Idowu Ajibola, Olowookere Samuel Anu, Fagbemi Aderonke Tolulope, Ogunlaja Olumuyiwa Ayotunde
Department of Community Medicine, Faculty of Clinical Sciences, Bowen University Teaching Hospital, P.O. BOX 15, Ogbomoso 210251, Oyo State, Nigeria.
Department of Community Health, Obafemi Awolowo University Teaching Hospital, Ile-Ife 220001, Osun State, Nigeria.
J Cancer Epidemiol. 2016;2016:6469240. doi: 10.1155/2016/6469240. Epub 2016 Jan 6.
Introduction. Cancer of the cervix is the leading cause of cancer deaths among women in developing countries. Screening is one of the most cost effective control strategies for the disease. This study assessed the determinants of cervical cancer screening uptake among Nigerian women. Methodology. This cross-sectional study was conducted using multistage sampling technique among 338 participants in Ilorin, North Central Nigeria. A pretested questionnaire was used for data collection and data analysis was done using SPSS version 21. Chi-square test was used for bivariate analysis while binary logistic regression was used for multivariate analysis. Statistical significance was set at p < 0.05. Results. Only 8.0% of the respondents had ever been screened for cancer of the cervix. The proportion of women who had ever been screened was significantly higher among those who demonstrated positive attitude to screening (81.5%, p = 0.001), respondents who were aware of the disease (100.0%, p = 0.001), and those who were aware of cervical cancer screening (88.9%, p = 0.001). Respondents who had negative attitude had 63% lesser odds of being screened compared to those who had positive attitudes towards screening (AOR; 0.37, 95% CI; 0.01-0.28). Conclusion. There is urgent need to improve the knowledge base and attitude of Nigerian women to enhance cervical cancer screening uptake among them.
引言。宫颈癌是发展中国家女性癌症死亡的主要原因。筛查是该疾病最具成本效益的控制策略之一。本研究评估了尼日利亚女性宫颈癌筛查接受情况的决定因素。方法。本横断面研究采用多阶段抽样技术，在尼日利亚中北部伊洛林的338名参与者中进行。使用预先测试的问卷进行数据收集，并使用SPSS 21版进行数据分析。卡方检验用于双变量分析，二元逻辑回归用于多变量分析。统计学显著性设定为p < 0.05。结果。只有8.0%的受访者曾接受过宫颈癌筛查。对筛查持积极态度的女性中，曾接受过筛查的比例显著更高（81.5%，p = 0.001），知晓该疾病的受访者中这一比例为100.0%（p = 0.001），知晓宫颈癌筛查的受访者中这一比例为88.9%（p = 0.001）。与对筛查持积极态度的受访者相比，持消极态度的受访者接受筛查的几率低63%（调整后比值比；0.37，95%置信区间；0.01 - 0.28）。结论。迫切需要提高尼日利亚女性的知识水平和态度，以增强她们对宫颈癌筛查的接受度。
