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. 2019 Nov 19;19(1):847.
doi: 10.1186/s12913-019-4718-5.

Cervical cancer screening service utilization and associated factors among HIV positive women attending adult ART clinic in public health facilities, Hawassa town, Ethiopia: a cross-sectional study

Abiyu Ayalew Assefa  1 , Feleke Hailemichael Astawesegn  2 , Bethlehem Eshetu  2
Affiliations

Cervical cancer screening service utilization and associated factors among HIV positive women attending adult ART clinic in public health facilities, Hawassa town, Ethiopia: a cross-sectional study

Abiyu Ayalew Assefa et al. BMC Health Serv Res. .

Abstract

Background: In Ethiopia, cervical cancer is a public health concern, as it is the second most cause of cancer deaths among reproductive age women and it affects the country's most vulnerable groups like; rural, poor, and HIV-positive women. Despite the strong evidence that cervical cancer screening results in decreased mortality from this disease, its utilization remains low.

Methods: An institution-based cross-sectional study was conducted from March 2 to April 1/2019 to assess the level and factors affecting utilization of cervical cancer screening among HIV positive women in Hawassa town. Quantitative data collection methods were used. Data were gathered using a structured and pretested questionnaire. Epi-Info version 7 and SPSS version 23 were used for data entry and analysis respectively. Statistically significant association of variables was determined based on Adjusted Odds ratio with its 95% confidence interval and p-value of ≤0.05.

Results: Of the 342 women interviewed, 40.1% (95% CI: 35.00, 45.33%) of them were screened. Having a post primary education (AOR = 5.1, 95% CI: 1.8, 14.5), less than 500 cell/mm3 CD4 count (AOR = 2.7, 95% CI: 1.2, 5.9); duration since HIV diagnosis (AOR = 4.2, 95% CI: 2.1, 8.5), partner support (AOR = 4.7, 95% CI: 2.3, 9.4), having knowledge about risk factors (AOR = 2.9 (95% CI: 1.2, 6.9) and having favorable attitude towards cervical cancer and its screening (AOR = 3.7 (95% CI: 1.8, 7.5) were associated with cervical cancer screening utilization.

Conclusions: The study revealed utilization of cervical cancer screening service was low among HIV positive women. Educational status, duration of HIV diagnosis, partner support, knowledge status about risk factor, CD4 count and attitude towards cervical cancer and its screening were associated with cervical cancer screening utilization. Health care workers need to provide intensive counseling services for all ART care attendants to increase utilization.

Keywords: Cervical cancer; Cervical cancer screening; Ethiopia; HIV positive women.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Specific knowledge status of HIV positive woman attending adult ART clinic in Public Health Facilities of Hawassa town, Ethiopia, 2019. Ca: Cervical cancer; CCS: Cervical cancer screening
Fig. 2
Fig. 2
Cervical cancer screening utilization among HIV positive women attending adult ART clinic in Public Health Facilities of Hawassa town, Ethiopia, 2019
Fig. 3
Fig. 3
Reason for not-screened among HIV positive women attending adult ART clinic in Public Health Facilities of Hawassa town, Ethiopia, 2019. Other: culture, lack of time [2], feeling not susceptible, no reason [2]
See this image and copyright information in PMC

References

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