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Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women
BACKGROUND: The proven benefit of integrating cervical cancer screening programme into HIV care has led to its adoption as a standard of care. However this is not operational in most HIV clinics in Nigeria. Of the various reasons given for non-implementation, none is backed by scientific evidence. T...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567931/ https://www.ncbi.nlm.nih.gov/pubmed/23327453 http://dx.doi.org/10.1186/1471-2458-13-46 |
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author | Ezechi, Oliver C Gab-Okafor, Chidinma V Ostergren, Per Olof Odberg Pettersson, Karen |
author_facet | Ezechi, Oliver C Gab-Okafor, Chidinma V Ostergren, Per Olof Odberg Pettersson, Karen |
author_sort | Ezechi, Oliver C |
collection | PubMed |
description | BACKGROUND: The proven benefit of integrating cervical cancer screening programme into HIV care has led to its adoption as a standard of care. However this is not operational in most HIV clinics in Nigeria. Of the various reasons given for non-implementation, none is backed by scientific evidence. This study was conducted to assess the willingness and acceptability of cervical cancer screening among HIV positive Nigerian women. METHODS: A cross sectional study of HIV positive women attending a large HIV treatment centre in Lagos, Nigeria. Respondents were identified using stratified sampling method. A pretested questionnaire was used to obtain information by trained research assistants. Obtained information were coded and managed using SPSS for windows version 19. Multivariate logistic regression model was used to determine independent predictor for acceptance of cervical cancer screening. RESULTS: Of the 1517 respondents that returned completed questionnaires, 853 (56.2%) were aware of cervical cancer. Though previous cervical cancer screening was low at 9.4%, 79.8% (1210) accepted to take the test. Cost of the test (35.2%) and religious denial (14.0%) were the most common reasons given for refusal to take the test. After controlling for confounding variables in a multivariate logistic regression model, having a tertiary education (OR = 1.4; 95% CI: 1.03-1.84), no living child (OR: 1.5; 95% CI: 1.1-2.0), recent HIV diagnosis (OR: 1.5; 95% CI: 1.1-2.0) and being aware of cervical cancer (OR: 1.5; 95% CI: 1.2-2.0) retained independent association with acceptance to screen for cervical cancer. CONCLUSIONS: The study shows that HIV positive women in our environment are willing to screen for cervical cancer and that the integration of reproductive health service into existing HIV programmes will strengthen rather than disrupt the services. |
format | Online Article Text |
id | pubmed-3567931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35679312013-02-12 Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women Ezechi, Oliver C Gab-Okafor, Chidinma V Ostergren, Per Olof Odberg Pettersson, Karen BMC Public Health Research Article BACKGROUND: The proven benefit of integrating cervical cancer screening programme into HIV care has led to its adoption as a standard of care. However this is not operational in most HIV clinics in Nigeria. Of the various reasons given for non-implementation, none is backed by scientific evidence. This study was conducted to assess the willingness and acceptability of cervical cancer screening among HIV positive Nigerian women. METHODS: A cross sectional study of HIV positive women attending a large HIV treatment centre in Lagos, Nigeria. Respondents were identified using stratified sampling method. A pretested questionnaire was used to obtain information by trained research assistants. Obtained information were coded and managed using SPSS for windows version 19. Multivariate logistic regression model was used to determine independent predictor for acceptance of cervical cancer screening. RESULTS: Of the 1517 respondents that returned completed questionnaires, 853 (56.2%) were aware of cervical cancer. Though previous cervical cancer screening was low at 9.4%, 79.8% (1210) accepted to take the test. Cost of the test (35.2%) and religious denial (14.0%) were the most common reasons given for refusal to take the test. After controlling for confounding variables in a multivariate logistic regression model, having a tertiary education (OR = 1.4; 95% CI: 1.03-1.84), no living child (OR: 1.5; 95% CI: 1.1-2.0), recent HIV diagnosis (OR: 1.5; 95% CI: 1.1-2.0) and being aware of cervical cancer (OR: 1.5; 95% CI: 1.2-2.0) retained independent association with acceptance to screen for cervical cancer. CONCLUSIONS: The study shows that HIV positive women in our environment are willing to screen for cervical cancer and that the integration of reproductive health service into existing HIV programmes will strengthen rather than disrupt the services. BioMed Central 2013-01-17 /pmc/articles/PMC3567931/ /pubmed/23327453 http://dx.doi.org/10.1186/1471-2458-13-46 Text en Copyright ©2013 Ezechi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ezechi, Oliver C Gab-Okafor, Chidinma V Ostergren, Per Olof Odberg Pettersson, Karen Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title | Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title_full | Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title_fullStr | Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title_full_unstemmed | Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title_short | Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women |
title_sort | willingness and acceptability of cervical cancer screening among hiv positive nigerian women |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567931/ https://www.ncbi.nlm.nih.gov/pubmed/23327453 http://dx.doi.org/10.1186/1471-2458-13-46 |
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