Uptake of Cervical Cancer Screening and Associated Factors Among 15-49-Year-Old Women in Dessie Town, Northeast Ethiopia.

Cervical cancer screening is acknowledged as the most effective approach to reduce incidence and mortality rates from the disease. Nevertheless, there are limited data on the rate of uptake of cervical cancer screening and factors that are related to uptake of screening services in Ethiopia. The purpose of this study was to determine the level of uptake of screening and determine associated factors among women of age 15-49 years in Northeast Ethiopia. A community-based cross-sectional survey was conducted among 620 women residing in Dessie town, Northeast Ethiopia. The respondents were selected using a multistage sampling technique. Data were collected using interviewer-administered questionnaires. Binary and multiple logistic regressions were employed to determine factors associated with the uptake of cervical cancer screening service. Overall, 57.7 % of the women had ever heard of cervical cancer, and 51.9 % had sufficient knowledge about the disease. However, only 11 % underwent at least one cervical screening in their lifetime. After adjusting for covariates, knowledge of cervical cancer (adjusted odds ratio (AOR) 11.1; 95 % CI 5.0-24.8) and age (being 25-34 years (AOR 5.0; 95 % CI 1.5-16.7) and being within the age group of 34-49 years (AOR 6.0; 95 % CI 1.74-20.8)) were significantly associated with screening service uptake. In this study, uptake of cervical cancer screening service was found to be low. Increasing women's knowledge about cervical cancer, particularly targeting the younger ones, is crucial to enhance uptake of screening.

Knowledge about Cervical Cancer and Associated Factors among 15-49 Year Old Women in Dessie Town, Northeast Ethiopia.

BACKGROUND: Cervical cancer is one of the leading causes of morbidity and mortality amongst female cancer worldwide, especially in developing countries, including Ethiopia. The level of women's knowledge about cervical cancer is not well documented in Ethiopia. The current study sought to assess women's knowledge about cervical cancer and associated factors. METHODS: A community based cross-sectional survey was conducted with a sample of 620 women aged 15-49 years residing in Dessie town, Northeast Ethiopia. Respondents were selected using a multistage sampling technique. The women were interviewed at home by trained data collectors using a structured questionnaire on cervical cancer knowledge. Knowledge about cervical cancer was measured using an eight item instrument. The maximum possible score was 8; those scoring 5 or more were categorized as having "sufficient" knowledge. Binary and multiple logistic regressions were employed to determine factors associated with knowledge about cervical cancer. RESULTS: A total of 51% of the participants had sufficient knowledge about cervical cancer. After adjusting for covariates, having sufficient knowledge about cervical cancer was positively associated with better educational level and income. Women with primary education (Adjusted Odds Ratio (AOR): 3.4; 95% CI: 2.2-5.1) and those who had secondary and above education (AOR: 8.7; 95% CI: 5.5-13.7) were more likely to have sufficient knowledge about cervical cancer compared to those who had no formal education. Furthermore, women earning an average household monthly income above 1500 Ethiopian birr (ETB) (~75 U.S. dollars) were more likely to have sufficient knowledge (AOR: 2.3; 95% CI: 1.3-3.9) than women with an average household monthly income less than 500 ETB (~25 U.S. dollars). CONCLUSION: This study shows a suboptimal knowledge about cervical cancer regarding its risk factors, signs and symptoms, prevention and treatment among women in the study site. The level of education and economic status were found to be important determinants for knowledge about cervical cancer. Prevention programs should focus cervical cancer educational resources on women with less education and women with lower economic status groups.