Um Samnang, Sopheab Heng
National Institute of Public Health, Phnom Penh, Cambodia.
PLoS One. 2025 Jan 30;20(1):e0295881. doi: 10.1371/journal.pone.0295881. eCollection 2025.
Breast and cervical cancers are the most prevalent diagnosed in women worldwide, significantly contributing to maternal morbidity and mortality. We examined socio-demographic and behavioral factors associated with breast and cervical cancer screening among Cambodian women aged 15-49 years old. We analyzed women's data from the 2022 Cambodia Demographic and Health Survey (CDHS). In total, 19,496 women were interviewed. Multiple logistic regression was performed using STATA V17 to examine factors associated with breast and cervical cancer screening. The proportion of breast and cervical cancer screenings was 10.6% and 15.3%, respectively. After being adjusted, factors independently associated with breast cancer screening included age group 20-29 years [AOR = 2.51; 95% CI: 1.55-4.06], 30-39 years [AOR = 4.34; 95% CI: 2.66-7.09], and 40-49 years [AOR = 4.66; 95% CI: 2.81-7.71], higher education [AOR = 1.92; 95% CI: 1.26-2.93], exposure media [AOR = 1.66; 95% CI: 1.32-2.10], and rich wealth quintile [AOR = 1.50; 95% CI: 1.25-1.80]. Similarly, the odds of having cervical cancer screening were age group 20-29 years [AOR = 2.88; 95% CI: 1.76-4.71], 30-39 years [AOR = 5.94; 95% CI: 3.58-9.83], and 40-49 years [AOR = 7.61; 95% CI: 4.55-12.73], higher education [AOR = 1.55; 95% CI: 1.55-2.73], exposure media [AOR = 1.62; 95% CI: 1.35,1.95], and rich wealth quintile [AOR = 2.14; 95% CI: 1.78-2.5f8]. In conclusion, this study shows the low screening proportion for both breast and cervical cancers, and it also highlights that socio-economic factors are significantly important in determining the health care seeking for these two main cancer screening services among women aged 15-49 years in Cambodia. Therefore, increase of exposure media with health education focusing on these cancer screenings should be made better accessible to women, particularly those of low socio-economic status.
乳腺癌和宫颈癌是全球女性中诊断出的最常见癌症，对孕产妇发病率和死亡率有重大影响。我们研究了柬埔寨15至49岁女性中与乳腺癌和宫颈癌筛查相关的社会人口学和行为因素。我们分析了2022年柬埔寨人口与健康调查（CDHS）中女性的数据。总共采访了19496名女性。使用STATA V17进行多因素逻辑回归分析，以研究与乳腺癌和宫颈癌筛查相关的因素。乳腺癌和宫颈癌筛查的比例分别为10.6%和15.3%。调整后，与乳腺癌筛查独立相关的因素包括20至29岁年龄组[AOR = 2.51；95%置信区间：1.55 - 4.06]、30至39岁年龄组[AOR = 4.34；95%置信区间：2.66 - 7.09]和40至49岁年龄组[AOR = 4.66；95%置信区间：2.81 - 7.71]、高等教育[AOR = 1.92；95%置信区间：1.26 - 2.93]、接触媒体[AOR = 1.66；95%置信区间：1.32 - 2.10]以及富裕财富五分位数[AOR = 1.50；95%置信区间：1.25 - 1.80]。同样，进行宫颈癌筛查的几率在20至29岁年龄组为[AOR = 2.88；95%置信区间：1.76 - 4.71]、30至39岁年龄组为[AOR = 5.94；95%置信区间：3.58 - 9.83]和40至49岁年龄组为[AOR = 7.61；95%置信区间：4.55 - 12.73]、高等教育[AOR = 1.55；95%置信区间：1.55 - 2.73]、接触媒体[AOR = 1.62；95%置信区间：1.35,1.95]以及富裕财富五分位数[AOR = 2.14；95%置信区间：1.78 - 2.58]。总之，本研究显示乳腺癌和宫颈癌的筛查比例较低，并且还强调社会经济因素在决定柬埔寨15至49岁女性寻求这两种主要癌症筛查服务的医疗保健方面具有重要意义。因此，应使更多女性，特别是社会经济地位较低的女性，更好地接触到针对这些癌症筛查的健康教育媒体。
