Eshete Meried, Abdulwuhab Atta Mohammedbirhan, Yeshita Hedija Yenus
Government Public Health Facility, Gondar, Ethiopia.
Department of Pharmacology, School of Pharmacy, University of Gondar, Gondar, Ethiopia.
Obstet Gynecol Int. 2020 Feb 7;2020:2805936. doi: 10.1155/2020/2805936. eCollection 2020.
Cervical cancer is a global health problem. It is the second most common cancer in women worldwide, and it is the most frequent form and the leading cause of cancer mortality among Ethiopian women. Cervical cancer screening can reduce at least 50% of cervical cancer deaths. In Ethiopia, practice of cervical cancer screening is below 1%. Hence, this study aimed at assessing cervical cancer screening acceptance and determinant factors among women in Dabat district of Northwest Ethiopia.
A community-based cross-sectional study design was conducted in Dabat district in Northwest Ethiopia, 2016. The multistage sampling method was used to recruit 790 women from the selected rural and urban kebeles. Data were collected using a structured questionnaire. Multivariate logistic regression analysis method was employed to determine factors significantly associated with the acceptance of cervical cancer screening with a 95% CI at value <0.05.
The overall awareness of cervical cancer screening was 12.1% (95% CI: 9.6, 14.5), and 17.1% (95% CI 14.4, 19.8) of them accepted the screening. In multivariate logistic regression analysis, having knowledge about cervical cancer (AOR = 2.6, 95% CI: 1.7, 3.8), parity women who had more children (AOR = 3.1, 95% CI: 1.7, 5.5) and those who perceived the severity of the disease (AOR = 1.9, 95% CI (1.3-3.1)) were statistically significant factors for acceptance of cervical cancer screening.
Most of the women had poor awareness and acceptance of cervical cancer screening. The findings also revealed that women of multiparous, knowledge about cervical cancer, and perceived the disease as severe were shown to be significant factors of acceptance for cervical cancer screening. Hence, continuous health education and appropriate counseling to women should be performed.
宫颈癌是一个全球性的健康问题。它是全球女性中第二常见的癌症，并且是埃塞俄比亚女性中最常见的癌症形式以及癌症死亡的主要原因。宫颈癌筛查可减少至少50%的宫颈癌死亡。在埃塞俄比亚，宫颈癌筛查的实施率低于1%。因此，本研究旨在评估埃塞俄比亚西北部达巴特地区女性对宫颈癌筛查的接受程度及其决定因素。
2016年在埃塞俄比亚西北部的达巴特地区开展了一项基于社区的横断面研究设计。采用多阶段抽样方法从选定的农村和城市社区招募了790名女性。使用结构化问卷收集数据。采用多变量逻辑回归分析方法确定与接受宫颈癌筛查显著相关的因素，95%置信区间，P值<0.05。
宫颈癌筛查的总体知晓率为12.1%（95%置信区间：9.6，14.5），其中17.1%（95%置信区间14.4，19.8）接受了筛查。在多变量逻辑回归分析中，了解宫颈癌（比值比=2.6，95%置信区间：1.7，3.8）、生育多个子女的经产妇女（比值比=3.1，95%置信区间：1.7，5.5）以及认为该疾病严重的妇女（比值比=1.9，95%置信区间（1.3 - 3.1））是接受宫颈癌筛查的统计学显著因素。
大多数女性对宫颈癌筛查的知晓率和接受度较低。研究结果还表明，经产妇女、了解宫颈癌以及认为该疾病严重的女性是接受宫颈癌筛查的重要因素。因此，应持续对女性进行健康教育和适当的咨询。
