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Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health

BACKGROUND: Cervical cancer is the third most common cancer that affects women worldwide. It has been and remains the leading cause of cancer mortality among women in Ghana. Despite the fact that cervical cancer is preventable through early detection and treatment of precancerous lesions, anecdotal...

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Autores principales: Calys-Tagoe, Benedict N. L., Aheto, Justice M. K., Mensah, George, Biritwum, Richard B., Yawson, Alfred E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059370/
https://www.ncbi.nlm.nih.gov/pubmed/32138737
http://dx.doi.org/10.1186/s12905-020-00915-9
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author Calys-Tagoe, Benedict N. L.
Aheto, Justice M. K.
Mensah, George
Biritwum, Richard B.
Yawson, Alfred E.
author_facet Calys-Tagoe, Benedict N. L.
Aheto, Justice M. K.
Mensah, George
Biritwum, Richard B.
Yawson, Alfred E.
author_sort Calys-Tagoe, Benedict N. L.
collection PubMed
description BACKGROUND: Cervical cancer is the third most common cancer that affects women worldwide. It has been and remains the leading cause of cancer mortality among women in Ghana. Despite the fact that cervical cancer is preventable through early detection and treatment of precancerous lesions, anecdotal evidence from gynaecological clinics in Ghana indicates that most patients present with a late stage of the disease. This study assesses the cervical cancer screening practices among women in Ghana. METHODS: Data from the World Health Organization’s (WHO) multi-country Study on AGEing and adult health (SAGE) wave 2 conducted between 2014 and 2015 in Ghana was used. We employed binary logistic regression models to analyse data on 2711 women to examine factors associated with having pelvic examination among women aged ≥18 years. Among those who had pelvic examination, we applied binary logistic regression models to analyse factors associated with receiving Pap smear test as a subgroup analysis. RESULTS: Of the 2711 women aged 18 years or older surveyed, 225 (8.3%) had ever had a pelvic examination and only 66 (2.4%) of them reported ever having done a Pap smear test. For those who had pelvic examination, only 26.94% had Pap smear test. Ethnic group, marital status, father’s educational level and difficulty with self-care were independently associated with undergoing pelvic examination. Only age and healthcare involvement were independently associated with pelvic examination within the past 5 years to the survey. Marital status, satisfaction with healthcare and healthcare involvement were independently associated with Pap smear test. CONCLUSION: Even though cervical cancer is preventable through early detection of precancerous lesions using Pap smear test, the patronage of this screening test is still very low in Ghana. Factors influencing the low patronage in Ghana include the marital status of women, their level of satisfaction with healthcare as well as their level of involvement with healthcare. These may be the consequences of a weak health system and the lack of a national policy on cervical cancer screening.
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spelling pubmed-70593702020-03-12 Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health Calys-Tagoe, Benedict N. L. Aheto, Justice M. K. Mensah, George Biritwum, Richard B. Yawson, Alfred E. BMC Womens Health Research Article BACKGROUND: Cervical cancer is the third most common cancer that affects women worldwide. It has been and remains the leading cause of cancer mortality among women in Ghana. Despite the fact that cervical cancer is preventable through early detection and treatment of precancerous lesions, anecdotal evidence from gynaecological clinics in Ghana indicates that most patients present with a late stage of the disease. This study assesses the cervical cancer screening practices among women in Ghana. METHODS: Data from the World Health Organization’s (WHO) multi-country Study on AGEing and adult health (SAGE) wave 2 conducted between 2014 and 2015 in Ghana was used. We employed binary logistic regression models to analyse data on 2711 women to examine factors associated with having pelvic examination among women aged ≥18 years. Among those who had pelvic examination, we applied binary logistic regression models to analyse factors associated with receiving Pap smear test as a subgroup analysis. RESULTS: Of the 2711 women aged 18 years or older surveyed, 225 (8.3%) had ever had a pelvic examination and only 66 (2.4%) of them reported ever having done a Pap smear test. For those who had pelvic examination, only 26.94% had Pap smear test. Ethnic group, marital status, father’s educational level and difficulty with self-care were independently associated with undergoing pelvic examination. Only age and healthcare involvement were independently associated with pelvic examination within the past 5 years to the survey. Marital status, satisfaction with healthcare and healthcare involvement were independently associated with Pap smear test. CONCLUSION: Even though cervical cancer is preventable through early detection of precancerous lesions using Pap smear test, the patronage of this screening test is still very low in Ghana. Factors influencing the low patronage in Ghana include the marital status of women, their level of satisfaction with healthcare as well as their level of involvement with healthcare. These may be the consequences of a weak health system and the lack of a national policy on cervical cancer screening. BioMed Central 2020-03-05 /pmc/articles/PMC7059370/ /pubmed/32138737 http://dx.doi.org/10.1186/s12905-020-00915-9 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Calys-Tagoe, Benedict N. L.
Aheto, Justice M. K.
Mensah, George
Biritwum, Richard B.
Yawson, Alfred E.
Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title_full Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title_fullStr Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title_full_unstemmed Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title_short Cervical cancer screening practices among women in Ghana: evidence from wave 2 of the WHO study on global AGEing and adult health
title_sort cervical cancer screening practices among women in ghana: evidence from wave 2 of the who study on global ageing and adult health
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059370/
https://www.ncbi.nlm.nih.gov/pubmed/32138737
http://dx.doi.org/10.1186/s12905-020-00915-9
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