Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study
Abstract Background Cervical cancer is the second leading cause of cancer-related death and one of the top 20 causes of death among women in Ethiopia. Cervical cancer screening service has a vital value to reduce morbidity and mortality. Even though cervical cancer screening service utilization in E...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-02071-8 |
| _version_ | 1797985423463546880 |
|---|---|
| author | Temesgen Dessalegne Legasu Kibir Temesgen Zenebe Tefera Ayele Moges Sisay Chekole Fekade Demeke Bayou Jemberu Chane Fetene Abebe Tadesse Tibebu Birhan Tsegaw Taye Mohammed Ahmed Ali |
| author_facet | Temesgen Dessalegne Legasu Kibir Temesgen Zenebe Tefera Ayele Moges Sisay Chekole Fekade Demeke Bayou Jemberu Chane Fetene Abebe Tadesse Tibebu Birhan Tsegaw Taye Mohammed Ahmed Ali |
| author_sort | Temesgen Dessalegne Legasu |
| collection | DOAJ |
| description | Abstract Background Cervical cancer is the second leading cause of cancer-related death and one of the top 20 causes of death among women in Ethiopia. Cervical cancer screening service has a vital value to reduce morbidity and mortality. Even though cervical cancer screening service utilization in Ethiopia is unacceptably low, its determinant factors were not well studied in the study area. Hence, this study was aimed at filling this information gap. This study aimed to identify determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals, Ethiopia. Methods Hospital-based case–control study was conducted among 441 women (147 cases and 294 controls) from May to July 2021. Cases were included consecutively and controls were selected using a systematic random sampling technique from the randomly selected hospitals. A pretested interviewer-administered questionnaire was used to collect the data from respondents. The data were entered into Epi data version 4.6 and exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression analysis was employed. Adjusted odds ratio with its 95% confidence interval and p value < 0.05 were used to estimate the strength and significance of the association. Result A total of 147 cases and 294 controls were enrolled in this study. Women with 30–39 years-old [AOR = 2.3; 95% CI 1.21, 4.68] and 40–49 years-old [AOR = 4.4 95% CI 1.97, 10.12], urban residence [AOR = 2.6; 95% CI 1.36, 5.21], secondary education [AOR = 4.4; 95% CI 2.18, 8.87] and diploma and above [AOR = 2.0; 95% CI: 1.05, 4.59], ever gave birth [AOR = 9.4; 95% CI 4.92, 18.26], having multiple sexual partners [AOR = 2.8; 95% CI 1.60, 5.03], good knowledge towards cervical cancer screening [AOR = 3.6; 95% CI 2.07, 6.43] and positive attitude on cervical cancer screening [AOR = 2.0, 95% CI 1.20, 3.70] were significant determinants of cervical cancer screening service utilization. Conclusion In this study, age (30–39 and 40–49), urban residence, secondary education, ever gave birth, good knowledge of cervical cancer screening, positive attitude towards cervical cancer screening, and having multiple sexual partners were significant determinants of cervical cancer screening service utilization. There is a need to strengthen the policy and health education on safe sexual practices and healthy lifestyles through information dissemination and communication to scale up screening service utilization. |
| first_indexed | 2024-04-11T07:17:50Z |
| format | Article |
| id | doaj.art-7c5dc40eb0ff46aba3423b5b483c15b4 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-11T07:17:50Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-7c5dc40eb0ff46aba3423b5b483c15b42022-12-22T04:37:52ZengBMCBMC Women's Health1472-68742022-12-0122111010.1186/s12905-022-02071-8Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control studyTemesgen Dessalegne Legasu0Kibir Temesgen1Zenebe Tefera Ayele2Moges Sisay Chekole3Fekade Demeke Bayou4Jemberu Chane Fetene5Abebe Tadesse Tibebu6Birhan Tsegaw Taye7Mohammed Ahmed Ali8Department of Midwifery, College of Medicine and Health Sciences, Jigjiga UniversityDepartment of Clinical Midwifery, School of Nursing &Midwifery, College of Medicine and Health Sciences, Wollo UniversityDepartment of Clinical Midwifery, School of Nursing &Midwifery, College of Medicine and Health Sciences, Wollo UniversitySchool of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan UniversityDepartment of Epidemiology, College of Medicine and Health Sciences, Jigjiga UniversityDepartment of Midwifery, College of Medicine and Health Sciences, Jigjiga UniversityDepartment of Midwifery, College of Medicine and Health Sciences, Jigjiga UniversitySchool