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Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model

An approach to increasing cervical cancer (CC) screening is to empower women who have been screened to act as advocates and encourage other women they know to get screened. We examined correlates of CC screening advocacy and CC screening uptake among constructs in our conceptual model of factors dri...

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Autores principales: Wagner, Glenn J., Matovu, Joseph K.B., Juncker, Margrethe, Namisango, Eve, Bouskill, Kathryn, Nakami, Sylvia, Beyeza-Kashesya, Jolly, Luyirika, Emmanuel, Wanyenze, Rhoda K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470712/
https://www.ncbi.nlm.nih.gov/pubmed/37653775
http://dx.doi.org/10.1097/MD.0000000000034888
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author Wagner, Glenn J.
Matovu, Joseph K.B.
Juncker, Margrethe
Namisango, Eve
Bouskill, Kathryn
Nakami, Sylvia
Beyeza-Kashesya, Jolly
Luyirika, Emmanuel
Wanyenze, Rhoda K.
author_facet Wagner, Glenn J.
Matovu, Joseph K.B.
Juncker, Margrethe
Namisango, Eve
Bouskill, Kathryn
Nakami, Sylvia
Beyeza-Kashesya, Jolly
Luyirika, Emmanuel
Wanyenze, Rhoda K.
author_sort Wagner, Glenn J.
collection PubMed
description An approach to increasing cervical cancer (CC) screening is to empower women who have been screened to act as advocates and encourage other women they know to get screened. We examined correlates of CC screening advocacy and CC screening uptake among constructs in our conceptual model of factors driving engagement in advocacy. A cross-sectional, correlational analysis was conducted with survey data from 40 women (index participants) who had recently screened for CC, and 103 female members of their social network (alter participants) who had not been screened. Variables measured included CC prevention advocacy, as well as internalized CC stigma, sharing of CC screening result, CC knowledge, healthy bodily intake (i.e., diet; alcohol and cigarette use) and self-efficacy related to CC service utilization and CC prevention advocacy, which were hypothesized to be associated with advocacy. Bivariate and multivariable regression analyses, controlling for clustering, were conducted. Among index participants, greater engagement in advocacy was positively correlated with CC knowledge, sharing of CC screening result, and CC service utilization self-efficacy. Women who had screened positive and received treatment for precancerous lesions reported greater CC prevention advocacy, CC knowledge and healthy living, compared to those who screened negative. In multiple regression analyses, CC screening was positively associated with CC prevention advocacy and being age 36 or older, and CC prevention advocacy was also positively associated with CC service utilization self-efficacy. These findings support the validity of our conceptual model regarding factors associated with engagement in CC prevention advocacy among women screened for CC. The strong association between CC prevention advocacy and both CC screening uptake and CC service utilization self-efficacy suggests the potential value of advocacy promotion among women who have been screened, as well as for increasing screening uptake.
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spelling pubmed-104707122023-09-01 Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model Wagner, Glenn J. Matovu, Joseph K.B. Juncker, Margrethe Namisango, Eve Bouskill, Kathryn Nakami, Sylvia Beyeza-Kashesya, Jolly Luyirika, Emmanuel Wanyenze, Rhoda K. Medicine (Baltimore) Research Article: Observational Study An approach to increasing cervical cancer (CC) screening is to empower women who have been screened to act as advocates and encourage other women they know to get screened. We examined correlates of CC screening advocacy and CC screening uptake among constructs in our conceptual model of factors driving engagement in advocacy. A cross-sectional, correlational analysis was conducted with survey data from 40 women (index participants) who had recently screened for CC, and 103 female members of their social network (alter participants) who had not been screened. Variables measured included CC prevention advocacy, as well as internalized CC stigma, sharing of CC screening result, CC knowledge, healthy bodily intake (i.e., diet; alcohol and cigarette use) and self-efficacy related to CC service utilization and CC prevention advocacy, which were hypothesized to be associated with advocacy. Bivariate and multivariable regression analyses, controlling for clustering, were conducted. Among index participants, greater engagement in advocacy was positively correlated with CC knowledge, sharing of CC screening result, and CC service utilization self-efficacy. Women who had screened positive and received treatment for precancerous lesions reported greater CC prevention advocacy, CC knowledge and healthy living, compared to those who screened negative. In multiple regression analyses, CC screening was positively associated with CC prevention advocacy and being age 36 or older, and CC prevention advocacy was also positively associated with CC service utilization self-efficacy. These findings support the validity of our conceptual model regarding factors associated with engagement in CC prevention advocacy among women screened for CC. The strong association between CC prevention advocacy and both CC screening uptake and CC service utilization self-efficacy suggests the potential value of advocacy promotion among women who have been screened, as well as for increasing screening uptake. Lippincott Williams & Wilkins 2023-08-25 /pmc/articles/PMC10470712/ /pubmed/37653775 http://dx.doi.org/10.1097/MD.0000000000034888 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle Research Article: Observational Study
Wagner, Glenn J.
Matovu, Joseph K.B.
Juncker, Margrethe
Namisango, Eve
Bouskill, Kathryn
Nakami, Sylvia
Beyeza-Kashesya, Jolly
Luyirika, Emmanuel
Wanyenze, Rhoda K.
Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title_full Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title_fullStr Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title_full_unstemmed Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title_short Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model
title_sort correlates of cervical cancer prevention advocacy and cervical cancer screening in uganda: cross-sectional evaluation of a conceptual model
topic Research Article: Observational Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470712/
https://www.ncbi.nlm.nih.gov/pubmed/37653775
http://dx.doi.org/10.1097/MD.0000000000034888
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