Uptake and Correlates of Cervical and Breast Cancer Screening Among Women in Jordan: National Results of the 2017-2018 Population and Family Health Survey

Abstract

The study aimed to estimate the prevalence and associated factors of cervical and breast cancer screening among women in the general population in Jordan. Nationally representative cross-sectional data were analysed from 14,689 women (34 years median age, range 15-49) that took part in the “2017-18 Jordan Population and Family Health Survey”. Information about cancer screening uptake included Pap smear, clinical breast examination, and mammography. Results indicate that the prevalence of ever Pap smear cancer screening was 15.3%, clinical breast examination in the past 12 months 13.9% and ever mammography 8.7%. In adjusted logistic regression analysis, older age, higher wealth, greater media exposure and tobacco use were positively and being Syrian, and living in the southern region were negatively associated with ever Pap smear, clinical breast examination in the past 12 months, and ever mammography. In addition, high decision-making power was associated with the uptake of Pap smear and higher education was associated with ever mammography. The study showed a low cancer screening uptake, and several factors were identified that can assist in promoting cancer screening in Jordan.

Review Of Cross-Sectional Study About Knowledge And Attitude Towards Cervical Cancer Screening Among Female Refugees: Jordan

“…Further review was obtained of the full texts of 50 citations and 41 studies were not included owing to the reasons mentioned in the above Figure 4. Therefore, this scoping review included a total of 9 articles [26], [27], [28], [29], [30], [31], [32], [33], and [34]. All studies were published between 2003 and 2023, out of which 50% of studies were within the last five years.…”

“…The employment status and perception of the cost were strongly associated. The higher decision-making power and higher education levels were related with the uptake of Pap smear [27]. The higher favourable attitudes were shown by married women and illiterate towards CCS.…”

“…In the study of patients, the lowest level of knowledge regarding CCS was determined [29]. Education was the only factor associated with the CCS knowledge level based on the studies of gynaecological outpatients [26], [27], and [34]. The knowledge about visual inspection with acetic acid was reported for CCS by one study only.…”

“…The number of women with 39.3% had been willing to have the Pap smear test [26]. Adequate knowledge of CCS is included among women in some studies [27] and [29]. For instance, CCS is a cancer that can be prevented by detecting abnormalities or cancers that could result in cancer.…”

Determinants of Protective Healthcare Services Awareness among Female Syrian Refugees in Turkey

“…The findings that we found related to the low rate of awareness of protective health services among Syrian refugees have similarities with the outcomes of some previous studies conducted on Arab women. For instance, a study conducted on the employment of these screening tests among women in Jordan reported that the prevalence of Pap smear cancer screening and mammogram was 15.3%, and 8.7%, respectively [ 57 ]. Moreover, a study based on attitudes toward cervical cancer screening of Muslim women immigrants living in the U.S. has also shown a lower rate of cancer screening activities among this population [ 58 ].…”