Cervical cancer screening utilization and its associated factors among women aged 30 years and above in Woliso town, South West Showa Zone, Oromia region, Ethiopia
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Date
2018-10
Authors
Journal Title
Journal ISSN
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Publisher
Addis Abeba University
Abstract
Background: Cervical cancer is the second most common cancer in women with 529,000 new
cases each year worldwide. It is also a leading cause of mortality worldwide with 270,000
women every year. In Ethiopia, Cervical Cancer ranks as the second most frequent cancer among
women between 15 and 44 years of age. Cervical cancer can be prevented by identifying precancerous
lesions
early
using
repeated
Pap
smear
screening
and
treating
these
lesions
before
they
progress
to
cancer.
In
low-resource
settings,
screening
achieves
the
greatest
impact
for
the
lowest
cost
when
it
is
targeted
to
women
between
the
ages
of
30
and
49.
There
are
various
dimensions
of
factors
which
affect
cervical
cancer
screening,
but
little
is known
about
factors
associated
with
cervical
cancer
screening
among
women
30 years
and
above
in
Ethiopia.
Objective: The study was carried out to assess cervical cancer screening utilization and
associated factors among women aged 30 and above in Woliso town, south west Showa zone,
Oromia region, Ethiopia.
Methods: Community based Cross sectional study was conducted among 250 women aged 30
and above in Woliso town, South west Ethiopia from March 01-March 30, 2017. The study
participants were selected using systematic sampling method. Data was collected using pretested
interviewer-administered questionnaire. Descriptive analysis was done and logistic regression
was used to assess the association between the independent variables and dependent variable.
Odd ratio with 95% confidence interval and p-value less than 0.05 was used to declare statistical
significance.
Results: The magnitude of cervical cancer screening utilization in woliso town among women
30 years and above was 44 (17.60%) with 95 %CI of (13.2-23.1). The odd of cervical cancer
screening utilization is 4 times more likely among women who had good knowledge about
cervical cancer screening utilization than those who had poor knowledge [AOR: 3.84, 95% CI:
(1.49-9.87)], 4 times more likely among women who had positive attitude than those who had
negative attitude [AOR: 3.88,95%CI: (1.31-11.54)], Six times more likely among participants
who were informed about cervical cancer screening by health professional than those who were
not informed [AOR: 5.88, (95%CI: (1.59-21.82)]. likewise, 5 times more likely among women
who perceive that cervical cancer screening has benefit than those who do not perceive that
cervical cancer screening has benefit [AOR: 5.38, 95% CI: (1.91-15.18)].
Conclusion &Recommendation: cervical cancer screening utilization is low in woliso town.
Knowledge about cervical cancer, attitude about cervical cancer screening, health professionals
information provisions about cervical cancer screening and perceived benefit about cervical
cancer screening were identified factors significantly associated with cervical cancer utilization.
The ministry of health up to the local government health service authority should strengthen
awareness creation, behavioral change programs in order to increase the knowledge of the
residents about cervical cancer and cervical cancer screening to motivate those women in order
to utilize the screening service
Description
Keywords
Cervical cancer