Tekle Tadesse, Wolka Eskinder, Nega Banchialem, Kumma Wondimagegn Paulos, Koyira Mengistu Meskele
School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Cancer Manag Res. 2020 Feb 11;12:993-1005. doi: 10.2147/CMAR.S240364. eCollection 2020.
Cervical cancer is a worldwide public health concern, and approximately 85% of deaths occurs in developing countries. Thus study is designed to assess knowledge, attitude, and practice towards cervical cancer screening in Wolaita Zone, Southern Ethiopia.
We conducted a facility-based cross-sectional study. In this research, we used a multi-stage sampling procedure to select 520 participants. Information on socio-demographics, knowledge, attitude, and cervical cancer screening related questionnaires were collected using face-to-face interviews. Data were entered and cleaned in Epi-Data version 3.1 and exported to SPSS version 20 for analysis. For the analysis, we used logistic regression along with odds ratios and 95% confidence intervals. The statistical significance was determined by p <0.05.
Approximately 154 (43.1%) of women had good knowledge, 235 (45.5%) had a favorable attitude, and nearly a quarter (118; 22.9%) had been screened for cervical cancer. Women 30-34 years [AOR=3.02, 95% CI: 1.11, 8.24), women with degree/diploma level of education [AOR=7.3, 95% CI 2.53-21.01), and having sourced information from a health professional [AOR=2.3, 95% CI: 1.27-4.17) were associated with good knowledge of cervical cancer screening. Being single [AOR=3.47, 95% CI: 1.03-11.75] and good knowledge of cervical cancer [AOR=4.76, 95%:2.65-8.57) were significant predictors of a positive attitude towards cervical cancer screening. Women who knew cervical cancer patients[AOR=2.47, 95% (1.37-4.44)] and high monthly income [AOR=3.8, 95% CI: 1.86-7.77] were associated with good practice related to cervical cancer screening.
Knowledge, attitude, and practice towards cervical cancer screening were shallow. The concerned body should aggressively disseminate information on cervical cancer screening, improve the economic status of women, and provide counseling about cervical cancer during health care delivery visits.
宫颈癌是一个全球公共卫生问题，约85%的死亡病例发生在发展中国家。本研究旨在评估埃塞俄比亚南部沃莱塔地区对宫颈癌筛查的知识、态度和实践情况。
我们开展了一项基于机构的横断面研究。在本研究中，我们采用多阶段抽样程序选取了520名参与者。通过面对面访谈收集了有关社会人口统计学、知识、态度以及与宫颈癌筛查相关问卷的信息。数据在Epi-Data 3.1版本中录入和清理，并导出到SPSS 20版本进行分析。对于分析，我们使用了逻辑回归以及比值比和95%置信区间。统计学显著性通过p<0.05确定。
约154名（43.1%）女性具备良好的知识，235名（45.5%）态度积极，近四分之一（118名；22.9%）接受过宫颈癌筛查。30 - 34岁的女性[AOR = 3.02，95%CI：1.11，8.24]、具有学位/文凭教育水平的女性[AOR = 7.3，95%CI 2.53 - 21.01]以及从卫生专业人员处获取信息的女性[AOR = 2.3，95%CI：1.27 - 4.17]与对宫颈癌筛查的良好知识相关。单身[AOR = 3.47，95%CI：1.03 - 11.75]以及对宫颈癌有良好的了解[AOR = 4.76，95%：2.65 - 8.57]是对宫颈癌筛查持积极态度的显著预测因素。认识宫颈癌患者的女性[AOR = 2.47，95%（1.37 - 4.44）]以及月收入高的女性[AOR = 3.8，95%CI：1.86 - 7.77]与宫颈癌筛查的良好实践相关。
对宫颈癌筛查的知识、态度和实践情况较为薄弱。相关机构应积极传播有关宫颈癌筛查的信息，提高女性的经济地位，并在医疗服务就诊期间提供有关宫颈癌的咨询。
