Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study
Abstract Background Screening participation at recommended intervals is a crucial component of cervical cancer prevention effectiveness. However, little is known regarding the rate of re-screening in a Sub-Saharan context. This study aimed to estimate the re-screening rate of women in a semi-rural a...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-024-02917-3 |
| _version_ | 1797276351659507712 |
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| author | Sophie Evina Bolo Bruno Kenfack Ania Wisniak Gilles Tankeu Virginie Yakam Alida Moukam Jessica Sormani Beat Stoll Pierre Vassilakos Patrick Petignat |
| author_facet | Sophie Evina Bolo Bruno Kenfack Ania Wisniak Gilles Tankeu Virginie Yakam Alida Moukam Jessica Sormani Beat Stoll Pierre Vassilakos Patrick Petignat |
| author_sort | Sophie Evina Bolo |
| collection | DOAJ |
| description | Abstract Background Screening participation at recommended intervals is a crucial component of cervical cancer prevention effectiveness. However, little is known regarding the rate of re-screening in a Sub-Saharan context. This study aimed to estimate the re-screening rate of women in a semi-rural after an initial HPV-based screening and identify factors that influence adherence. Methods This cohort study at the Annex Regional Hospital of Dschang enrolled women screened for cervical cancer over 5 years ago and due for re-screening. Women who initially tested HPV-positive (n = 132) and a random sample of HPV-negative women (n = 220) participated in a telephone survey between October 2021 and March 2022 to assess re-screening participation and reasons. Sociodemographic factors were collected, and associations with rescreening were evaluated. Results A total of 352 participants aged under 50 years (mean age 37.4 years) were contacted, and 203 (58.0%) completed the survey. The proportion of women who complied with the screening recommendation was 34.0% (95% CI 27.5% − 40.5%), The weighted re-screening proportion was 28.4%. Age, marital status, education level, type of employment, and place of residence were not associated with the rate of re-screening. Main reported barriers to re-screening were lack of information (39.0%), forgetfulness (39.0%), and impression of being in good health (30.0%). Women who remembered the recommended screening interval were 2 to 3 times more likely to undergo re-screening (aOR (adjusted odds ratio) = 2.3 [1.2–4.4], p = 0.013). Human papilloma virus- positive status at the initial screening was also associated with the re-screening((aOR) (95% CI): 3.4 (1.8–6.5). Conclusion Following an initial Human Papilloma Virus-based screening campaign in the West Region of Cameroon, one third of women adhered to re-screening within the recommended timeframe. Existing screening strategies would benefit from developing better information approaches to reinforce the importance of repeated cervical cancer screening. |
| first_indexed | 2024-03-07T15:27:01Z |
| format | Article |
| id | doaj.art-b4fbcf86bc5244cfa57f0cbee39b1880 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-07T15:27:01Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-b4fbcf86bc5244cfa57f0cbee39b18802024-03-05T16:41:14ZengBMCBMC Women's Health1472-68742024-01-0124111010.1186/s12905-024-02917-3Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort studySophie Evina Bolo0Bruno Kenfack1Ania Wisniak2Gilles Tankeu3Virginie Yakam4Alida Moukam5Jessica Sormani6Beat Stoll7Pierre Vassilakos8Patrick Petignat9Department of Gynaecology and Obstetrics, Annex Regional Hospital of DschangDepartment of Gynaecology and Obstetrics, Annex Regional Hospital of DschangInstitute of Global Health, University of GenevaDepartment of Gynaecology and Obstetrics, Annex Regional Hospital of DschangDepartment of Gynaecology and Obstetrics, Annex Regional Hospital of DschangDepartment of Gynaecology and Obstetrics, Annex Regional Hospital of DschangDivision of Gynaecology, Department of Paediatrics, Gynaecology and Obstetrics, University Hospital of GenevaInstitute of Global Health, University of GenevaGeneva Foundation for Medical Education and ResearchDivision of Gynaecology, Department of Paediatrics, Gynaecology and Obstetrics, University Hospital of GenevaAbstract Background Screening participation at recommended intervals is a crucial component of cervical cancer prevention effectiveness. However, little is known regarding the rate of re-screening in a Sub-Saharan context. This study aimed to estimate the re-screening rate of women in a semi-rural after an initial HPV-based screening and identify factors that influence adherence. Methods This cohort study at the Annex Regional Hospital of Dschang enrolled women screened for cervical cancer over 5 years ago and due for re-screening. Women who initially tested HPV-positive (n = 132) and a random sample of HPV-negative women (n = 220) participated in a telephone survey between October 2021 and March 2022 to assess re-screening participation and reasons. Sociodemographic factors were collected, and associations with rescreening were evaluated. Results A total of 352 participants aged under 50 years (mean age 37.4 years) were contacted, and 203 (58.0%) completed the survey. The proportion of women who complied with the screening recommendation was 34.0% (95% CI 27.5% − 40.5%), The weighted re-screening proportion was 28.4%. Age, marital status, education level, type of employment, and place of residence were not associated with the rate of re-screening. Main reported barriers to re-screening were lack of information (39.0%), forgetfulness (39.0%), and impression of being in good health (30.0%). Women who remembered the recommended screening interval were 2 to 3 times more likely to undergo re-screening (aOR (adjusted odds ratio) = 2.3 [1.2–4.4], p = 0.013). Human papilloma virus- positive status at the initial screening was also associated with the re-screening((aOR) (95% CI): 3.4 (1.8–6.5). Conclusion Following an initial Human Papilloma Virus-based screening campaign in the West Region of Cameroon, one third of women adhered to re-screening within the recommended timeframe. Existing screening strategies would benefit from developing better information approaches to reinforce the importance of repeated cervical cancer screening.https://doi.org/10.1186/s12905-024-02917-3ScreeningHuman papilloma virusCervical cancerBarriersSub-saharan Africa |
| spellingShingle | Sophie Evina Bolo Bruno Kenfack Ania Wisniak Gilles Tankeu Virginie Yakam Alida Moukam Jessica Sormani Beat Stoll Pierre Vassilakos Patrick Petignat Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study BMC Women's Health Screening Human papilloma virus Cervical cancer Barriers Sub-saharan Africa |
| title | Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study |
| title_full | Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study |
| title_fullStr | Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study |
| title_full_unstemmed | Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study |
| title_short | Factors influencing cervical cancer re-screening in a semi-rural health district of Cameroon: a cohort study |
| title_sort | factors influencing cervical cancer re screening in a semi rural health district of cameroon a cohort study |
| topic | Screening Human papilloma virus Cervical cancer Barriers Sub-saharan Africa |
| url | https://doi.org/10.1186/s12905-024-02917-3 |
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