Tsegay Abreha, Araya Tesfalem, Amare Kahsay, G/Tsadik Fisseha
Department of Psychiatry, College of Health Science, Mekelle University, Mekelle, Tigray, Ethiopia.
Department of Public Health, College of Health Science, Adigrat University, Adigrat, Tigray, Ethiopia.
Int J Womens Health. 2021 Jan 5;12:1283-1298. doi: 10.2147/IJWH.S261204. eCollection 2020.
Cervical cancer, mainly attributed to persistent infection with a high-risk oncogenic human papillomavirus (HPV), is one of the most common types of women's cancer globally, with more than 90% of new cases occurring in developing and resource-limited countries. In Ethiopia, cervical cancer ranks as the most frequent cancer among women and cause for 4732 deaths annually.
To assess knowledge, attitude, practice towards screening on cervical cancer and associated factors among women aged 15-49 years in Adigrat town, northern Tigray Ethiopia.
A community based quantitative study design was conducted among 617 samples in Adigrat town, northern Tigray Ethiopia. Data were collected using a structured, semi-structured, and pre-tested questionnaire. Associations between dependent and independent variables were tested using logistic regression with the assumptions of p-values <0.05 and confidence interval 95% and considered to be statistically significant.
This study indicated that 46.4%, 53.3%, 38.1% of participants had knowledge, positive attitude, and screened on cervical cancer, respectively. Diploma and above [AOR=3.7, 95% CI (1.443, 9.433) were significant factors associated with knowledge of cervical cancer screening utilization. Primary school (1-8) [AOR=2.7, 95% CI (1.297, 5.699)], greater than 500 ETB household income [AOR = 4.8, 95% CI (2.783, 8.577)] were significant factors associated with attitude of cervical cancer screening utilization. Secondary school (9-12) [AOR = 3.4, 95% CI (1.565, 7.458)], not knowledgeable of cervical cancer [AOR = 1.8, 95% CI (1.156, 2.698)] were significant factors associated with practice of cervical cancer screening utilization.
Factors like age, educational status, anyone knowing with cervical cancer and ever received cancer information had a significant association with knowledge of cervical cancer screening utilization. Educational status and perceived income of the household had a significant association with an attitude of cervical cancer screening utilization. Educational status perceived income of the household, anyone knowing with cervical cancer, ever received cancer information, and knowledge of cervical cancer screening utilization were predictors of cervical cancer screening practice.
宫颈癌主要归因于高危致癌性人乳头瘤病毒（HPV）的持续感染，是全球最常见的女性癌症类型之一，超过90%的新发病例发生在发展中国家和资源有限的国家。在埃塞俄比亚，宫颈癌是女性中最常见的癌症，每年导致4732人死亡。
评估埃塞俄比亚提格雷北部阿迪格拉特镇15 - 49岁女性对宫颈癌筛查的知识、态度、实践及相关因素。
在埃塞俄比亚提格雷北部阿迪格拉特镇的617个样本中进行了一项基于社区的定量研究设计。使用结构化、半结构化且经过预测试的问卷收集数据。使用逻辑回归检验因变量和自变量之间的关联，假设p值<0.05且置信区间为95%，并认为具有统计学意义。
本研究表明，分别有46.4%、53.3%、38.1%的参与者了解宫颈癌、对宫颈癌持积极态度并进行了宫颈癌筛查。文凭及以上[AOR = 3.7，95% CI（1.443，9.433）]是与宫颈癌筛查利用知识相关的显著因素。小学（1 - 8年级）[AOR = 2.7，95% CI（1.297，5.699）]、家庭收入高于500埃塞俄比亚比尔[AOR = 4.8，95% CI（2.783，8.577）]是与宫颈癌筛查利用态度相关的显著因素。中学（9 - 12年级）[AOR = 3.4，95% CI（1.565，7.458）]、不了解宫颈癌[AOR = 1.8，95% CI（1.156，2.698）]是与宫颈癌筛查利用实践相关的显著因素。
年龄、教育程度、是否了解宫颈癌以及是否曾接受癌症信息等因素与宫颈癌筛查利用知识有显著关联。教育程度和家庭感知收入与宫颈癌筛查利用态度有显著关联。教育程度、家庭感知收入、是否了解宫颈癌、是否曾接受癌症信息以及宫颈癌筛查利用知识是宫颈癌筛查实践的预测因素。
