Abubakari Abdul-K, Gross Janet, Kwaku Ibrahim D, Boateng Isaac K
University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana.
Morehead State University Morehead Kentucky USA.
Health Sci Rep. 2025 Feb 12;8(2):e70433. doi: 10.1002/hsr2.70433. eCollection 2025 Feb.
Globally, Ghana is one of the countries with the greatest cervical cancer (CC) burdens and mortality rates. Available research has focused primarily on women's experiences in the general population neglecting factors that influence cervical cancer screening (CCS) among ethnically diverse populations in Ghana.
This study explored the factors influencing CCS among ethnically diverse women in the Kumasi Metropolis of Ghana.
From April to June 2023, a community-based cross-sectional study was carried out in the Aboabo and Asawase communities of the Ashanti Region. Binary and multivariable logistic regressions were employed to determine the relationships between the dependent and independent variables. Outcome variables with -values < 0.05 were considered statistically significant.
Habits, knowledge, perceived benefits, and facilitating factors influenced CCS among ethnically diverse women. An overall self-reported CCS rate of 7.2% ( = 32) with an early age of sexual initiation of 15-20 years was recorded. While habits (OR = 0.23, 95% CI 0.09, 0.58; = 0.002), affect (OR = 0.00, 95% CI 0.00, 0.03; < 0.001), and the perceived benefits of screening (OR = 3.07, 95% Cl 1.01, 10.8; = 0.059) were associated with CCS. Norms (OR = 0.00, 95% CI 0.00, 20,948,726,859,075; > 0.9), knowledge (OR = 1.27, 95% CI 0.61, 2.53; = 0.5), and facilitating factors (OR = 1.02, 95% CI 0.51, 2.01; > 0.9) were not statistically significant with CCS.
Poor knowledge, lower perceived benefits of CCS, and weak facilitating factors were identified as barriers to CCS. Implementing national CCS and vaccination campaigns to improve awareness, and screening to reduce women's risk is encouraged.
在全球范围内，加纳是宫颈癌负担和死亡率最高的国家之一。现有研究主要集中在普通人群中女性的经历，而忽视了影响加纳不同种族人群宫颈癌筛查的因素。
本研究探讨了加纳库马西市不同种族女性中影响宫颈癌筛查的因素。
2023年4月至6月，在阿散蒂地区的阿博阿博和阿萨瓦塞社区开展了一项基于社区的横断面研究。采用二元和多变量逻辑回归来确定因变量和自变量之间的关系。P值<0.05的结果变量被认为具有统计学意义。
习惯、知识、感知到的益处和促进因素影响了不同种族女性的宫颈癌筛查。记录到总体自我报告的宫颈癌筛查率为7.2%（n = 32），初次性行为的年龄在15至20岁之间。习惯（OR = 0.23，95%CI 0.09，0.58；P = 0.002）、情感（OR = 0.00，95%CI 0.00，0.03；P < 0.001）以及筛查的感知益处（OR = 3.07，95%CI 1.01，10.8；P = 0.059）与宫颈癌筛查相关。规范（OR = 0.00，95%CI 0.00，20948726859075；P > 0.9）、知识（OR = 1.27，95%CI 0.61，2.53；P = 0.5）和促进因素（OR = 1.02，95%CI 0.51，2.01；P > 0.9）与宫颈癌筛查无统计学意义。
知识匮乏、对宫颈癌筛查的感知益处较低以及促进因素薄弱被确定为宫颈癌筛查的障碍。鼓励开展全国性的宫颈癌筛查和疫苗接种运动以提高认识，并进行筛查以降低女性风险。
