Knowledge and screening practice on cervical cancer and associated factors among HIV positive women in Adama, Ethiopia
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Date
2017-10
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Addis Ababa Universty
Abstract
Background; -.Cervical cancer ranksas 2nd most common female cancer worldwide. Women from developing countries account about 85% of both in its morbidity and mortality. Women living with human immunodeficiency virus (HIV) infection have a much higher risk of human papillomavirus infection and cervical cancer than HIV-uninfected women. In Ethiopia many women seek treatment only at a very late stage when their cancer has significantly advanced and facing a higher probability of mortality though it is a preventable and curable disease if identified at an early stage. Knowledge of cervical cancer helps to have a clear understanding of the need for early detection and increase up take of screening.Objective: - To assess Knowledge, Screening Practices on cervical cancer and associated factorsamong HIV positive women attending ART clinics in governmental health facilities of Adama, Ethiopia.Methods: -A cross-sectional study design was conducted among women attending ART clinics in government health facilities in Adama. The study used structured questionnaire. Data wasentered using Epi-data version 3.1 software and was exported to SPSS version 21for analysis. Univariate and Bivariate analysis were performed then Multivariable analysis was conducted to control the potential confounders and to determine independent predictors of the main outcome variable. Confidence Interval that do not contain unity wasused to determine statistical significance between dependent and the explanatory variables.Results:Out of 318 women participatedin the study, majority of them 246 (77%) were heard about cervical cancer, and only 13.2% of them were knowledgeable and 16% of them had cervical cancer screening practices.The odds of having knowledge about cervical cancer and its screening practices was higher among participants with education up to secondary level(AOR=16.7; 95% C1= 75, 159.5) and up to tertiary level (AOR=16.2; 95%CI= 1.18, 223.1) and family history (AOR=36.8; 95%CI= 12.2, 111.2). The odds of cervical cancer screening were higher among women who had been using ART for more than 8 years (AOR=4.2; 95% (CI =1.2-15.01))and who have good knowledge on cervical cancer (AOR=5; 95% CI=1.6-15.8).Conclusion and recommendation: The study revealed very low level of knowledge on cervical cancer and screening practice among HIV positive women. There is a need to design and implement awareness creation program on cervical cancer and screening.
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knowledge, screening practices, cervical cancer, HIV.