|
Determinants of cervical cancer screening utilization among women aged 30-45 years in Blantyre district, Malawi |
|---|---|
| รหัสดีโอไอ | |
| Creator | Mary Sesu Chosamata, Seoah Hong, Sariyamon Tiraphat |
| Title | Determinants of cervical cancer screening utilization among women aged 30-45 years in Blantyre district, Malawi |
| Publisher | ASEAN Institute for Health Development, Mahidol University |
| Publication Year | 2558 |
| Journal Title | JOURNAL OF PUBLIC HEALTH AND DEVELOPMENT |
| Journal Vol. | 13 |
| Journal No. | 3 |
| Page no. | 19-34 |
| Keyword | Cervical cancer screening utilization,prevalence,determinants |
| ISSN | 1905-1389 |
| Abstract | Cervical cancer screeningis the single important publichealthstrategytoreduce cervical cancer incidenceand subsequent mortality. In Malawi, low utilization leads to high mortality rate (80%). This cross-sectionalcommunity based study aimed at identifying determinants to utilization of cervical cancer screening servicesamong women aged 30-45 years in Blantyre district, Malawi. A total of 257 selected women (134 urban and 123 rural) participated in the study and face to faceinterview was conducted using a structured questionnaire to gather information on socio-demographic,knowledge, perception, health locus control, and social support from 30th April 2015 to 16th May 2015.Data were analyzed using Chi-square test and multiple logistic regression. Only 13.2% of the women had ever been screened for cervical cancer screening. The main reasons fornot being screened among the respondents who were not screened yet included lack of interest (39.7%),lack of knowledge (33.5%) and no reason given (19.8%). The most significant determinants to utilizationwere older age (Adj.OR=7.05, 95% CI=2.31-21.6), having more than one sex partners (Adj.OR=3.24, 95%CI=1.31-8.0), use of oral contraceptive (Adj.OR=2.60, 95% CI=1.02-6.61), having heard of cervical cancerscreening (Adj.OR=17.7, 95% CI=2.18-144) and higher level of knowledge (Adj.OR=7.37, 95% CI=2.44-22.2). In conclusion, there is low utilization of cervical cancer screening among women in Blantyre district.There is need for effective community based cervical screening, education and awareness for good and suc- cessful utilization of cervical cancer screening in Blantyre District and Malawi. |
