Willingness and acceptability of cervical cancer screening among women living with HIV/AIDS in Addis Ababa, Ethiopia: a cross sectional study

Abstract

BackgroundIn Ethiopia, cervical cancer (CC) ranks the 2nd most frequent cancer and the country had 27.19 million women at risk of developing the disease though only 0.6 % women age 18-69 years was screened every 3 years. Nearly a quarter (22.1 %) of southern Ethiopia HIV (Human Immunodeficiency Virus) infected Women were positive for precancerous cervical cancer. Doing regular screening can prevent the disease by around half (45 %) of the cases in age of 30s and three quarter (75 %) cases in 50s and 60s.In the presence of high risk for acquiring cervical cancer among HIV patients, willingness and acceptance of the screening is low in Addis Ababa, Ethiopia thus the current study was aimed to assess willingness and acceptability of cervical cancer screening and its determinants among women living with HIV/AIDS in Addis Ababa, Ethiopia.MethodA facility based cross sectional study was conducted among HIV positive women attending HIV treatment centers in Addis Ababa. The respondents were identified using systematic random sampling method. Data was collected using pretested questionnaire and were entered in to Epi-info version 3.5.1 software and exported in to SPSS version 20 statistical package for analysis. The criterias for entering independent variables into multivariate analysis were having p-value 0.05 or less at bivariate analysis and not co-linear.ResultOne third (34.2 %) of participants knew cervical cancer and two third (62.7 %) were willing for the test though only a quarter (24.8 %) were accepted the test. The independent variables significantly associated with acceptance of screening were educational level, source of information, awareness for the test and preventability of the disease.ConclusionIn current study willingness and acceptance of CC (cervical cancer) were low thus organizations working on cancer and HIV/AIDS should establish cervical cancer screening program and further enhance awareness creation.

Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based cross-sectional study

“…This finding is lower than a similar the study done in Addis Ababa among female ART attendants [16]. This could most probably be due to the participants’ exposure to information through health professionals while they undergo regular follow up for ART services.…”

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

“…According to the findings of our study, only 23.5% of respondents were ever tested for CC in their life time, which is significantly higher compared with the study done in among patients living with HIV/AIDS in Addis Ababa, Ethiopia, where only 11.5% of women screened for CC [16]. The uptake of screening in our study is also higher compared with the study conducted in Nigeria (9.4%) [23].…”

“…Single population proportion formula was used with the assumption of 95% confidence interval, 5% margin of error, the proportion (p) of cervical cancer screening in women living with HIV/AIDS (11%) [16] and 5% for possible nonresponse was taken to determine a final sample size of 317. A systematic random sampling technique was then applied to select participants until the final sample size was attained.…”

Cervical Cancer Screening Acceptance among Women in Dabat District, Northwest Ethiopia, 2017: An Institution-Based Cross-Sectional Study

“…In a facility-based study in the same city among women living with HIV, 62.7% was willing to screen for cervical cancer, and a quarter (24.8%) of them decided to be screened in the near future [15].…”

“…Facility-based study in Ethiopia, Addis Ababa, among women living with HIV indicated that 97 (88.2%) participants believed as the disease is preventable, and 31.4% knew the availability of the screening procedures for the disease [15]. In the same city of the country, among reproductive health service clients, 478 (91.9%) and 222 (42.7%) women heard about cervical cancer and cervical cancer screening, respectively [16].…”