Ambo University College of Medicine and Health Sciences, Ambo, Ethiopia.
PLoS One. 2022 Jul 13;17(7):e0270821. doi: 10.1371/journal.pone.0270821. eCollection 2022.
Globally, cervical cancer is the second most common and the leading cause of death in women in low-income countries. It is one of the potentially preventable cancers, and an effective screening program can result in a significant reduction in the morbidity and mortality associated with this cancer; however, evidence showed that only a small percentage of the women were screened. As a result, predictors of cervical cancer screening usage among women in Ambo town, central Ethiopia, were identified in this study.
Unmatched, a community-based case-control study was conducted among 195 randomly sampled women in the age group of 30-49 years in Ambo town from February 1 to March 30, 2020. Data was collected using an interviewer-administered questionnaire. Descriptive, bivariate, and multivariable binary logistic regression analysis was done using SPSS.
A total of 195 study participants, sixty-five cases and one hundred thirty controls, participated in this study, making a response rate of 100%. Being in the age group of 30-34 years old (AOR = 0.2; 95% CI: 0.06-0.7), being Para five and above (AOR = 4.5; 95% CI: 1.4-14.1), modern contraceptive utilization (AOR = 5.4; 95% CI: 1.8-16.3) and having high-level knowledge regarding cervical cancer screening and its predisposing factors (AOR = 5.9; 95% CI: 2-17) were significantly associated with the utilization of cervical cancer screening.
The age of women, parity, use of modern contraception, and level of knowledge regarding cervical cancer screening and its predisposing factors were the determinants of the utilization of cervical cancer screening among women. As a result, the media, the health bureau, and health professionals should advocate raising awareness about cervical cancer and its preventative methods, which are primarily focused on screening.
在全球范围内，宫颈癌是低收入国家中女性第二大常见的疾病，也是导致女性死亡的首要原因。宫颈癌是一种潜在可预防的癌症，有效的筛查计划可显著降低与该癌症相关的发病率和死亡率；然而，有证据表明，只有一小部分女性接受了筛查。因此，本研究旨在确定埃塞俄比亚中部安博镇女性进行宫颈癌筛查的使用情况的预测因素。
这是一项在 2020 年 2 月 1 日至 3 月 30 日期间在安博镇年龄在 30-49 岁之间的 195 名随机抽样妇女中进行的基于社区的病例对照研究。使用访谈者管理的问卷收集数据。使用 SPSS 进行描述性、双变量和多变量二项逻辑回归分析。
共有 195 名研究参与者，65 例病例和 130 名对照参与了这项研究，应答率为 100%。年龄在 30-34 岁（AOR=0.2；95%CI：0.06-0.7）、产次为 5 次及以上（AOR=4.5；95%CI：1.4-14.1）、使用现代避孕药具（AOR=5.4；95%CI：1.8-16.3）和对宫颈癌筛查及其致病因素有较高的认识水平（AOR=5.9；95%CI：2-17）与宫颈癌筛查的使用显著相关。
妇女的年龄、生育次数、现代避孕药具的使用以及对宫颈癌筛查及其致病因素的认识水平是妇女进行宫颈癌筛查的决定因素。因此，媒体、卫生局和卫生专业人员应倡导提高对宫颈癌及其预防方法的认识，主要侧重于筛查。
