Cervical cancer screening utilization and its associated factors among women aged 30 years and above in Woliso town, South West Showa Zone, Oromia region, Ethiopia
Creators: name: Michael, Elias
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2018

description: Background: Cervical cancer is the second most common cancer in women with 529,000 new cases each year worldwide. It is also a leading cause of mortality worldwide with 270,000 women every year. In Ethiopia, Cervical Cancer ranks as the second most frequent cancer among women between 15 and 44 years of age. Cervical cancer can be prevented by identifying pre-cancerous lesions early using repeated Pap smear screening and treating these lesions before they progress to cancer. In low-resource settings, screening achieves the greatest impact for the lowest cost when it is targeted to women between the ages of 30 and 49. There are various dimensions of factors which affect cervical cancer screening, but little is known about factors associated with cervical cancer screening among women 30 years and above in Ethiopia. Objective: The study was carried out to assess cervical cancer screening utilization and associated factors among women aged 30 and above in Woliso town, south west Showa zone, Oromia region, Ethiopia. Methods: Community based Cross sectional study was conducted among 250 women aged 30 and above in Woliso town, South west Ethiopia from March 01-March 30, 2017. The study participants were selected using systematic sampling method. Data was collected using pretested interviewer-administered questionnaire. Descriptive analysis was done and logistic regression was used to assess the association between the independent variables and dependent variable. Odd ratio with 95% confidence interval and p-value less than 0.05 was used to declare statistical significance. Results: The magnitude of cervical cancer screening utilization in woliso town among women 30 years and above was 44 (17.60%) with 95 %CI of (13.2-23.1). The odd of cervical cancer screening utilization is 4 times more likely among women who had good knowledge about cervical cancer screening utilization than those who had poor knowledge [AOR: 3.84, 95% CI: (1.49-9.87)], 4 times more likely among women who had positive attitude than those who had negative attitude [AOR: 3.88,95%CI: (1.31-11.54)], Six times more likely among participants who were informed about cervical cancer screening by health professional than those who were not informed [AOR: 5.88, (95%CI: (1.59-21.82)]. likewise, 5 times more likely among women who perceive that cervical cancer screening has benefit than those who do not perceive that cervical cancer screening has benefit [AOR: 5.38, 95% CI: (1.91-15.18)]. Conclusion &amp;Recommendation: cervical cancer screening utilization is low in woliso town. Knowledge about cervical cancer, attitude about cervical cancer screening, health professionals information provisions about cervical cancer screening and perceived benefit about cervical cancer screening were identified factors significantly associated with cervical cancer utilization. The ministry of health up to the local government health service authority should strengthen awareness creation, behavioral change programs in order to increase the knowledge of the residents about cervical cancer and cervical cancer screening to motivate those women in order to utilize the screening service