of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan UniversityDepartment of Midwifery, College of Medicine and Health Sciences, Jigjiga UniversityAbstract Background Cervical cancer is the second leading cause of cancer-related death and one of the top 20 causes of death among women in Ethiopia. Cervical cancer screening service has a vital value to reduce morbidity and mortality. Even though cervical cancer screening service utilization in Ethiopia is unacceptably low, its determinant factors were not well studied in the study area. Hence, this study was aimed at filling this information gap. This study aimed to identify determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals, Ethiopia. Methods Hospital-based case–control study was conducted among 441 women (147 cases and 294 controls) from May to July 2021. Cases were included consecutively and controls were selected using a systematic random sampling technique from the randomly selected hospitals. A pretested interviewer-administered questionnaire was used to collect the data from respondents. The data were entered into Epi data version 4.6 and exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression analysis was employed. Adjusted odds ratio with its 95% confidence interval and p value < 0.05 were used to estimate the strength and significance of the association. Result A total of 147 cases and 294 controls were enrolled in this study. Women with 30–39 years-old [AOR = 2.3; 95% CI 1.21, 4.68] and 40–49 years-old [AOR = 4.4 95% CI 1.97, 10.12], urban residence [AOR = 2.6; 95% CI 1.36, 5.21], secondary education [AOR = 4.4; 95% CI 2.18, 8.87] and diploma and above [AOR = 2.0; 95% CI: 1.05, 4.59], ever gave birth [AOR = 9.4; 95% CI 4.92, 18.26], having multiple sexual partners [AOR = 2.8; 95% CI 1.60, 5.03], good knowledge towards cervical cancer screening [AOR = 3.6; 95% CI 2.07, 6.43] and positive attitude on cervical cancer screening [AOR = 2.0, 95% CI 1.20, 3.70] were significant determinants of cervical cancer screening service utilization. Conclusion In this study, age (30–39 and 40–49), urban residence, secondary education, ever gave birth, good knowledge of cervical cancer screening, positive attitude towards cervical cancer screening, and having multiple sexual partners were significant determinants of cervical cancer screening service utilization. There is a need to strengthen the policy and health education on safe sexual practices and healthy lifestyles through information dissemination and communication to scale up screening service utilization.https://doi.org/10.1186/s12905-022-02071-8Cervical cancer screeningDeterminantsCase–controlUtilizationEthiopia |
| spellingShingle | Temesgen Dessalegne Legasu Kibir Temesgen Zenebe Tefera Ayele Moges Sisay Chekole Fekade Demeke Bayou Jemberu Chane Fetene Abebe Tadesse Tibebu Birhan Tsegaw Taye Mohammed Ahmed Ali Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study BMC Women's Health Cervical cancer screening Determinants Case–control Utilization Ethiopia |
| title | Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study |
| title_full | Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study |
| title_fullStr | Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study |
| title_full_unstemmed | Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study |
| title_short | Determinants of cervical cancer screening service utilization among women attending healthcare services in Amhara region referral hospitals: a case–control study |
| title_sort | determinants of cervical cancer screening service utilization among women attending healthcare services in amhara region referral hospitals a case control study |
| topic | Cervical cancer screening Determinants Case–control Utilization Ethiopia |
| url | https://doi.org/10.1186/s12905-022-02071-8 |
| work_keys_str_mv | AT temesgendessalegnelegasu determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT kibirtemesgen determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT zenebeteferaayele determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT mogessisaychekole determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT fekadedemekebayou determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT jemberuchanefetene determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT abebetadessetibebu determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT birhantsegawtaye determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy AT mohammedahmedali determinantsofcervicalcancerscreeningserviceutilizationamongwomenattendinghealthcareservicesinamhararegionreferralhospitalsacasecontrolstudy |