancer screening uptake is low among women in developing countries. Cervical cancer screening uptake among Women Living with Human Immunodeficiency Virus (WLHIV) is not well known in Eastern Ethiopia. Thus, we aimed to assess cervical cancer screening uptake and its associated factors among WLHIV in public hospitals in Harar, eastern Ethiopia.MethodsAn institution-based cross-sectional study was carried out on 412 randomly selected HIV-positive women from March 20 to April 20, 2022. The results of the study were presented descriptively in percentages and analytically in odds ratio. Bivariate and multivariable logistic regression analyses were used to determine the presence and degree of association between dependent and independent variables. In the multivariable logistic analysis, a p-value of 0.05, and an adjusted odds ratio with a 95% confidence interval were considered to determine independent predictors for the uptake of cervical cancer screening.ResultsCervical cancer screening uptake among WLHIV was 57.5% (95% CI: 52.5, 62.9%). The uptake of cervical cancer screening was significantly associated with age between 20-29 years (AOR = 7.33; 95% CI: 1.98, 27.1), 40-49 years (AOR = 4.37; 95% CI: 1.48, 12.89), tertiary level of education (AOR = 0.197; 95% CI: 0.041, 0.946), good knowledge (AOR = 3.591; 95% CI: 2.123, 6.073), and monthly income of 2501(45.52 $) and above Ethiopian Birr (AOR = 0.389; 95% CI: 0.158, 0.959).ConclusionsMore than half of the participants had undergone cervical cancer screening. Age, marital status, educational status, monthly income, and awareness of cancer screening uptake were all factors related to cervical cancer screening. To maximize uptake, it is necessary to create specific counseling and education programs that target HIV-positive women.

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Section: Discussionsupporting

confidence: 76%

Cervical cancer screening uptake and associated factors among Women Living with Human Immunodeficiency Virus in public hospitals, eastern Ethiopia

Tesfaye,

Weldegebreal,

Ayele

et al. 2023

Front. Oncol.

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“…The adjusted odds ratio with its 95% confidence interval was used to measure the strength of the association between variables. The results were described and presented in tables, graphs, and narrative descriptions [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

Uptake of cervical cancer screening and associated factors among HIV positive women attending adult art clinic at public hospitals in Addis Ababa, Ethiopia, 2022

Zegeye,

Legasu,

Bayou

et al. 2024

BMC Women's Health

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Background Cervical cancer is the second most common malignancy in Ethiopia and first in some African countries. It is six times more likely to occur in positive cases of the human immunodeficiency virus than in the general population. If diagnosed and treated early enough, cervical cancer is both treatable and preventable. However, among Ethiopian women who test positive for HIV, the uptake of cervical cancer screening is low. Its determinant factors were not well studied in the study area. Hence, this study was aimed at filling this information gap. Objective To assess uptake of cervical cancer screening services and associated factors among HIV-positive women attending an adult antiretroviral treatment clinic at public hospitals in Addis Ababa, Ethiopia, June 1–30, 2022. Methods A cross-sectional investigation was carried out in a hospital. 407 participants in all were chosen using the systematic sampling technique. A pretested interviewer-administered questionnaire was used to collect the data from respondents. The data were entered into Epi data version 4.6 and exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression analysis was employed. Adjusted odds ratio with its 95% confidence interval and p value < 0.05 were used to estimate the strength and significance of the association. Result Among a total of 407 respondents, 238 (58.5%), 95% CI (53.5–63.3), HIV-positive women were screened at least once in the last five years. In multivariable analysis, age > 45 years old (AOR = 0.18, 95% CI: 0.053–0.644), number of children (3 children) (AOR = 0.19, 95% CI:0.036-0.979), perception of being susceptible to cervical cancer (AOR = 6.39, 95% CI: 1.79–22.74), knowledge of cervical cancer and its screening (AOR = 19.34, 95% CI: 7.87–47.75), and positive attitude towards cervical cancer screening (AOR = 8.06, 95% CI:3.62–17.91) were significantly associated factors with the uptake of cervical cancer screening. Conclusion and recommendation in this study, Age > 45 years, having less than three children, feeling susceptible, knowing about cervical cancer and screening, and having a positive attitude toward cervical cancer screening were significant factor of uptake of cervical cancer screening service. There is a need to strengthen the policy and health education on safe sexual practices and healthy lifestyles through information dissemination and communication to scale up screening service utilization.

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“…El nivel de educación secundaria o inferior fue estadísticamente significativo (tabla 5) concordando con estudios de Thakur A y col. (3) , y el realizado por Legasu T y col. (23) . Las personas analfabetas o con nivel educativo inferior están propensas a una menor información, de ahí que es posible que los individuos con bajo nivel educativo no conozcan el desarrollo de la enfermedad y la importancia del Papanicolaou (3,14) .…”

Section: Casounclassified

Factores de riesgo asociados a la displasia cervical en mujeres atendidas en un hospital peruano

Ybaseta-Medina

2024

Rev peru ginecol obstet.

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Objetivo. Identificar los factores de riesgo asociados a la displasia cervical en mujeresmayores de 17 años. Métodos. Investigación de casos y controles con la participaciónde 105 mujeres (35 casos y 70 controles) en un hospital regional durante el periodode enero a diciembre de 2018. La información se obtuvo de expedientes médicos,fue ingresada al programa Epi Data versión 4.6 y exportada al SPSS versión 26 parasu estudio. Se realizó un análisis de regresión logística multivariante, calculándoselos odds ratio (OR) y los intervalos de confianza al 95% (IC 95%). Se consideróestadísticamente significativo un valor de p < 0,05. Resultados. Se identificó comofactores de riesgo para displasia cervical al estadio educativo secundaria o inferior(ORa = 17,2, IC 95%: 1,7 a 176,5), número de parejas mayor a tres (ORa = 11,7, IC95%: 1,5 a 94,9), ser multigesta (ORa = 17,9, IC 95%: 1,1 a 29,6) y usar anticonceptivosorales (ORa = 318,3, IC 95%: 5,6 a 171,7). Conclusión. El grado de instrucciónsecundaria o inferior, el número de parejas mayor a 3, ser multigesta y el uso deanticonceptivos orales se relacionaron a una mayor probabilidad de portar displasiacervical. Se deben realizar intervenciones para fortalecer la educación sanitariasobre las prácticas sexuales con información sobre lo conveniente de la deteccióntemprana de la displasia de cérvix.

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Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study

Cited by 5 publications

References 38 publications

Cervical cancer screening uptake and associated factors among Women Living with Human Immunodeficiency Virus in public hospitals, eastern Ethiopia

Cervical cancer screening uptake and associated factors among Women Living with Human Immunodeficiency Virus in public hospitals, eastern Ethiopia

Uptake of cervical cancer screening and associated factors among HIV positive women attending adult art clinic at public hospitals in Addis Ababa, Ethiopia, 2022

Factores de riesgo asociados a la displasia cervical en mujeres atendidas en un hospital peruano

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