Azin Alavi, Saeede Shahsavari, Mahsheed Mahboobi, Seyed Hesamaddin Banihashemi,
Volume 9, Issue 4 (12-2022)
Abstract
Objective: The high mortality due to cervical cancer in developing countries is mainly due to ineffective screening programs, limited access to screening programs, and low levels of follow-up treatment after abnormal results. The present study aims to identify the factors related to cervical cancer screening in Bandar Abbas, Iran.
Methods: This cross-sectional study was conducted during 2021-2022 on 810 women aged 15-49 years who were selected using a two-stage cluster sampling method. The participants completed a valid and reliable researcher-made questionnaire face-to-face, which surveyed demographic characteristics, knowledge and attitude. The data were analyzed in SPSS software, version 20 and using univariate and multivariate logistic regression analyses.
Results: Mean age of the participants was 30.97±5.80 years. The likelihood of cervical cancer screening in women with 1-2 children compared to women without children was 25 times higher; in women with 3-5 children compared to women without children, it was 7.7 times higher; in women with moderate financial status compared to those with poor financial status, it was 9 times higher; and in women with good financial status compared to those with poor financial status, it was 23 times higher. Furthermore, with one unit increase in knowledge score, the likelihood of cervical cancer screening was 1.4 times higher, and with one unit increase in the attitude score, the screening was increased by 1.08.
Conclusion: to increase the rate of cervical cancer screening in bandar Abbas, some personal and social factors should be taken into account. It is recommended to use appropriate and cost-effective educational methods to promote the knowledge and attitude of women in Bandar Abbas regarding cervical cancer and its prevention methods.
Seyed Hesamaddin Banihashemi, Seyed Ali Mirabbasi, Maryam Azizi Kutenaee,
Volume 10, Issue 4 (1-2024)
Abstract
Objective The prevalence of cervical cancer in Iran is increasing. The cervical cancer screening can accelerate the elimination of cervical cancer in women with no HPV vaccination. The current study aims to investigate demographic characteristics, knowledge and accessibility of cervical cancer screening services in women from the outskirts of Bandar Abbas City, southern Iran.
Methods This is a case-control study on 200 women performed cervical cancer screening regularly in the past 3 years (case group) and 400 women with no cervical cancer screening in the past 3 years (control group). Information was collected using a researcher-made questionnaire surveying demographic/obstetric information, knowledge of cervical cancer and cervical cancer screening, and access to cervical cancer screening services. Analysis was done by using univariate and multivariate regression analyses in STATA software, version 14.2. P<0.05 was considered statistically significant.
Results The mean age of women was 30.33±4.892 years in the case group and 31.35±6.149 years in the control group. There was a significant difference in the means of knowledge and access between the two groups. Married women were 3 times more likely to perform cervical cancer screening than single women. Women with a diploma were 2 times and those with a university degree were 1.4 times more likely to perform cervical cancer screening than women with primary education. Both moderate and high economic status increased the odds of screening by 6 times. Non-smoking women were 1.1 times more likely to perform screening than smokers. Compared to women with low knowledge, women with moderate and high knowledge were 18 times and 13 times more likely to perform cervical cancer screening, respectively. In the group with moderate and high access to screening services, women were 4 and 8 times more likely to perform screening, respectively.
Conclusion It is recommended to remove barriers to cervical cancer screening in women with poor socio-economic status and focus on primiparous women or women without a history of childbirth to increase cervical cancer screening.
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