Self-initiated Utilization Level of Cervical Cancer Cytology Screening and Determinants among Women of Reproductive Age Group at Arsho Medical Laboratories in 2020
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Date
2020-01
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Addis Abeba University
Abstract
Background: Cervical cancer is the third most frequent cancer of women around the
world.As WHO recommendation women should screen once in a lifetime and it’s better
to have cervical screening every three years from 15-49 years.Screening is an
individual’s decision that is reached upon self-perception and deliberations on the
importance of such a service.But self-initiated cervical cancer screening rate seems very
low compared to the clinical recommendation and symptomatic referral. Objectives:To
assess self-initiated utilization level of cervical cancer screening and determinants
among women of the reproductive age group in Arsho medicallaboratories 2020.
Methods: Institution-based prospective cross-sectional study design was conducted at
the Arsho medicallaboratories locatedat Addis Ababa from May1-June 30/2020.The
consecutive study sampling method was used to select study subjects, based on sample
size calculation 275 women were enrolled.Self-initiated cytology-based cervical cancer
screening rates and determinants were assessed with the interview-based semistructured
questioner to measure the research objective.All the questionnaires were
entered, edited, coded, and cleaned into Epi-data and exported to SPSS version 25
software for analysis. Relationships between each independent variable and outcome
variable were investigated using a binary logistic regression model. Those variables
with P- value less than 0.25at the bivariable level was included in a multivariable
logistic regression model for controlling potential confounding effects.In the
multivariable analysis, the degree of association between independent and dependent
variables was assessed using odds ratio, 95% confidence interval and P-value ≤0.05 to
be considered as significant.
Results:Out of 275 women age between 15-49 years, the mean age was36 with
SD±6.6.The self-initiated cervical cancer cytology screening level was 37%.Among the
total variables which were included in the analysis, variables show association with selfinitiated
CCS were,orthodox Christian followers [AOR=2.01 95% of CI (1.94 4.22)],Women
from urban area [AOR=3.25 95% of CI (1.08-9.81)].< 1-year health
facility visit frequency [AOR=4.16 95% of CI (2.18-8.12)] having a history of STD
[AOR=2.295% of CI (1.07-4.51)] and women’s havingclinician
counseling[AOR=5.47(95%OF CI (3.18-9.42)].
CONCLUSION:Based on the finding self-initiated cytology-based cervical cancer
screening was low compared to symptomatic referral. Being from an urban area hasa
good opportunity to have CCS. Frequent health facility visit also has great contribution
along with previous clinician counseling.Thesexually transmitted disease was
significantly associated with cervical cancer screening that should be considered as a
parallel service in the future.
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Keywords
Self-initiated,Cervical cancer,screening,Utilization, prevention