Department of public health, Hawassa college of health science, P.O.Box: 84, Hawassa, Ethiopia.
School of public health, College of medicine and health sciences, Hawassa University, Hawassa, Ethiopia.
BMC Health Serv Res. 2019 Nov 19;19(1):847. doi: 10.1186/s12913-019-4718-5.
In Ethiopia, cervical cancer is a public health concern, as it is the second most cause of cancer deaths among reproductive age women and it affects the country's most vulnerable groups like; rural, poor, and HIV-positive women. Despite the strong evidence that cervical cancer screening results in decreased mortality from this disease, its utilization remains low.
An institution-based cross-sectional study was conducted from March 2 to April 1/2019 to assess the level and factors affecting utilization of cervical cancer screening among HIV positive women in Hawassa town. Quantitative data collection methods were used. Data were gathered using a structured and pretested questionnaire. Epi-Info version 7 and SPSS version 23 were used for data entry and analysis respectively. Statistically significant association of variables was determined based on Adjusted Odds ratio with its 95% confidence interval and p-value of ≤0.05.
Of the 342 women interviewed, 40.1% (95% CI: 35.00, 45.33%) of them were screened. Having a post primary education (AOR = 5.1, 95% CI: 1.8, 14.5), less than 500 cell/mm3 CD4 count (AOR = 2.7, 95% CI: 1.2, 5.9); duration since HIV diagnosis (AOR = 4.2, 95% CI: 2.1, 8.5), partner support (AOR = 4.7, 95% CI: 2.3, 9.4), having knowledge about risk factors (AOR = 2.9 (95% CI: 1.2, 6.9) and having favorable attitude towards cervical cancer and its screening (AOR = 3.7 (95% CI: 1.8, 7.5) were associated with cervical cancer screening utilization.
The study revealed utilization of cervical cancer screening service was low among HIV positive women. Educational status, duration of HIV diagnosis, partner support, knowledge status about risk factor, CD4 count and attitude towards cervical cancer and its screening were associated with cervical cancer screening utilization. Health care workers need to provide intensive counseling services for all ART care attendants to increase utilization.
在埃塞俄比亚，宫颈癌是一个公共卫生关注问题，因为它是生殖年龄段妇女癌症死亡的第二大原因，而且影响该国最脆弱的群体，如农村、贫困和 HIV 阳性妇女。尽管有强有力的证据表明宫颈癌筛查可降低该病的死亡率，但利用率仍然很低。
2019 年 3 月 2 日至 4 月 1 日，进行了一项以机构为基础的横断面研究，以评估 Hawassa 镇 HIV 阳性妇女中宫颈癌筛查的利用水平和影响因素。采用定量数据收集方法。使用结构化和预测试问卷收集数据。Epi-Info 版本 7 和 SPSS 版本 23 分别用于数据输入和分析。根据调整后的优势比及其 95%置信区间和 p 值≤0.05，确定变量的统计学显著关联。
在所采访的 342 名妇女中，40.1%（95%CI：35.00，45.33%）接受了筛查。接受过中学后教育（AOR=5.1，95%CI：1.8，14.5）、CD4 计数<500 个细胞/mm3（AOR=2.7，95%CI：1.2，5.9）；HIV 诊断后时间（AOR=4.2，95%CI：2.1，8.5）、伴侣支持（AOR=4.7，95%CI：2.3，9.4）、对危险因素的了解（AOR=2.9（95%CI：1.2，6.9）和对宫颈癌及其筛查的有利态度（AOR=3.7（95%CI：1.8，7.5）与宫颈癌筛查的利用相关。
研究表明，HIV 阳性妇女中宫颈癌筛查服务的利用率较低。教育程度、HIV 诊断持续时间、伴侣支持、对危险因素的了解程度、CD4 计数以及对宫颈癌及其筛查的态度与宫颈癌筛查的利用有关。卫生保健工作者需要为所有接受抗逆转录病毒治疗的护理人员提供强化咨询服务，以提高利用率。
