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
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Background: Kenyan women aged ≥15 years are at risk of developing cervical cancer. Currently, cervical cytology reduces cervical cancer incidence, since it allows for early diagnosis and treatment. Uptake of cervical screening services is a priority research area in Kenya. Central to the success of any screening programme is its ability to identify, reach out and screen the defined target population. Cervical screening coverage in Kenya is currently at 3.2%. In Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Nyanza, the number screened for cervical cancer is low (averagely 3/day). Thus the current study sought to identify factors influencing uptake of cervical screening services at the facility. Methods: In a cross-sectional study, knowledge, perceptions and cues for action associated with self-reported cervical screening uptake were explored. The targeted population (n = 424), purposively selected were women of child-bearing age (18–49 years) visiting JOOTRH. Data on socio-demographic status (age, level of education, marital status, job status, income level), knowledge of cervical cancer, perceptions on severity and susceptibility to the disease were collected using self-administered structured questionnaires. Statistical significance of differences in proportions were determined by chi-square analyses while logistic regression analyses were used to identify determinants of self-reported uptake of the service. Results: Self-reported screening uptake was 17.5%. There was a strong positive association between age (P < 0.0001), level of education (P < 0.0001) and income levels (P = 0.005) with the uptake of the service. Knowledge level on the signs and symptoms of cervical cancer was an important determinant for being screened for cervical cancer (P < 0.0001). Furthermore, those who said they didn’t know about the disease (OR, 26.84, 95% CI, 6.07-118.61, P < 0.0001) or were not aware about susceptibility to it (OR, 2.37, 95% CI, 1.10-5.08, P = 0.02) had a higher likelihood of not being screened. On cues for action, those who attended the child welfare clinic were more likely to be screened (OR, 2.31, 95% CI, 1.17-3.93, P = 0.03). Conclusion: Knowledge, perception of higher susceptibility and attending child welfare clinic are key determinants of self-reported uptake of cervical screening. Increasing knowledge, enhancing health education and providing free services may increase uptake among women population in such settings.
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Women who expressed personal susceptibility to cervical cancer believed it was necessary to have HPV self-test done and vice versa to those who expressed lack of personal susceptibility.
“and for women who expressed personal susceptibility to cervical cancer believed it was necessary to have HPV self- test done and vice versa to those who expressed lack of personal susceptibility [44–46].”
From Perspectives of women participating in a cervical cancer screening campaign with community-based HPV self-sampling in rural western Kenya: a qualitative study (2019) · cites this paper as [46]
The Results table on perceived susceptibility and the Conclusions report that women who did not perceive themselves as susceptible were less likely to have been screened for cervical cancer (page not provided). The paper measures self-reported cervical screening uptake, not whether women believed an HPV self-test was necessary; that specific belief and test are not supported. (LLM, conf=0.85)
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KARAKTERISTIK WANITA USIA SUBUR DENGAN TINDAKAN PENCEGAHAN KANKER SERVIKS
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- Authors
- Morema, E. N., Atieli, H. E., Onyango, R. O., Omondi, J. H., & Ouma, C.
- Affiliations
- Maseno University (KE)
- Kenya Medical Research Institute (KE)
- Corresponding author
- Ouma, Collins
- Venue
- BMC Health Services Research
- Published
- 2014-08-06
- Volume
- 14
- Issue
- 1
- Pages
- 335-335
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC4271847
- OpenAlex
- W2160051381
- Cited by
- 103
- References
- 18
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 17 · 2021: 13 · 2020: 13 · 2019: 11 · 2018: 6 · 2017: 6 · 2016: 9 · 2015: 3
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- cervical cancer screening, screening uptake, cervical cytology, cervical cancer knowledge, perceived susceptibility, perceived severity, health beliefs, socioeconomic factors, women of reproductive age, Kenya, Nyanza, health care utilization, cervical cancer prevention, health education needs assessment
- MeSH terms
- Adolescent, Adult, Uterine Cervical Neoplasms, Cross-Sectional Studies, Disease Susceptibility, Female, Humans, Kenya, Health Knowledge, Attitudes, Practice, Mass Screening, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Incidence, Self Report
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