Updated in 4/3/2015 12:57:55 AM      Viewed: 229 times      (Journal Article)
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 123 (3): 221-225 (2013)

Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania

P. Perng , W. Perng , T. Ngoma , C. Kahesa , J. Mwaiselage , S. D. Merajver , A. S. Soliman
OBJECTIVE: To investigate promoters and barriers for cervical cancer screening in rural Tanzania. METHODS: We interviewed 300 women of reproductive age living in Kiwangwa village, Tanzania. The odds of attending a free, 2-day screening service were compared with sociodemographic variables, lifestyle factors, and knowledge and attitudes surrounding cervical cancer using multivariable logistic regression. RESULTS: Compared with women who did not attend the screening service (n=195), women who attended (n=105) were older (OR 4.29; 95% CI, 1.61-11.48, age 40-49years versus 20-29years), listened regularly to the radio (OR 24.76; 95% CI, 11.49-53.33, listened to radio 1-3 times per week versus not at all), had a poorer quality of life (OR 4.91; CI, 1.96-12.32, lowest versus highest score), had faced cost barriers to obtaining health care in the preceding year (OR 2.24; 95% CI, 1.11-4.53, yes versus no), and held a more positive attitude toward cervical cancer screening (OR 4.64; 95% CI, 1.39-15.55, least versus most averse). CONCLUSION: Efforts aimed at improving screening rates in rural Tanzania need to address both structural and individual-level barriers, including knowledge and awareness of cervical cancer prevention, cost barriers to care, and access to health information.
ISSN: 1879-3479; 0020-7292     
ID: 22354; CI: (c) 2013; GR: R25 CA11 2383/CA/NCI NIH HHS/United States; JID: 0210174; OTO: NOTNLM; 2013/03/28 received]; 2013/08/22 accepted]; 2013/09/04 aheadofprint]; ppublish; M1: Journal Article
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