USAID Health Service Delivery, Amman Wadi Saqra, P.O. Box 851275, 11185, Jordan.
Jordan University of Science & Technology/Irbid, P.O. Box 3030, 22110, Jordan.
Infect Dis Obstet Gynecol. 2020 Mar 21;2020:9690473. doi: 10.1155/2020/9690473. eCollection 2020.
The existing factors that influence cervical cancer screening uptake worldwide do not necessarily reflect the situation in Jordan. Therefore, the aim of this study was to determine the factors associated with cervical cancer screening uptake among Jordanian women.
In this cross-sectional study, 500 married Jordanian women aged 21 to 65 years were recruited from eight nongovernmental organisations and community settings in Amman. Data were collected with a self-administered questionnaire regarding sociodemographic and reproductive data, a health utilisation data form, and scales on the perceived benefits of screening, perceived barriers to screening, perceived susceptibility to cervical cancer, and perceptions regarding the severity of cervical cancer. Descriptive statistics, multivariate logistic regressions, and independent -tests were used in the data analysis.
Among the 500 age-eligible women, only 156 (31.2%) had been screened for cervical cancer. Healthcare provider encouragement, years of marriage (odds ratio (OR) = 5.24, confidence interval (CI) = 95%, = 0.00), and use of the private healthcare sector (OR = 2.20, CI = 95%, = 0.012) were significant predictors of cervical cancer screening.
Cervical cancer screening uptake among Jordanian women is significantly low; determining factors for the decision to undergo screening include encouragement from the healthcare provider, the number of years of marriage, and use of the private healthcare sector. To improve uptake, structured screening programmes need to be implemented in collaboration with national partners and institutions to decrease the incidence of cervical cancer in Jordan.
影响全球宫颈癌筛查参与的现有因素不一定反映约旦的情况。因此，本研究旨在确定与约旦妇女宫颈癌筛查参与相关的因素。
在这项横断面研究中，从安曼的八个非政府组织和社区环境中招募了 500 名年龄在 21 至 65 岁之间的已婚约旦妇女。使用自我管理问卷收集社会人口统计学和生殖数据、卫生利用数据表格以及关于筛查益处、筛查障碍、宫颈癌易感性和宫颈癌严重程度的看法的量表。在数据分析中使用了描述性统计、多变量逻辑回归和独立检验。
在 500 名符合年龄要求的女性中，只有 156 名（31.2%）接受了宫颈癌筛查。医疗保健提供者的鼓励、结婚年限（比值比（OR）=5.24，置信区间（CI）=95%，P=0.00）和使用私立医疗保健部门（OR=2.20，CI=95%，P=0.012）是宫颈癌筛查的显著预测因素。
约旦妇女的宫颈癌筛查参与率明显较低；决定接受筛查的因素包括医疗保健提供者的鼓励、结婚年限和使用私立医疗保健部门。为了提高参与率，需要与国家合作伙伴和机构合作实施结构化的筛查计划，以降低约旦的宫颈癌发病率。
