The Assessment of Knowledge, Attitude and Intention to use Cervical cancer Screening and its Collerates among Army Women in Ethiopia
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Date
2016-06
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Abstract
Background: Cervical cancer is a global public health problem & it is the 4th leading cause cancer
morbidity and mortality. Almost 70% of the global burden failed in developing counties. In Ethiopia
cervical cancer is the 2nd leading cause of cancer mortality. Cervical cancer screening is effective
prevention method can avert >80% morbidity and mortality. However, globally a billion of women
missed this opportunity. Poor utilization of cervical cancer screening was the prominent problem in
developing countries. In Ethiopia cervical cancer screening coverage was 0.6%. Low level of knowledge,
negative attitude and low intention towards cervical cancer screening were among many obstacles that
hider the successfulness of cervical cancer screening on which this study aimed.
Objectives: This study were measure level of knowledge, determine attitude, assess intention to use
cervical cancer screening and identify correlates of intention among army women of Ethiopia.
Methods: A cross sectional study design was used to assess knowledge, attitude, intention towards
cervical cancer screening and its correlates among army women of Ethiopia on April, 2016. Twenty one
posts were included in this study. Single population proportion formula was used to determine the
sample size & a total of 423 samples were taken. Simple random sampling technique was used to select
study participants. A self administered questionnaire was used to collect the data. Data was entered to
EPI-info -7 & exported into STATA-12 for analysis. Bi-varate analysis was done to find out crude
association between independent & outcome variable. Finally logistic regression analysis was carried
out for those variables had association at <0.05 level of significance at bi-variate analysis.
Results: This study showed that 288(54.00%), 161(38.00%), and 34(8.00%) had poor, satisfactory and
good knowledge about cervical cancer screening respectively. Majority, 227(53.7%) had negative
attitude towards cervical cancer screening. More than half, 218(56.6%) of respondents had no intention
to use cervical cancer screening. Military duty (infantry AOR=2.19(1.13, 4.23), Office work
AOR=1.95(1.09, 3.51)), monthly income >1600EBirr AOR=2.84(1.51, 5.32) and army women who had
positive attitude towards cervical cancer screening AOR=2.16(1.35, 3.44) had positive association with
intention to use cervical cancer screening.
Conclusion and Recommendations: Army women had lack of knowledge, negative Attitude poor
intention to cervical cancer screening. And military duty, monthly income and positive attitude were
factors had positive association with intention to use cervical cancer screening.
Defense Health main command should educate army women about the importance of cervical cancer
screening. Promote cervical cancer screening through counseling as well as institution-based
interventions. Attention should be given to army women working in industries and army women with
low monthly income. Farther study would be needed on the prevalence and quality of services.
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The Assessment of Knowledge, Attitude and Intention to use Cervical cancer