Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 24:9:23779608231152072.
doi: 10.1177/23779608231152072. eCollection 2023 Jan-Dec.

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

Zubeyda Kedir Mohamed  1 , Yirga Wondu Amare  2 , Mihiret Shawel Getahun  3 , Yohannes Mekuria Negussie  4 , Abenet Menene Gurara  5
Affiliations

Cervical Cancer Screening Service Utilization and Associated Factors Among Women Living With HIV Receiving Anti-Retroviral Therapy at Adama Hospital Medical College, Ethiopia

Zubeyda Kedir Mohamed et al. SAGE Open Nurs. .

Abstract

Introduction: Cervical cancer is the second highest cause of cancer-related mortality in the world, and it is one of the top 20 causes of mortality in Ethiopia. Even though cervical cancer is more common among women living with HIV, the utilization of cervical cancer screening services remains low in Ethiopia.

Objectives: This study aimed to assess cervical cancer screening service utilization and associated factors among women living with HIV receiving anti-retroviral therapy at Adama Hospital Medical College, Ethiopia.

Methods: An institution-based cross-sectional study was conducted among a sample of 304 women living with HIV from 1st-30th June 2022. Data were collected using an interviewer-administered questionnaire. The data were entered into Epi info version 7 and exported to SPSS version 25 for analysis. Bi-variable logistic regression analysis was used to identify candidate variables at p < .25. Finally, multivariable logistic regression analysis was used to identify the independent predictors of cervical cancer screening service utilization at p < .05 with 95% confidence intervals.

Results: The magnitude of cervical cancer screening service utilization was 26.9% (95% CI: 22.0, 32.6). Being a government employee (AOR: 8.09, 95% CI: 1.5, 41.19), having a family history of cervical cancer (AOR: 3.4, 95% CI: 1.02, 11.9), being aware of cervical cancer screening (AOR: 3.75, 95% CI: 2.11, 14.7), having a history of sexually transmitted infection (AOR: 3.14, 95% CI: 1.95, 10.2), and heard about cervical cancer (AOR: 2.6, 95% CI: 1.05, 6.41) were associated with cervical cancer screening service utilization.

Conclusion: The magnitude of cervical cancer screening service utilization was low. It was associated with occupation status, family history of cervical cancer, awareness about cervical cancer screening, history of STI, and ever heard about cervical cancer. Thus, to maximize utilization, health education programs and other multidisciplinary strategies had to be implemented.

Keywords: Ethiopia; cervical cancer; screening; utilization; women living with HIV.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Cervical cancer screening service utilization among women living with HIV receiving ART at AHMC, Ethiopia, 2022.
See this image and copyright information in PMC

References

    1. Abebe T. A., Elfu B., Tessema A. L., Sinishaw M. A. (2021). Journal of CC.
    1. Assefa A. A., Astawesegn F. H., Eshetu B. (2019). 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. BMC Health Services Research, 19(1), 1–11. 10.1186/s12913-019-4718-5 - DOI - PMC - PubMed
    1. Aweke Y. H., Ayanto S. Y., Ersado T. L. (2017). Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based cross-sectional study. PloS One, 12(7), e0181415. 10.1371/journal.pone.0181415 - DOI - PMC - PubMed
    1. Bayu H., Berhe Y., Mulat A., Alemu A. (2016). Cervical cancer screening service uptake and associated factors among age eligible women in Mekelle Zone, Northern Ethiopia, 2015: A community based study using health belief model. PloS One, 11(3), e0149908. 10.1371/journal.pone.0149908 - DOI - PMC - PubMed
    1. Belete N., Tsige Y., Mellie H. (2015). Willingness and acceptability of cervical cancer screening among women living with HIV/AIDS in Addis Ababa, Ethiopia: A cross sectional study. Gynecologic Oncology Research and Practice, 2(1), 1–6. 10.1186/s40661-015-0012-3 - DOI - PMC - PubMed

LinkOut - more resources