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Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania
Author(s) -
Perng Powell,
Perng Wei,
Ngoma Twalib,
Kahesa Crispin,
Mwaiselage Julius,
Merajver Sofia D.,
Soliman Amr S.
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2013.05.026
Subject(s) - medicine , tanzania , cervical cancer , logistic regression , odds ratio , demography , cancer , odds , rural area , family medicine , health care , gerontology , sociology , economics , economic growth , environmental science , environmental planning , pathology
Abstract 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 40–49 years versus 20–29 years), 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.