Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study
Abstract Cervical cancer (CC) is the fourth most common cancer in women worldwide and the leading cause of cancer deaths in developing countries. CC can be prevented through available preventive interventions. However, most patients in developing countries, such as Ethiopia, present late with advanc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01829-4 |
| _version_ | 1818228261177524224 |
|---|---|
| author | Miresa Midaksa Alemnew Destaw Adamu Addissie Eva Johanna Kantelhardt Muluken Gizaw |
| author_facet | Miresa Midaksa Alemnew Destaw Adamu Addissie Eva Johanna Kantelhardt Muluken Gizaw |
| author_sort | Miresa Midaksa |
| collection | DOAJ |
| description | Abstract Cervical cancer (CC) is the fourth most common cancer in women worldwide and the leading cause of cancer deaths in developing countries. CC can be prevented through available preventive interventions. However, most patients in developing countries, such as Ethiopia, present late with advanced stage disease due to low participation in CC screening and require treatment involving multiple modalities. Women’s social, economic and cultural backgrounds have been associated with the level of participation in CC screening programmes. Therefore, this study aimed to assess women’s sexual autonomy as a determinant of lifetime CC screening among women in Addis Ababa, Ethiopia. An institutional-based case–control study was conducted in which controls were women who had received screening services during the last 5 years, and cases were randomly selected from women coming for other services but never screened or aware of the screening service. Accordingly, 294 women were enrolled. Data were collected by using a pre-tested standard questionnaire through interviewing. Bivariate and multivariable logistic regression analyses were performed to assess the women’s sexual autonomy as a determinant of lifetime CC screening. The study revealed higher sexual autonomy led to higher odds for having been screened (adjusted odds ratio (AOR) = 3.128, 95% CI (1.730, 5.658)). Moreover, direct referral to the screening service (AOR = 3.173, 95% CI (1.57, 6.45)) and parity had positively affected the lifetime uptake of CC screening (AOR = 2.844, 95% CI (1.344, 6.014)). We found that women’s own sexual autonomy was associated with the improvement of CC screening uptake. Empowering women could alleviate barriers to CC screening in the community. |
| first_indexed | 2024-12-12T09:59:54Z |
| format | Article |
| id | doaj.art-11f83fc0198d41a1aa62d76e5c901a0d |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-12T09:59:54Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-11f83fc0198d41a1aa62d76e5c901a0d2022-12-22T00:28:01ZengBMCBMC Women's Health1472-68742022-06-012211810.1186/s12905-022-01829-4Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control studyMiresa Midaksa0Alemnew Destaw1Adamu Addissie2Eva Johanna Kantelhardt3Muluken Gizaw4Addis Ababa Food, Medicine and Health Care Administration and Control AuthorityDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Mizan-Tepi UniversityDepartment of Preventive Medicine, School of Public Health, Addis Ababa UniversityInstitute for Medical Epidemiology, Biometrics and Informatics Martin-Luther-UniversityDepartment of Preventive Medicine, School of Public Health, Addis Ababa UniversityAbstract Cervical cancer (CC) is the fourth most common cancer in women worldwide and the leading cause of cancer deaths in developing countries. CC can be prevented through available preventive interventions. However, most patients in developing countries, such as Ethiopia, present late with advanced stage disease due to low participation in CC screening and require treatment involving multiple modalities. Women’s social, economic and cultural backgrounds have been associated with the level of participation in CC screening programmes. Therefore, this study aimed to assess women’s sexual autonomy as a determinant of lifetime CC screening among women in Addis Ababa, Ethiopia. An institutional-based case–control study was conducted in which controls were women who had received screening services during the last 5 years, and cases were randomly selected from women coming for other services but never screened or aware of the screening service. Accordingly, 294 women were enrolled. Data were collected by using a pre-tested standard questionnaire through interviewing. Bivariate and multivariable logistic regression analyses were performed to assess the women’s sexual autonomy as a determinant of lifetime CC screening. The study revealed higher sexual autonomy led to higher odds for having been screened (adjusted odds ratio (AOR) = 3.128, 95% CI (1.730, 5.658)). Moreover, direct referral to the screening service (AOR = 3.173, 95% CI (1.57, 6.45)) and parity had positively affected the lifetime uptake of CC screening (AOR = 2.844, 95% CI (1.344, 6.014)). We found that women’s own sexual autonomy was associated with the improvement of CC screening uptake. Empowering women could alleviate barriers to CC screening in the community.https://doi.org/10.1186/s12905-022-01829-4Cervical cancerScreeningDeterminantsSexual autonomy |
| spellingShingle | Miresa Midaksa Alemnew Destaw Adamu Addissie Eva Johanna Kantelhardt Muluken Gizaw Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study BMC Women's Health Cervical cancer Screening Determinants Sexual autonomy |
| title | Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study |
| title_full | Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study |
| title_fullStr | Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study |
| title_full_unstemmed | Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study |
| title_short | Women’s sexual autonomy as a determinant of cervical cancer screening uptake in Addis Ababa, Ethiopia: a case–control study |
| title_sort | women s sexual autonomy as a determinant of cervical cancer screening uptake in addis ababa ethiopia a case control study |
| topic | Cervical cancer Screening Determinants Sexual autonomy |
| url | https://doi.org/10.1186/s12905-022-01829-4 |
| work_keys_str_mv | AT miresamidaksa womenssexualautonomyasadeterminantofcervicalcancerscreeninguptakeinaddisababaethiopiaacasecontrolstudy AT alemnewdestaw womenssexualautonomyasadeterminantofcervicalcancerscreeninguptakeinaddisababaethiopiaacasecontrolstudy AT adamuaddissie womenssexualautonomyasadeterminantofcervicalcancerscreeninguptakeinaddisababaethiopiaacasecontrolstudy AT evajohannakantelhardt womenssexualautonomyasadeterminantofcervicalcancerscreeninguptakeinaddisababaethiopiaacasecontrolstudy AT mulukengizaw womenssexualautonomyasadeterminantofcervicalcancerscreeninguptakeinaddisababaethiopiaacasecontrolstudy |