Abstract
BackgroundCervical cancer is the second most common cancer and the leading cause of cancer‐related death in Ethiopian women. About 77.6% of women died of 6294 new cases reported in 2019. Early screening for cervical cancer has substantially reduced morbidity and mortality attributed to it. In Ethiopia, most of the women visit the health facilities at the late stage of the disease in which the offered intervention is not promising. Therefore, we aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, Ethiopia.MethodsCommunity‐based cross‐sectional study was conducted among 422 women aged 20–65 years. An interviewer‐administered questionnaire was used to collect the data. Data were analyzed using SPSS version 25. Estimates were presented using an odds ratio (OR) with 95% CI. Statistical significance was declared at a p value of <0.05.ResultsIn the present study, 392 women were participated giving a response rate of 93%. Only 8.7% (34) of the study participants were received cervical cancer screening in their lifetime. Being in the age group of 30–39 years (AOR = 3.2, 95% CI: 1.22, 8.36), having cervical cancer‐related discussions with a healthcare provider (AOR = 3.5; 95% CI: 1.17, 10.7), and knowing the availability of cervical cancer screening service (AOR = 2.8; 95% CI: 1.03, 7.87) were significantly associated with uptake of cervical cancer screening.ConclusionIn this study, cervical cancer screening uptake is very low. Our study identifies clues for determinants of cervical cancer screening uptake. Thus, further studies using a better study design might be helpful to explore determinants of low utilization of CC screening services and suggest an appropriate intervention that increases CC screening uptake in the study area.
Highlights
Cervical cancer (CC) is the fourth most prevalent leading cause of cancer deaths among women worldwide; accounting for 311,000 women’s deaths annually [1, 2]
This study indicated that those women who were in the age group of 30–39 years and 40–49 years were 3.2 times (AOR = 3.2; 95% CI [1.22,8.36]) and 4.8 times (AOR = 4.8;95% CI [1.42,16.41]) more likely to uptake cervical cancer screening compared to those women whose ages between 20-29years, respectively
The current study revealed that: age, knew metastasis and bleeding are the consequences of advanced CC, and Knowledge on CC screening, discussion with health care provider on CC screening, and give birth to many children were predictors of cervical cancer screening uptake
Summary
Cervical cancer (CC) is the fourth most prevalent leading cause of cancer deaths among women worldwide; accounting for 311,000 women’s deaths annually [1, 2]. The incidence of cervical cancer is high in Sub-Saharan African (SSA) countries; it was 24% in the 2013 report [8]. Cervical cancer is the second most common cancer and the principal cause of cancer related death among Ethiopian women [14]. Cervical cancer is one of the principal causes of cancer death among women worldwide. It is the second most common cancer and the leading cause of cancer-related death in Ethiopian women; about 77.6% of women died of 6,294 new cases reported in 2019. There are limited evidence on the level of cervical cancer screening uptake and its determinant in low- and middle-income countries including Ethiopia. The current study aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, western Oromia, Ethiopia
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