Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
BMC Public Health. 2024 Apr 19;24(1):1093. doi: 10.1186/s12889-024-18552-4.
The aim of this study is to examine cervical cancer screening (CCS) uptake among women living with hypertension and HIV in Tanzania.
We used the recently released 2022 Tanzania Demographic and Health Survey. The outcome variable assessed in the study was CCS, whereas chronic morbidities constituted the main explanatory variable. Data analysis was based on observations from 6,298 women aged 30-49 years. Multivariable logistic regression models were used to determine the association between hypertension and HIV status, and CCS uptake. The analyses were computed in STATA 18.
Out of the 6,298 respondents, only 805 (12.8%) had undergone CCS with higher screening uptake among those living with either one of the disease (28.5%) than among those living with neither hypertension or HIV. The highest proportion was found among those who had ever been diagnosed with hypertension (24.1%) and among women with positive HIV test results (36.7%). There was a significantly higher likelihood of undergoing screening for cervical cancer among women living with at least one of the diseases [AOR = 2.4; 95% CI: 1.4-2.8], compared to those without these conditions. Women diagnosed with hypertension showed increased likelihood of undergoing CCS [AOR = 1.4; 95%CI: 1.1-1.7]. Similarly, women with a positive HIV test result demonstrated higher odds of screening uptake [AOR = 5.2; 95%CI: 4.0-6.7].
The study found a positive association between comorbidities and CCS uptake in Tanzanian women. Our findings emphasize the critical importance of ensuring accessibility and adherence to essential screenings for individuals with chronic morbid conditions. Future efforts should focus on strengthening existing integrated services and identifying potential barriers to accessing CCS within these healthcare settings to optimize cervical cancer prevention efforts for individuals with chronic morbidities.
本研究旨在探讨坦桑尼亚高血压和艾滋病毒感染者的宫颈癌筛查（CCS）参与情况。
我们使用了最近发布的 2022 年坦桑尼亚人口与健康调查。本研究的因变量是 CCS，而慢性疾病则是主要的解释变量。数据分析基于对 6298 名年龄在 30-49 岁的妇女的观察。采用多变量逻辑回归模型来确定高血压和艾滋病毒状况与 CCS 参与之间的关联。分析在 STATA 18 中进行。
在 6298 名受访者中，只有 805 人（12.8%）接受了 CCS 检查，其中患有一种疾病的人的筛查率（28.5%）高于两种疾病均未患有的人群。在曾经被诊断为高血压（24.1%）和艾滋病毒检测阳性的妇女（36.7%）中，筛查率最高。与没有这些疾病的妇女相比，患有至少一种疾病的妇女接受宫颈癌筛查的可能性显著更高[AOR=2.4；95%CI：1.4-2.8]。患有高血压的妇女更有可能接受 CCS[AOR=1.4；95%CI：1.1-1.7]。同样，艾滋病毒检测阳性的妇女也更有可能接受筛查[AOR=5.2；95%CI：4.0-6.7]。
本研究发现，坦桑尼亚妇女的合并症与 CCS 参与之间存在正相关。我们的研究结果强调了确保患有慢性疾病的个人获得基本筛查的可及性和依从性的重要性。未来的工作应重点加强现有的综合服务，并确定在这些医疗保健环境中获得 CCS 的潜在障碍，以优化患有慢性疾病的个人的宫颈癌预防工作。
