Cervical cancer screening utilization and its predictors among women in bench Sheko Zone, Southwest Ethiopia: using health belief model

Abstract

Background Cervical cancer is the fourth most frequently diagnosed and found to be the leading cause of cancer death in women, especially in low and middle-income countries. Even though cervical cancer is a preventable disease, its preventive measures have not been equitably implemented across and within different countries; especially in low and middle-income countries, due to different contributing factors. Objective This study aimed to assess cervical cancer screening utilization and its’ predictors among Women in Bench Sheko Zone, Southwest Ethiopia. Method A community-based cross-sectional study design was employed in Bench Sheko Zone from February 2021 to April 2021. Using a multi-stage stratified sampling method, a total of 690 women in the age range of 30–49 years were included in the study. The logistic regression analysis was used considering a 95% confidence interval and a P-value of < 0.05. Results Ninety-six (14.2%) of the participants have utilized cervical cancer screening. Predictors like; age between 40–49 years (AOR = 5.35, 95% CI = [2.89, 9.90]), partner educational status of certificate and above (AOR = 4.36, 95% CI = [1.65, 11.51]), first sexual intercourse before eighteen years (AOR = 4.85, 95% CI = [2.29, 10.26]), ever used of alcohol (AOR = 3.99, 95% CI = [1.23, 12.89]), good knowledge (AOR = 8.98, 95% CI = [4.06, 19.89]), favorable attitude (AOR = 3.56, 95% CI = [1.78, 7.09]), and high perceived benefit (AOR = 2.94, 95% CI = [1.48, 5.84]) were strongly associated with cervical cancer screening utilization. Conclusion In this study, cervical cancer screening utilization was relatively low. Therefore, promotion of the perception of women towards cervical cancer screening, and provision of health-related information towards different behavioral-related factors should have to be addressed at each level of health care.

The predictors of voluntary participation in pulmonary tuberculosis screening program: a study in a suburban community of southern Thailand

“…When the significantly associated demographic characteristic variables and correlated HBM domains with regularity of performing PTB prevention practices were further analyzed to determine the significantly independent predictors of adopting PTB prevention practices ( Table 7 ), we found that having an underlying disease, perceived benefits of PTB prevention or screening, and belief in Islam (inverse prediction) were the significant independent predictors. Several previous studies confirmed the significant influence of mostly perception of benefits and barriers of HBM domains and level of understanding or knowledge on the people's decision to participate in cancer screening or health education programs ( 7 – 10 , 32 ). Moreover, health educations focusing on encouraging the domains of the HBM, reducing all possible barriers to access to healthcare service, and understanding how to practice disease prevention could promote self-efficacy in practicing self-care finally ( 11 – 13 , 33 , 43 – 46 ).…”

Age at first sexual intercourse and pan- cancers: Mendelian Randomization Study

“…The GWAS dataset for the age of rst sexual intercourse in this study was obtained from the Medical Research Council-Integrative Epidemiology Unit (MRC-IEU) GWAS database 7 , UK Biobank, the Genome (PRACTICAL) Consortium, and the "MR-base" with unknown Consortium. The rst sexual intercourse age dataset (ID: ebi-a-GCST90000047) .…”

“…the age of rst sexual intercourse(AFS) is related to premature birth and teenage pregnancy, as well as adverse health consequences such as depression, sexually transmitted diseases, and even certain cancers 3 , such as cervical cancer 4 . In addition to being associated with cervical cancer, the age of rst sexual intercourse is also associated with various cancers, such as lung cancer 5 , head and neck cancer 6 , cervical cancer 7 , prostate cancer 8 . Although many population-based studies have described the association between the age of rst sexual intercourse and multiple cancers, the mechanism of its action is still unclear, and the evidence of the association between the age of rst sexual intercourse and multiple cancers is still controversial.…”