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Predictors of cervical cancer screening uptake in two districts of Central Uganda

Uganda’s cervical cancer age standardized incidence rate is four times the global estimate. Although Uganda’s ministry of health recommends screening for women aged 25–49 years, the screening remains low even in the most developed region (Central Uganda) of the country. This study examined the demog...

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Autores principales: Isabirye, Alone, Mbonye, Martin Kayitale, Kwagala, Betty
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714132/
https://www.ncbi.nlm.nih.gov/pubmed/33270792
http://dx.doi.org/10.1371/journal.pone.0243281
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author Isabirye, Alone
Mbonye, Martin Kayitale
Kwagala, Betty
author_facet Isabirye, Alone
Mbonye, Martin Kayitale
Kwagala, Betty
author_sort Isabirye, Alone
collection PubMed
description Uganda’s cervical cancer age standardized incidence rate is four times the global estimate. Although Uganda’s ministry of health recommends screening for women aged 25–49 years, the screening remains low even in the most developed region (Central Uganda) of the country. This study examined the demographic, social, and economic predictors of cervical cancer screening in Central Uganda with the aim of informing targeted interventions to improve screening. The cross-sectional survey was conducted in Wakiso and Nakasongola districts in Central Uganda. A total of 845 women age 25–49 years participated in the study. Data were analyzed at bivariate and multivariate levels to examine the predictors of CC (cervical cancer) screening. Only 1 in 5 women (20.6%) had ever screened for cervical cancer. Our multivariate logistic regression model indicated that wealth index, source of information, and knowledge about CC and CC screening were significantly associated with cervical cancer screening. The odds of cervical cancer screening were higher among rich women compared with poor women [AOR = 1.93 (95%CI: 1.06–3.42), p = 0.031)], receiving information from health providers compared with radios [AOR = 4.14 (95%CI: 2.65–6.48), p<0.001, and being more knowledgeable compared with being less knowledgeable about CC and CC screening [AOR = 2.46 (95%CI: 1.49–3.37), p<0.001)]. Overall cervical cancer screening uptake in central Uganda was found to be low. The findings of the study indicate that women from a wealthy background, who had been sensitized by health workers and with high knowledge about CC and CC screening had higher odds of having ever screened compared with their counterparts. Efforts to increase uptake of screening must address disparities in access to resources and knowledge.
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spelling pubmed-77141322020-12-09 Predictors of cervical cancer screening uptake in two districts of Central Uganda Isabirye, Alone Mbonye, Martin Kayitale Kwagala, Betty PLoS One Research Article Uganda’s cervical cancer age standardized incidence rate is four times the global estimate. Although Uganda’s ministry of health recommends screening for women aged 25–49 years, the screening remains low even in the most developed region (Central Uganda) of the country. This study examined the demographic, social, and economic predictors of cervical cancer screening in Central Uganda with the aim of informing targeted interventions to improve screening. The cross-sectional survey was conducted in Wakiso and Nakasongola districts in Central Uganda. A total of 845 women age 25–49 years participated in the study. Data were analyzed at bivariate and multivariate levels to examine the predictors of CC (cervical cancer) screening. Only 1 in 5 women (20.6%) had ever screened for cervical cancer. Our multivariate logistic regression model indicated that wealth index, source of information, and knowledge about CC and CC screening were significantly associated with cervical cancer screening. The odds of cervical cancer screening were higher among rich women compared with poor women [AOR = 1.93 (95%CI: 1.06–3.42), p = 0.031)], receiving information from health providers compared with radios [AOR = 4.14 (95%CI: 2.65–6.48), p<0.001, and being more knowledgeable compared with being less knowledgeable about CC and CC screening [AOR = 2.46 (95%CI: 1.49–3.37), p<0.001)]. Overall cervical cancer screening uptake in central Uganda was found to be low. The findings of the study indicate that women from a wealthy background, who had been sensitized by health workers and with high knowledge about CC and CC screening had higher odds of having ever screened compared with their counterparts. Efforts to increase uptake of screening must address disparities in access to resources and knowledge. Public Library of Science 2020-12-03 /pmc/articles/PMC7714132/ /pubmed/33270792 http://dx.doi.org/10.1371/journal.pone.0243281 Text en © 2020 Isabirye et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Isabirye, Alone
Mbonye, Martin Kayitale
Kwagala, Betty
Predictors of cervical cancer screening uptake in two districts of Central Uganda
title Predictors of cervical cancer screening uptake in two districts of Central Uganda
title_full Predictors of cervical cancer screening uptake in two districts of Central Uganda
title_fullStr Predictors of cervical cancer screening uptake in two districts of Central Uganda
title_full_unstemmed Predictors of cervical cancer screening uptake in two districts of Central Uganda
title_short Predictors of cervical cancer screening uptake in two districts of Central Uganda
title_sort predictors of cervical cancer screening uptake in two districts of central uganda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7714132/
https://www.ncbi.nlm.nih.gov/pubmed/33270792
http://dx.doi.org/10.1371/journal.pone.0243281
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