Department of Population Studies, School of Statistics and planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda.
Department of Sociology and Social Administration, Faculty of Arts and Social Sciences, Kyambogo University, Kampala, Uganda.
PLoS One. 2020 Dec 3;15(12):e0243281. doi: 10.1371/journal.pone.0243281. eCollection 2020.
Uganda's cervical cancer age standardized incidence rate is four times the global estimate. Although Uganda's ministry of health recommends screening for women aged 25-49 years, the screening remains low even in the most developed region (Central Uganda) of the country. This study examined the demographic, social, and economic predictors of cervical cancer screening in Central Uganda with the aim of informing targeted interventions to improve screening. The cross-sectional survey was conducted in Wakiso and Nakasongola districts in Central Uganda. A total of 845 women age 25-49 years participated in the study. Data were analyzed at bivariate and multivariate levels to examine the predictors of CC (cervical cancer) screening. Only 1 in 5 women (20.6%) had ever screened for cervical cancer. Our multivariate logistic regression model indicated that wealth index, source of information, and knowledge about CC and CC screening were significantly associated with cervical cancer screening. The odds of cervical cancer screening were higher among rich women compared with poor women [AOR = 1.93 (95%CI: 1.06-3.42), p = 0.031)], receiving information from health providers compared with radios [AOR = 4.14 (95%CI: 2.65-6.48), p<0.001, and being more knowledgeable compared with being less knowledgeable about CC and CC screening [AOR = 2.46 (95%CI: 1.49-3.37), p<0.001)]. Overall cervical cancer screening uptake in central Uganda was found to be low. The findings of the study indicate that women from a wealthy background, who had been sensitized by health workers and with high knowledge about CC and CC screening had higher odds of having ever screened compared with their counterparts. Efforts to increase uptake of screening must address disparities in access to resources and knowledge.
乌干达的宫颈癌标准化发病率是全球估计的四倍。尽管乌干达卫生部建议对 25-49 岁的女性进行筛查，但即使在该国最发达的地区（中乌干达），筛查率仍然很低。本研究旨在了解中乌干达宫颈癌筛查的人口统计学、社会和经济预测因素，以便为有针对性的干预措施提供信息，以改善筛查。这项横断面调查在乌干达中部的瓦基索和纳卡松戈拉地区进行。共有 845 名 25-49 岁的妇女参加了这项研究。在单变量和多变量水平上对数据进行分析，以检验宫颈癌筛查的预测因素。只有五分之一的妇女（20.6%）曾接受过宫颈癌筛查。我们的多变量逻辑回归模型表明，财富指数、信息来源以及对宫颈癌和宫颈癌筛查的了解与宫颈癌筛查显著相关。与贫困妇女相比，富裕妇女进行宫颈癌筛查的可能性更高[优势比（AOR）=1.93（95%置信区间：1.06-3.42），p=0.031]，与从广播中获取信息相比，从卫生提供者处获取信息的可能性更高[AOR=4.14（95%置信区间：2.65-6.48），p<0.001]，与不太了解宫颈癌和宫颈癌筛查相比，更了解宫颈癌和宫颈癌筛查的可能性更高[AOR=2.46（95%置信区间：1.49-3.37），p<0.001]。研究发现，中乌干达的总体宫颈癌筛查率较低。研究结果表明，与同龄人相比，来自富裕背景、曾接受卫生工作者宣传教育且对宫颈癌和宫颈癌筛查有较高了解的妇女，更有可能接受过筛查。必须努力减少资源和知识获取方面的差异，以提高筛查的参与度。
