Perceived Threats Towards Cervical Cancer Among Women ≥ 15 Years in Arsi Zone, Southeastern Ethiopia: A Community Based Cross-sectional Study
International Journal of Anesthesia and Clinical Medicine
Volume 7, Issue 1, June 2019, Pages: 20-26
Received: Jan. 15, 2019;
Accepted: Mar. 12, 2019;
Published: Apr. 26, 2019
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Gemechu Chemeda Feyisa, Arsi Zonal Health Department, Ethiopia Field Epidemiology Training Program (EFETP), Finfinnee, Ethiopia
Feyisa Tolessa, Jimma University, School of Public Health, Jimma, Ethiopia
All cancer mortality accounted 18.4 per 100,000 in Ethiopia. Cancer of the cervix is the second common cause of cancer with incidence of 16.4 per 100,000 in the country. The aim of this study was to assess women’s perception of susceptibility and severity of cervical cancer and their associate factors in Arsi zone, southeastern Ethiopia. A community based cross-sectional study design was carried out in Arsi zone, southeastern Ethiopia among 906 women aged ≥ 15 years using multi-stage sampling technique. Binary logistic regression model was used to determine the association of socio-demographic characteristics and reproductive variables on perceived threats to cervical cancer at p-value of <0.05 using SPSS. When perceived susceptibility and severity combined (perceived threat), 739 (81.9%) of women had low perceived threats to cervical cancer. Ever exposed to STI [AOR=5.8, 95% CI: (2.3-14.9)], ever heard of cervical cancer [AOR=1.87, 95% CI: (1.3-2.8)], ever heard cervical cancer screening [AOR=3.4, 95% CI: (1.7-6.9)], preferences of screening in the future [AOR=2.34, 95% CI: (1.18-4.62)], ever smoked [AOR=2.5, 95% CI: (1.1-5.9)] and ever had abortion [AOR=1.32, 95% CI: (1.05-2.25)] were independently associated with perceived threats to cervical cancer. Women who ever smoked had 2.5 times more likely to perceive threats towards cervical cancer than those non-smokers. The study found that more than one-third of women believed that they were not at risk of developing cervical cancer and the majority of them had lower perceived threats of cervical cancer, which could be a major obstacle in the uptake of cervical cancer screening in the community. Therefore, changing the women’s perception of susceptibility and severity of the disease which enhances screening in the community was recommended.
Gemechu Chemeda Feyisa,
Perceived Threats Towards Cervical Cancer Among Women ≥ 15 Years in Arsi Zone, Southeastern Ethiopia: A Community Based Cross-sectional Study, International Journal of Anesthesia and Clinical Medicine.
Vol. 7, No. 1,
2019, pp. 20-26.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under 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 work is properly cited.
Amercican cancer society. Last Revised: 1/29/2016. p. 1-53.
American Cancer Society. Global Cancer Facts & Figures 3rd Edition. Atlanta: American Cancer Society. 2015.
Issa Kadija Abdikarim, Wagoro Miriam Carole Atieno and Michael Habtu. Prevalence and Associated Factors of Cervical Cancer Screening among Somali Women in an Urban Settlement in Kenya. Journal of Community & Public Health Nursing 2017; 3(1): 1-6.
Linda Dong-Ling Wang, W. W. T. L., Joseph Wu, Richard Fielding, Hong Kong Chinese Women’s Lay Beliefs about Cervical Cancer Causation and Prevention. Asian Pac J Cancer Prev, 2014. 15 (18): p. 7679-7686.
Bruni L, B.-R. L., Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S. , ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in Ethiopia. Summary Report 7 October 2016.
Abate, S. M., Trends of Cervical Cancer in Ethiopia. Open Access Journal, 2015. 1(1): p. 1-4.
Were E, N. Z., Buziba N, Perceptions of risk and barriers to cervical cancer screening at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. African Health Sciences, 2011. 11(1): p. 58-64.
Tesfa, A., Pathfinder International Ethiopia: Combating Cervical Cancer in Ethiopia; Addis Tesfa report. 2010. p. 1-2.
CSA, Federal democratic republic of Ethiopia, Central Statistical Agency: Population projection of Ethiopia for all regions at woreda level from 2014-2017. 2013, Central Statistical Agency (CSA): Ethiopia. p. 118.
Frehiwot Getahun, F. M., Mulunesh Abuhay and Zelalem Birhanu, Comprehensive knowledge about cervical cancer is low among women in Northwest Ethiopia. BMC Cancer, 2013. 13(2): p. 1-6.
Ibekwe CM, Hoque ME, Ntuli-Ngcobo B. Perceived susceptibility of cervical cancer screening among women attending Mahalapye District Hospital, Botswana. South Afr J Epidemiol Infect 2013; 25(2):16-21.
Ncube B, B. A., Knight J, Bessler P, Jolly PE, Factors associated with the uptake of cervical cancer screening among women in Portland, Jamaica. North Am J Med Sci, 2015. 7(3): p. 104-1013.
Ibekwe CM, Hoque ME and Ntuli-Ngcobo B. Perceived Benefits of Cervical Cancer Screening among Women Attending Mahalapye District Hospital, Botswana. Asian Pac J Cancer Prev. 2013; 11(4): 1021-1027.
Garcés-Palacio IC1 and Scarinci IC. Factors associated with perceived susceptibility to cervical cancer among Latina immigrants in Alabama. Matern Child Health Journal. 2012 Jan; 16(1):242-8.
Kimberly M. Kelly, A. K. F., Mack T. Ruffin et al. Perceived Risk of Cervical Cancer in Appalachian Women. Am J Health Behav 2013; 36(6): 849–859.
Ajibola Idowu, Samuel Anu Olowookere, Aderonke Tolulope Fagbemi and Olumuyiwa Ayotunde Ogunlaja. Determinants of Cervical Cancer Screening Uptake among Women in Ilorin, North Central Nigeria: A Community-Based Study. Journal of Cancer Epidemiology 2016; 1-8.
Pryma Baskaran, Pathmawathi Subramanian, Rasnah Abdul Rahman et al. Perceived Susceptibility, and Cervical Cancer Screening Benefits and Barriers in Malaysian Women Visiting Outpatient Clinics. Asian Pac J Cancer Prev, 2013; 14 (12): 7693-7699.
Turner L. W, Hunt S. B., Dibrzzo R., & Jones C. Design and implementation of an osteoporosis prevention program using the health believe model. American Journal of health studies 2004; 19(2). 115-121.
Everlyne N Morema, Harrysone E Atieli, Rosebella O Onyango, et al. Determinants of Cervical screening services uptake among 18–49 year old women seeking services at the Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya. BMC Health Services Research 2014; 14:335.