Desta Adugna Alemu, Alemu Fikadu Tolesa, Gudeta Moges Beya, Dirirsa Dejene Edosa, Kebede Andualem Gezahegn
Department of Midwifery, College of Medicine and Health Sciences, Salale University, Fitche, Ethiopia.
Front Glob Womens Health. 2022 Aug 30;3:939639. doi: 10.3389/fgwh.2022.939639. eCollection 2022.
Cervical cancer screening is a means of detecting cervical cancer early, before it develops, in order to reduce disease mortality and morbidity. When women are screened for cervical cancer between the ages of 30 and 40 years at least one time in their life, their risk of cancer could be decreased by 25-36%. Despite this advantage, cervical cancer screening coverage in Ethiopia is still <2%. As a result, we wanted to see how ready women in the Girar Jarso district, Ethiopia, were to get a cervical cancer test.
Community-based cross-sectional study was done using a stratified cluster sampling technique among 855 women aged 30-65 years in the Girar Jarso district, Ethiopia, from 1 June 2021 to 1 September 2021. A pretested and semi-structured interviewer-administered questionnaire was used to collect the data. EpiData management version 4.6 was used to enter data, which was then exported to SPSS version 23 for analysis. Logistic regression analysis was performed, and variables with a -value of <0.05 were taken as statistically significant predictors of the willingness to utilize cervical cancer screening.
Of the 855 women, only 315 (46.7%, CI = 43-50.3) women were willing to be checked for cervical cancer, with 181 (21.2%) women having been screened at least one time in their life. Age of 30-39 years [AOR = 2.80 (95% CI: 1.05, 7.48)], urban resident [AOR = 2.12 (95% CI: 1.06, 4.48)], positive attitude [AOR = 1.68 (95% CI: 1.11, 2.53)], wealth status, awareness of cervical cancer, and low perceived barriers were independent predictors of the willingness to utilize cervical cancer screening.
The willingness to utilize cervical cancer screening services is low in the Girar Jarso district. To improve community awareness and attitude, continued and sustainable advocacy on the value of cervical cancer screening should be offered through mass media and health extension workers.
宫颈癌筛查是在宫颈癌发生之前早期检测宫颈癌的一种手段，目的是降低疾病的死亡率和发病率。当女性在30至40岁之间至少进行过一次宫颈癌筛查时，她们患癌风险可降低25%至36%。尽管有此优势，但埃塞俄比亚的宫颈癌筛查覆盖率仍低于2%。因此，我们想了解埃塞俄比亚吉拉尔贾尔索区的女性对接受宫颈癌检测的意愿程度。
2021年6月1日至2021年9月1日，在埃塞俄比亚吉拉尔贾尔索区对855名30至65岁的女性采用分层整群抽样技术进行了基于社区的横断面研究。使用经过预测试的半结构化访谈式问卷收集数据。使用EpiData管理版本4.6录入数据，然后导出到SPSS版本23进行分析。进行了逻辑回归分析，P值<0.05的变量被视为利用宫颈癌筛查意愿的统计学显著预测因素。
在855名女性中，只有315名（46.7%，CI = 43 - 50.3）女性愿意接受宫颈癌检查，其中181名（21.2%）女性一生中至少接受过一次筛查。30至39岁[AOR = 2.80（95%CI：1.05，7.48）]、城市居民[AOR = 2.12（95%CI：1.06，4.48）]、积极态度[AOR = 1.68（95%CI：1.11，2.53）]、财富状况、对宫颈癌的认知以及较低的感知障碍是利用宫颈癌筛查意愿的独立预测因素。
吉拉尔贾尔索区利用宫颈癌筛查服务的意愿较低。为提高社区认知和态度，应通过大众媒体和健康推广工作者持续且可持续地宣传宫颈癌筛查的价值。
