Determinants of cervical cancer screening uptake among women with access to free screening: A community‐based study in peri‐urban Ghana

Tawiah, Augustine; Konney, Thomas Okpoti; Dassah, Edward T.; Visser, Lucia; Amo‐Antwi, Kwabena; Appiah‐Kubi, Adu; Bell, Sarah; Johnston, Carolyn; Lawrence, Emma

doi:10.1002/ijgo.14158

Cited by 10 publications

(5 citation statements)

References 25 publications

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“…According to the finding of this study, women who were employed in government organizations were 8.09 times more likely to uptake CC screening services. This report is in agreement with the finding of studies conducted in Latin America, Ghana, and Gomma district, South West Ethiopia ( Gizaw et al, 2022 ; Soneji & Fukui, 2013 ; Tawiah et al, 2022 ). This finding is widely linked to women's financial constraints to screening.…”

Section: Discussionsupporting

confidence: 93%

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

et al. 2023

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Introduction Cervical cancer is the second highest cause of cancer-related mortality in the world, and it is one of the top 20 causes of mortality in Ethiopia. Even though cervical cancer is more common among women living with HIV, the utilization of cervical cancer screening services remains low in Ethiopia. Objectives This study aimed to assess cervical cancer screening service utilization and associated factors among women living with HIV receiving anti-retroviral therapy at Adama Hospital Medical College, Ethiopia. Methods An institution-based cross-sectional study was conducted among a sample of 304 women living with HIV from 1st–30th June 2022. Data were collected using an interviewer-administered questionnaire. The data were entered into Epi info version 7 and exported to SPSS version 25 for analysis. Bi-variable logistic regression analysis was used to identify candidate variables at p < .25. Finally, multivariable logistic regression analysis was used to identify the independent predictors of cervical cancer screening service utilization at p < .05 with 95% confidence intervals. Results The magnitude of cervical cancer screening service utilization was 26.9% (95% CI: 22.0, 32.6). Being a government employee (AOR: 8.09, 95% CI: 1.5, 41.19), having a family history of cervical cancer (AOR: 3.4, 95% CI: 1.02, 11.9), being aware of cervical cancer screening (AOR: 3.75, 95% CI: 2.11, 14.7), having a history of sexually transmitted infection (AOR: 3.14, 95% CI: 1.95, 10.2), and heard about cervical cancer (AOR: 2.6, 95% CI: 1.05, 6.41) were associated with cervical cancer screening service utilization. Conclusion The magnitude of cervical cancer screening service utilization was low. It was associated with occupation status, family history of cervical cancer, awareness about cervical cancer screening, history of STI, and ever heard about cervical cancer. Thus, to maximize utilization, health education programs and other multidisciplinary strategies had to be implemented.

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Section: Discussionsupporting

confidence: 93%

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

et al. 2023

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“…Ten explanatory variables were used in agreement with both theoretical and empirical literature [ 3 , 19 , 20 ]. The explanatory variables include: place of residence (urban = 1, rural = 2); level of education (No education = 0, primary = 1, secondary = 2, higher = 3); wealth index (poorest = 1, poorer = 2, middle = 3, richer = 4, richest = 5); women’s age (15–19 = 1, 20–24 = 2, 25–29 = 3, 30–34 = 4, 35–39 = 5, 40–44 = 6, 45–49 = 7); contraceptive use (not using = 0, using = 1); frequency of reading newspaper or magazine (not at all = 0, less than once a week = 1, at least once a week = 2); frequency of listening to radio (not at all = 0, less than once a week = 1, at least once a week = 2); frequency of watching television (not at all = 0, less than once a week = 1, at least once a week = 2); Had any sexually transmitted infection (STI) in the last 12 months (no = 0, yes = 1); and Country variable (Benin = 1, Cote d’Ivoire = 2, Cameroon = 3, Kenya = 4, Namibia = 5).…”

Section: Methodsmentioning

confidence: 99%

Screening for cervical cancer among women in five countries in sub-saharan Africa: analysis of the role played by distance to health facility and socio-demographic factors

