Sociodemographic characteristics, attitudes, and knowledge associated with previous screening for cervical cancer among women in western Jamaica.
Infect Agent Cancer
; 18(1): 53, 2023 Sep 23.
Article
en En
| MEDLINE
| ID: mdl-37742036
ABSTRACT
BACKGROUND:
About 90% of new cervical cancer cases and deaths worldwide in 2020 occurred in low- and middle-income countries. This can be attributed to the low rates of cervical cancer screening in these countries. This study was conducted to identify factors associated with lack of cervical cancer screening among women in western Jamaica with the aim to increase screening and decrease cervical cancer risk.METHODS:
This cross-sectional study assessed associations between previous Pap testing or lack of testing in five years or more, sociodemographic characteristics, attitudes, and knowledge of cervical cancer among women recruited from clinics and community events in the four parishes of western Jamaica. Analyses included chi-square tests, Fisher's exact tests, and logistic regression.RESULTS:
Of the 223 women included in the study, 109 (48.9%) reported Pap testing five years or more previous to the study. In the multivariate analysis, women from St. James (Odds Ratio [OR] 3.35, 95% Confidence Interval [CI] 1.12-9.99), Trelawny (OR 5.34, 95% CI 1.23-23.25), and Westmoreland (OR 3.70, 95% CI 1.10-12.50) had increased odds of having had Pap test screening compared to women from Hanover. Women ≥ 50 years of age compared to women 18-29 years of age (OR 6.17, 95% CI 1.76-21.54), and employed compared to unemployed women (OR 2.44, 95% CI 1.15-5.20) had increased odds of Pap test screening. Similarly, women with one (OR 4.15, 95% CI 1.06-16.22) or two or more children (OR 8.43, 95% CI 2.24-31.63) compared to women with no children had higher odds of screening. Women who were aware, compared to women who were unaware, of the purpose of Pap tests had increased odds of screening (OR 3.90, 95% CI 1.55-9.82). Lastly, women who believed Pap tests were painful compared to women who did not, had decreased odds of having had a Pap test (OR 0.33, 95% CI 0.16-0.71).CONCLUSIONS:
Uptake of Pap tests among the women was suboptimal and varied among parishes. Young women and women without children were less likely to have ever been screened. Increased education of the purpose of Pap tests to treat pre-cancer to prevent cancer and minimization of the notion that Pap tests are painful could promote screening among women in this population.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
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Screening_studies
País/Región como asunto:
Caribe ingles
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Jamaica
Idioma:
En
Revista:
Infect Agent Cancer
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos