BACKGROUND: The main objective was to assess the predictors and barriers to cervical cancer screening and vaccination uptake among female undergraduates of University of Nigeria Enugu Campus. Early screening and vaccination are important keys to preventing cervical cancer. Hence, the study was geared at providing insights into the factors that influence screening behaviors and vaccination uptake among the respondents.
MATERIALS & METHODS: A descriptive cross-sectional study design was adopted in this study to assess the predictors and barriers of cervical cancer screening and vaccination uptake. A semi-structured questionnaire was used to collect the data. The data was collected, queued in and analyzed using IBM SPSS version 23.0. Descriptive analysis was done using percentages, frequencies, and standard deviation. Pearson’s chi-square test was used to draw associations between variables. A p-value of ≤ 0.05 was considered statistically significant.
RESULTS: 410 respondents satisfactorily completed the survey instrument. The study found that a small percentage (2.4%) of the respondents had received the HPV vaccine, and only 6.8% indicated having had a Pap smear test. Among those not screened (93.2%), lack of awareness (47.3%) was mentioned as the main barrier. Cost and attitude of health workers were the main barriers to vaccination uptake. The major predictors of cervical cancer screening uptake were awareness of the importance of regular cervical cancer screening (90.2%), and potential risk (84.9%). For HPV vaccination uptake, awareness regarding the potential risk of cervical cancer (mean = 3.54, SD = 1.340), awareness of effectiveness of HPV vaccination in preventing cervical cancer (mean = 3.23, SD = 1.036), and cost of HPV vaccine (mean = 3.21, SD = 1.084) were major predictors. Significant association was established between ethnicity (p = 0.006), faculties (p = 0.050) and vaccination uptake.
CONCLUSION: The study revealed a low uptake of cervical cancer screening and vaccination. Factors contributing to low uptake include limited access to healthcare services, financial constraints and fear or discomfort associated with screening procedures. Targeted interventions and policies that promote accessibility, affordability, and acceptability of cervical cancer prevention services are recommended.