Mohamed Zubeyda Kedir, Amare Yirga Wondu, Getahun Mihiret Shawel, Negussie Yohannes Mekuria, Gurara Abenet Menene
Department of Midwifery, Rift Valley University, Adama, Ethiopia.
Department of Midwifery, Arsi University, Asella, Ethiopia.
SAGE Open Nurs. 2023 Jan 24;9:23779608231152072. doi: 10.1177/23779608231152072. eCollection 2023 Jan-Dec.
Cervical cancer is the second highest cause of cancer-related mortality in the world, and it is one of the top 20 causes of mortality in Ethiopia. Even though cervical cancer is more common among women living with HIV, the utilization of cervical cancer screening services remains low in Ethiopia.
This study aimed to assess cervical cancer screening service utilization and associated factors among women living with HIV receiving anti-retroviral therapy at Adama Hospital Medical College, Ethiopia.
An institution-based cross-sectional study was conducted among a sample of 304 women living with HIV from 1st-30th June 2022. Data were collected using an interviewer-administered questionnaire. The data were entered into Epi info version 7 and exported to SPSS version 25 for analysis. Bi-variable logistic regression analysis was used to identify candidate variables at < .25. Finally, multivariable logistic regression analysis was used to identify the independent predictors of cervical cancer screening service utilization at < .05 with 95% confidence intervals.
The magnitude of cervical cancer screening service utilization was 26.9% (95% CI: 22.0, 32.6). Being a government employee (AOR: 8.09, 95% CI: 1.5, 41.19), having a family history of cervical cancer (AOR: 3.4, 95% CI: 1.02, 11.9), being aware of cervical cancer screening (AOR: 3.75, 95% CI: 2.11, 14.7), having a history of sexually transmitted infection (AOR: 3.14, 95% CI: 1.95, 10.2), and heard about cervical cancer (AOR: 2.6, 95% CI: 1.05, 6.41) were associated with cervical cancer screening service utilization.
The magnitude of cervical cancer screening service utilization was low. It was associated with occupation status, family history of cervical cancer, awareness about cervical cancer screening, history of STI, and ever heard about cervical cancer. Thus, to maximize utilization, health education programs and other multidisciplinary strategies had to be implemented.
宫颈癌是全球癌症相关死亡的第二大原因，也是埃塞俄比亚前20大死因之一。尽管宫颈癌在感染艾滋病毒的女性中更为常见，但在埃塞俄比亚，宫颈癌筛查服务的利用率仍然很低。
本研究旨在评估埃塞俄比亚阿达马医院医学院接受抗逆转录病毒治疗的艾滋病毒感染女性中宫颈癌筛查服务的利用率及相关因素。
2022年6月1日至30日，对304名艾滋病毒感染女性样本进行了一项基于机构的横断面研究。数据通过访谈员管理的问卷收集。数据录入Epi info 7版本，并导出到SPSS 25版本进行分析。采用双变量逻辑回归分析确定P<0.25的候选变量。最后，采用多变量逻辑回归分析确定P<0.05且95%置信区间的宫颈癌筛查服务利用率的独立预测因素。
宫颈癌筛查服务的利用率为26.9%（95%CI：22.0，32.6）。政府雇员（调整优势比：8.09，95%CI：1.5，41.19）、有宫颈癌家族史（调整优势比：3.4，95%CI：1.02，11.9）、知晓宫颈癌筛查（调整优势比：3.75，95%CI：2.11，14.7）、有性传播感染史（调整优势比：3.14，95%CI：1.95，10.2）以及听说过宫颈癌（调整优势比：2.6，95%CI：1.05，6.41）与宫颈癌筛查服务的利用率相关。
宫颈癌筛查服务的利用率较低。它与职业状况、宫颈癌家族史、对宫颈癌筛查的知晓度、性传播感染史以及是否听说过宫颈癌有关。因此，为了最大限度地提高利用率，必须实施健康教育计划和其他多学科策略。
