Adzigbli Leticia Akua, Dowou Robert Kokou, Gbordzoe Newton Isaac, Mensah Trustina, Arwill Godwinner, Aboagye Richard Gyan, Baiden Frank
Department of Epidemiology and Biostatistics, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
School of Nursing and Midwifery, Family Health University, P.O. Box TS 669, Teshie, Accra, Ghana.
BMC Public Health. 2025 Jul 2;25(1):2287. doi: 10.1186/s12889-025-23103-6.
Cervical cancer is a major public health concern that affects millions of women worldwide. Screening for cervical cancer is one of the preventive interventions. However, cervical cancer screening uptake is low in sub-Saharan African countries. This study examined the prevalence of cervical cancer screening and its associated factors among women of reproductive age in Côte d'Ivoire.
A weighted sample of 6,855 women aged 30-49 years was drawn from the 2021 Demographic and Health Survey (DHS) of Côte d'Ivoire. The DHS used a cross-sectional design, and respondents were sampled using a multistage cluster sampling technique. Percentages with confidence intervals (CIs) were used to summarise cervical cancer screening uptake. We used multilevel binary logistic regression analysis to examine the factors associated with cervical cancer screening uptake. Stata 18 was used for all the analyses and statistical significance was set at p < 0.05.
The proportion of women screened for cervical cancer was 7.7% [6.4, 9.3]. The odds of cervical cancer screening uptake increased with increasing levels of education, with the highest odds among women with higher education [adjusted odds ratio (aOR) = 2.34; 95% CI = 1.14, 4.79]. Women covered by health insurance [aOR = 2.63; 95% CI = 1.48, 4.69] and those who had visited a health facility in the last 12 months before the survey [aOR = 1.83; 95% CI = 1.27, 2.65] were more likely to be screened for cervical cancer compared to their counterparts who were uninsured and those without a history of health facility visits, respectively. Also, the odds of cervical cancer screening uptake increased with an increasing wealth index, with the highest odds among those in the richest wealth quintile [aOR = 4.67; 95% CI = 1.66, 13.12].
Cervical cancer screening uptake was low in Côte d'Ivoire. To achieve Sustainable Development Goal 3, health authorities, policymakers, and other stakeholders could implement strategies to scale up uptake. The identified associated factors could aid in the development of cervical cancer screening interventions.
宫颈癌是一个重大的公共卫生问题，影响着全球数百万妇女。宫颈癌筛查是预防性干预措施之一。然而，撒哈拉以南非洲国家的宫颈癌筛查普及率较低。本研究调查了科特迪瓦育龄妇女中宫颈癌筛查的普及率及其相关因素。
从2021年科特迪瓦人口与健康调查（DHS）中抽取了6855名年龄在30-49岁之间的加权样本妇女。DHS采用横断面设计，使用多阶段整群抽样技术对受访者进行抽样。使用带有置信区间（CIs）的百分比来总结宫颈癌筛查的普及率。我们使用多水平二元逻辑回归分析来研究与宫颈癌筛查普及率相关的因素。所有分析均使用Stata 18，统计学显著性设定为p < 0.05。
接受宫颈癌筛查的妇女比例为7.7%[6.4，9.3]。宫颈癌筛查的几率随着教育水平的提高而增加，高等教育程度的妇女几率最高[调整后的优势比（aOR）= 2.34；95%置信区间 = 1.14，4.79]。与未参保的妇女和没有医疗机构就诊史的妇女相比，参加医疗保险的妇女[aOR = 2.63；95%置信区间 = 1.48，4.69]以及在调查前最后12个月内去过医疗机构的妇女[aOR = 1.83；95%置信区间 = 1.27，2.65]更有可能接受宫颈癌筛查。此外，宫颈癌筛查的几率随着财富指数的增加而增加，最富有财富五分位数的人群几率最高[aOR = 4.67；95%置信区间 = 1.66，13.12]。
科特迪瓦的宫颈癌筛查普及率较低。为实现可持续发展目标3，卫生当局、政策制定者和其他利益相关者可以实施扩大筛查普及率的策略。已确定的相关因素有助于制定宫颈癌筛查干预措施。
