Reviewer’s report
Title:  Socio-Demographic  Characteristics  and  Associated  Factors  Influencing  Cervical  Cancer
Screening among Women Attending in St. Paul ’s Teaching and Referral Hospital, Ethiopia
Version: 2 Date: 20 Dec 2019
Reviewer: Ahti Anttila
Reviewer's report:
The paper has improved much. There are still some comments from me.
1) English language needs still some improvement. E.g 'questioner' should read 'questionnaire'. 
2) Page 3, lines 55-56, the information on cancer cases and deaths is from Cancer Today estimates from
the GCO, not from cancer registry data,  therefore the wording of the sentence should be changed e.g.
to following "The recent study estimated that there are annually 6294 new cases and 4884 cervical
cancer deaths in Ethiopia [2]." 
3) In the conclusions, there should be some further specification also by age or potential target age of
screening. Now the statement that younger age is a predictor for low utilization of cervical cancer
screening is not right, as women e.g. of age 18-29 are not targeted. There could be a statement in the
conclusions section of the main text and abstract that "Women in the potential target population of
cervical cancer screening were just a proportion of all studied age groups and screening in them was
more common than in younger women." 
4) In the abstract, I would prefer showing the percentages rather than ORs, because the point estimates
of the ORs may not informative for common outcomes (if prevalence is more than 10%). Now the
prevalence at age 18-29 was appropriate (8%) but in women 40-49 already 36% and statistically
significantly different. Just showing the percentages would be much more easy to understand in the
brief abstract. 
5) The methodology in the multivariate analysis used logistic regression, but not RR methodology or
binomial regression that would fit with common outcomes. In principle, the p-values and consideration
on statistical significance are appropriate, but some of the OR point estimates are not easy to interpret
because they do not resemble RRs. This could be mentioned in the discussion as one limitation. An
alternative would be change the statistics methodology, but that might be difficult in this phase. 
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
Yes
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Yes
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
Yes
Are you able to assess any statistics in the manuscript or would you recommend an additional
statistical review?
If  an  additional  statistical  review  is  recommended,  please  specify  what  aspects  require  further
assessment in your comments to the editors.
I recommend additional statistical review
Quality of written English
Please indicate the quality of language in the manuscript:
Needs some language corrections before being published
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