Dickson

Boateng

Acquah

et al. 2023

BMC Health Serv Res

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Background Cervical cancer significantly affects women in Sub-Saharan Africa (SSA). However, limited studies have concentrated on cervical screening behaviour among women in SSA. This study aimed to assess the interplay of distance to health facilities and socio-demographic factors with cervical screening behaviour among women in five SSA countries. Methods The study was based on pooled data of 40,555 women included in Demographic and Health Surveys (DHS) conducted between 2013 to 2021. Proportions and logistic regression models were used in assessing the interplay of distance to health facilities and socio-demographic factors with cervical screening behaviour. Results Approximately, 7.9% of women that saw the distance to a health facility as a big problem, tested for cervical cancer compared to 13.5% who indicated that distance to a health facility is not a big problem. More women in urban areas, with a higher level of education, of richest wealth index, aged 40–44 years and using contraceptives who also indicated that distance to a health facility was a big problem tested for cervical cancer compared to those in rural areas with no education, of poorest wealth index, aged 15–19 years and not using contraceptives. Education, age, contraceptive use, frequent exposure to mass media and Sexual Transmitted Infections (STI) had a significant relationship with testing for cervical cancer. Conclusion The prevalence of cervical cancer screening was low in the five SSA countries largely due to distance barriers and was also significantly influenced by education, age, contraceptive use, frequent exposure to mass media, and STI status. To improve the screening for cervical cancer and its associated benefits in the five SSA countries, there is a need for policymakers, clinicians and public health workers to channel more commitment and efforts to addressing the barriers identified in this study.

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“…Similar low screening rates were reported by a study among women in Kenya where only 35.6% of the eligible women were screened [ 13 ]. Among Ghanaian women, only 24.6% of those eligible were screened despite the close proximity to facilities offering free cervical cancer screening services [ 14 ]. This low screening rate is an indication of the existence of barriers to screening uptake, which remain unaddressed.…”

Section: Discussionmentioning

confidence: 99%

Improving cervical cancer screening rates among women of reproductive age in rural Kisumu County through dialogue-based community health education

Onyango,

Masinde,

Ouma

2024

ecancer Journal

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Background Low- and middle-income countries continue to bear the burden of cervical cancer partly due to low uptake of screening services. Interventions through the media to increase demand for screening services among women of reproductive age (WRA) have not yielded the desired results mainly due to the unidirectional flow of information. The current study evaluated the use of a dialogue-based approach to community health education to improve the demand for cervical cancer screening services among WRA in rural sub-counties in Kisumu County. Methods This was a mixed-method longitudinal pre and post-intervention study with a control group. The self-reported screening rates were assessed at baseline in both the intervention and control groups followed by dialogue-based community health education in the intervention arm. This was followed by endline screening rates evaluation. The screening rates at baseline and endline were compared followed by a focused group discussion among the leaders of the community units to discuss the contributors to the observed screening rates. The proportion of change in the screening rates was calculated and statistical significance was assessed at p ≤ 0.05. Results There was a significant increase in the number of WRA reporting to have been screened at the endline in the intervention arm ( p = 0.007). The number of those being screened due to the health talks conducted by the Community health volunteers also increased significantly at the endline ( p = 0.036). The barriers included; not knowing where to get screened ( p < 0.0001), violation of ones’ privacy ( p < 0.0001), lack of spousal support ( p < 0.0001), waiting time at the facility ( p = 0.001), attitude of the health providers ( p < 0.0001) and cost of transport to the facility ( p < 0.0001). Conclusion The use of dialogue-based community health education has the potential to improve the uptake of cervical cancer screening services and identify the additional barriers as experienced by the WRA targeted for screening.

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Determinants of cervical cancer screening uptake among women with access to free screening: A community‐based study in peri‐urban Ghana

Cited by 10 publications

References 25 publications

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

Screening for cervical cancer among women in five countries in sub-saharan Africa: analysis of the role played by distance to health facility and socio-demographic factors

Improving cervical cancer screening rates among women of reproductive age in rural Kisumu County through dialogue-based community health education

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