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Selamawit Gebeyehu Dr.Gurmesa Tura Dr.Bitiya Admassu

Abstract

Background: Cervical cancer is one of the leading causes of death in women worldwide. Women living with Human Immunodeficiency virus are at higher risk of acquire cervical cancer. Despite the importance of screening, the proportion of willingness for screening among these women is low in Ethiopia. Therefore, this study aimed to determine the magnitude of willingness for cervical cancer screening and its associated factors among women living with HIV.


 


Methods: A facility-based cross-sectional study was conducted from March 14 to May 8, 2018.341 women were selected by using systematic sampling method among adult HIV positive women attending treatment at Jinka general hospital. The data were collected using an interviewer-administered questionnaire.


 


Bivariate and multivariable logistic regression analyses were used to determine the presence and the strength of association between dependent and independent variables by using odds ratio with 95% confidence interval.


 


Results: The status of willingness for cervical cancer screening was 56.9% (95%CI; 51.6%, 62.1%). Women aged 40 years and above (AOR=2.58; 95% CI = 1.21-5.45), having two or less number of children (AOR=2.49; 95% CI =1.3-4.78), having awareness about cervical cancer screening (AOR = 4.85; 95% CI = 2.56-9.17), high perceived susceptibility (AOR=5.02;95%CI=2.74-9.18) and low perceived barrier (AOR=9.87; 95% CI = 5.34-18.31) were found to increase willingness for cervical cancer screening. 


 


Conclusions: In this study, the willingness for cervical cancer screening among HIV positive women was low. Age, number of living children, awareness about cervical cancer screening, perceived barrier and susceptibility were independent factors associated with the willingness of cervical cancer screening. Health care workers and cervical cancer prevention and control programs should create awareness by using different mass media. Health care providers should counsel on the above barrier for willingness to cervical cancer screening.


 

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Keywords

Cervical, Cancer, Willingness, screening, Jinka

References
1. Edition F. Global Cancer. Am Cancer Soc. 2015;(800).
2. International Agency for Research on Cancer. Latest world cancer statistics [Internet]. http://globocan.iarc.fr/. 2013. Available from: http://globocan.iarc.fr/
3. Africa Health H& SDIS. Integrated Africa Cancer Factsheet Focusing on Cervical Cancer +. afriGdev.info’. 2014.
4. Onyenwenyi AOC, Gugu GM. Strategies for the Prevention and Control of Cervical Cancer in Rural Communities : A Nigerian Perspective. COMMUNITY Med Prim Heal CARE. 2016;28(2):77–93.
5. CDC. Cervical cancer. www.cdc.gov/cancer/knowledge 800-CDC-INFO. 2016. p. 2.
6. Mark Schiffman. The Promise of Global Cervical-Cancer Prevention. N Engl J Med. 2005;2101–4.
7. Cervical cancer action. Progress in Cervical Cancer Prevention The CCA Report Card 2015. THE CCA REPORT CARD. 2015.
8. Assefa NA. Cervical Cancer : Ethiopia ' s Outlook. Gynecol Women's Heal. 2017;5(2):1–4.
9. Mayor A, Ruiz Y, Fernández D, Hunter-Mellado R. World ' s largest Science, Technology & Medicine Open Access book publisher HIV / AIDS Associated Malignant Disorders : Role of Highly Active Antiretroviral Therapy. www.intechopen.com. 2012. 26 p.
10. Ezechi OC, Gab-okafor C V, Ostergren PO, Pettersson KO. Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women. BMC Public Health. 2013;
11. Belete N, Tsige Y, Mellie H. Willingness and acceptability of cervical cancer screening among women living with HIV / AIDS in Addis Ababa, Ethiopia : a cross-sectional study. Gynecol Oncol Res Pract [Internet]. 2015;4–9. Available from: http://dx.doi.org/10.1186/s40661-015-0012-3
12. Federal Democratic Republic of Ethiopia Ministry of Health. National Guidelines for Comprehensive HIV Prevention, Care and Treatment, 2014. 2014.
13. Federal Democratic Republic of Ethiopia Central Statistical Agency. Population Projection of Ethiopia for All Regions At Wereda Level from 2014 – 2017. 2017.
14. Karen Glanz, Barbara K. Rimer, and K. Viswanath editors. — 4th ed. p. Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. in: Foreword by C, Tracy O. Health behavior and health education. 2014.
15. Bayu H, Berhe Y, Mulat A, Alemu A. Cervical Cancer Screening Service Uptake and Associated Factors among Age Eligible Women in Mekelle Zone, Northern Ethiopia, 2015 : A Community Based Study Using Health Belief Model. PLoS One. 2016;1–13.
16. Jolly PE, Mthethwa-hleta S, Padilla LA, Pettis J, Winston S, Akinyemiju TF, et al. Screening, prevalence, and risk factors for cervical lesions among HIV positive and HIV negative women in Swaziland. BMC Public Health. 2017;1–8.
17. Kahesa C, Kjaer S, Mwaiselage J, Ngoma T, Tersbol B, Dartell M. Determinants of acceptance of cervical cancer screening in Dar es Salaam, Tanzania. BMC Public Health [Internet]. 2012;12(1):1. Available from: BMC Public Health
18. Audet CM, Matos CS, Blevins M, Cardoso A, Moon TD, Sidat M. Acceptability of cervical cancer screening in rural Mozambique. Oxford Univ Press. 2012;27(3):544–51.
19. Ndikom CM, Ofi BA. Awareness, perception, and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria : a qualitative study. Reprod Health. 2012;1–8.
20. Ekechi C, Olaitan A, Ellis R, Koris J, Amajuoyi A, Marlow LA V. Knowledge of cervical cancer and attendance at cervical cancer screening : a survey of Black women in London. BMC Public Health. 2014;1–9.
21. Access O. Factors associated with cervical cancer screening uptake among Inuit women in Nunavik , Quebec , Canada. BMC Public Health. 2013;8.
22. Lee M, Park E, Chang H, Kwon JA, Yoo KB, Kim TH. Socioeconomic disparity in cervical cancer screening among Korean women : 1998 – 2010. BMC Public Health [Internet]. 2013;13(1):1. Available from: BMC Public Health
23. Lukorito J, Wanyoro A, Kimani H. Uptake of Cervical Cancer Screening among HIV Positive Women in Comrehensive Care Centres in Nairobi , Kenya. http://journal.sapub.org/rog. 2017;5(1):1–6.
24. Mukasa B, Karamagi Y, Bukirwa A, Mutyoba JN, Mukasa BN, Karamagi Y, et al. Motivations and barriers to cervical cancer screening among HIV infected women in HIV care : A qualitative study Motivations and barriers to cervical cancer screening among HIV infected women in HIV care : a qualitative study. BMC Womens Health [Internet]. 2015;(October). Available from: http://dx.doi.org/10.1186/s12905-015-0243-9
25. Tiruneh FN, Chuang K, Austin P, Ntenda M, Chuang Y. determinants of cervical cancer screening among Kenyan women : a multilevel analysis of a Nationwide survey. BMC Womens Health. 2017;1–14.
Section
Original Articles

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