Prevalence and Predictor of Cervical Cancer Screening Service UptakeAmong Women Aged 25 Years and Above in Sidama Zone Southern Ethiopia UsingHealth Belief Model

摘要

Cervical cancer is the fourth most common cancer affecting women worldwide, andthe second leading cancer in Ethiopia. Screening gives protective benefitsassociated with a reduction in the incidence of invasive cervical cancer andmortality. However, the level of cervical cancer screening uptake is not welldocument in the country. This study aimed to determine the prevalence andpredictors of cervical cancer screening service uptake among women aged 25 yearsand above in Sidama zone, southern Ethiopia, 2019. A cross-sectional study wasconducted among 838 women aged 25 and above years by using aninterviewer-administered questionnaire. Multi-stage sampling technique wasemployed to identify households with women age of 25 and above years who wereresiding in the selected kebele for more than 6 months. Descriptive andmultivariable logistic regression done. P-value <0.05 was considered assignificant and presented by adjusted odds ratio (AOR) with 95% C.I. This studyshowed that among 838 women, only 17.8% (95%CI, 15.2%-20.5%) have undergone forcervical cancer screening. Being age of 35-39 (AOR = 5.2, 95% CI = 2.6-10.6),College and above Educational level (AOR = 3.8, 95% CI = 1.5-9.6), Ever had HIVtest (AOR = 2.8, 95% CI = 1.82-4.4) and high perceived self-efficacy (AOR = 4.4,95% CI = 1.527-12.84) were significant predictors for cervical cancer screeningservice uptake. The magnitude of cervical cancer screening uptake among womenaged 25 years and above was lower than that of the recommended coverage of thetarget group by the national guideline. Age of women, educational status ofwomen, ever had HIV test, and high perceived self-efficacy were importantfactors of cervical cancer screening service uptake. So it is very crucialimproving cervical cancer screening uptake, through creating awareness andeducating women, about the advantage of screening in early detection andmanagement of cervical cancer screening utilization