Abstract

BackgroundIn Ethiopia, cervical cancer is the second most frequent cancer among women aged 15 to 44 years old. Cervical cancer screening is an effective measure to enhance the early detection of cervical cancer for prevention. However, the magnitude of cervical cancer screening is less than 1%. This study aimed to determine the influence of sociodemographic characteristics and related factors on screening.MethodA hospital-based cross-sectional study has been conducted from July to September 2017. Data have been collected using interviewer-administered questioner among 425 women (18–49 years age) who visited the family health department at St. Paul’s Hospital. Descriptive statistics, chi-square, univariate and multivariate logistic regression were used for data analysis.ResultOf the 425 study participants, only 12.2% of women have been screened within the past 3 years. Women in the age range of 40–49 years old were more likely to be screened (36.1%) than women age 18–29 years (8%). Women living in urban were more likely to be screened (15.9%) than women living in rural (3.9%). Other factors including low monthly income, unlikely chance of having cancer, lack of knowledge, and fear test outcome were significantly associated with the low uptake of screening.ConclusionThis study revealed that the uptake of cervical cancer screening was low. Women in the potential target population of cervical cancer screening were just a proportion of all studied age groups and screening in them was more common than in younger women. Besides, rural residence, low monthly income, and lack of knowledge were important predictors for low utilization of cervical cancer screening practice.

Highlights

  • In Ethiopia, cervical cancer is the second most frequent cancer among women aged 15 to 44 years old

  • This study revealed that the uptake of cervical cancer screening was low

  • More than 30 % (30.4%) of participants were residing in the rural area and 20.1% had no access to screening in a nearby health facility

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Summary

Introduction

In Ethiopia, cervical cancer is the second most frequent cancer among women aged 15 to 44 years old. More than 569,000 new cervical cancer and 311,000 women death by cervical cancer have been reported annually by the International Agency for Research on Cancer (IARC) Global Cancer Observatory [2, 3]. In Africa, more than 119,000 new cervical cases and 81,000 deaths of cervical cancer have been reported annually by IARC Global Cancer Observatory [2]. In Sub-Saharan Africa countries, cervical cancer comprises 20 to 25% of total cancer cases, which is two times that of women in the world [5]. World Health Organization (WHO) has reported that low and middle-income countries are taking the highest burden of cervical cancer. This is mainly due to lack of effective screening schedules and limited uptake of pelvic examination [6]

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