Oduwoye Afusat O, Olabisi Elisha O, Ojo Elizabeth F, Dosumu Taiwo O, Owoeye Michael O, Tijani Adelani, Esan Deborah T
Community Health Department, Osun State University Teaching Hospital, Osogbo 230001, Nigeria.
Faculty of Nursing Sciences, Ladoke Akintola University of Technology, Ogbomoso 210214, Nigeria.
Ecancermedicalscience. 2025 May 29;19:1916. doi: 10.3332/ecancer.2025.1916. eCollection 2025.
Cervical cancer is a reproductive malignancy that may be detected in its pre-invasive stage by regular cytological screening.
This study assessed the acceptance of cervical cancer screening among mothers attending infant welfare clinics in hospitals in Osogbo, Osun State, Nigeria.
A descriptive cross-sectional design was employed, with questionnaires administered to 355 respondents, selected using Fisher's formula. A multistage sampling technique was used to ensure a representative sample. Data were analysed using descriptive and inferential statistical methods. Relationships between variables were tested using chi-square and Fisher's exact tests at a 5% significance level.
Approximately half (46.9%) had adequate knowledge of cervical cancer and its screening. More than half (55.7%) had low susceptibility to cervical cancer. About two-thirds (61.6%) were willing to undergo cervical cancer screening while only a quarter (25.9%) had undergone the screening test. Barriers to cervical cancer screening include lack of awareness, fear, perceived immunity, cost, pain and embarrassment while motivators include integration with general health screenings and perceived necessity. Findings suggest there is a statistically significant association between mothers' age, marital status, ethnicity, knowledge of cervical cancer, susceptibility to cervical cancer and cervical cancer screening acceptability.
Acceptance of screening was high which was significantly influenced by their degree of knowledge and susceptibility to cervical cancer. However, screening acceptance was not consistent with their low uptake.
There is a need for continuous education and policies to minimise costs and ensure accessibility to the screening test to promote and improve its uptake thus reducing morbidities and mortalities associated with the disease.
宫颈癌是一种生殖系统恶性肿瘤，通过定期细胞学筛查可在其癌前阶段被检测出来。
本研究评估了尼日利亚奥孙州奥索博市医院母婴保健诊所的母亲们对宫颈癌筛查的接受程度。
采用描述性横断面设计，使用费舍尔公式选取355名受访者进行问卷调查。采用多阶段抽样技术以确保样本具有代表性。使用描述性和推断性统计方法对数据进行分析。在5%的显著性水平下，使用卡方检验和费舍尔精确检验来检验变量之间的关系。
约一半（46.9%）的人对宫颈癌及其筛查有足够的了解。超过一半（55.7%）的人对宫颈癌的易感性较低。约三分之二（61.6%）的人愿意接受宫颈癌筛查，而只有四分之一（25.9%）的人接受过筛查测试。宫颈癌筛查的障碍包括缺乏意识、恐惧、自认为有免疫力、费用、疼痛和尴尬，而激励因素包括与一般健康筛查相结合以及自认为有必要。研究结果表明，母亲的年龄、婚姻状况、种族、对宫颈癌的了解、对宫颈癌的易感性与宫颈癌筛查可接受性之间存在统计学上的显著关联。
筛查的接受度较高，这受到她们对宫颈癌的了解程度和易感性的显著影响。然而，筛查接受度与低参与率并不一致。
需要持续开展教育并制定政策，以降低成本并确保能够获得筛查测试，从而促进和提高其参与率，进而降低与该疾病相关的发病率和死亡率。
