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Factors associated with cervical cancer screening among women living with HIV in the Kilimanjaro region, northern Tanzania : A cross-sectional study

Mwantake, Meshack R. ; Kajoka, Happiness D. ; Kimondo, Faustini C. ; Amour, Caroline and Mboya, Innocent B. LU orcid (2022) In Preventive Medicine Reports 30.
Abstract

Despite cervical cancer being a highly preventable disease, it is the fourth most common cancer among women in both incidence and mortality. Cervical cancer screening is crucial in preventing the disease. Women living with HIV (WLHIV) are at higher risk of cervical cancer because of their immune-compromised state. We aimed to determine factors associated with cervical cancer screening among WLHIV in the Kilimanjaro region, northern Tanzania. A cross-sectional study was conducted in the Kilimanjaro region among 297 WLHIV attending care and treatment centers (CTC) in northern Tanzania between August 21 and September 3, 2020; and interviewed using a questionnaire. Logistic regression model determined factors associated with cervical cancer... (More)

Despite cervical cancer being a highly preventable disease, it is the fourth most common cancer among women in both incidence and mortality. Cervical cancer screening is crucial in preventing the disease. Women living with HIV (WLHIV) are at higher risk of cervical cancer because of their immune-compromised state. We aimed to determine factors associated with cervical cancer screening among WLHIV in the Kilimanjaro region, northern Tanzania. A cross-sectional study was conducted in the Kilimanjaro region among 297 WLHIV attending care and treatment centers (CTC) in northern Tanzania between August 21 and September 3, 2020; and interviewed using a questionnaire. Logistic regression model determined factors associated with cervical cancer screening at 5% significance level. Half (50.2 %) of the 297 WLHIV had ever screened for cervical cancer. WLHIV with positive attitudes towards cervical cancer screening (AOR = 3.48, 95 % CI 1.86, 6.51) and those who received information on cervical cancer from Health Care Providers (HCP) (AOR = 17.31, 95 % CI 6.00, 50.22) had higher odds of ever being screened for cervical cancer. Lower odds of screening (AOR = 0.50, 95 % CI 0.27, 0.96) were among women diagnosed with HIV within the past three years. WLHIV having a positive attitude towards screening and received cervical cancer screening information from HCP, were likely to have ever screened. Women newly diagnosed with HIV are less likely to have ever screened. HCPs at CTC are an important source of information about screening and for promoting cervical cancer screening among WLHIV. Special attention should be given to women newly diagnosed with HIV.

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author
; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Associated factors, Cervical cancer, Cervical cancer screening, Tanzania, WLHIV
in
Preventive Medicine Reports
volume
30
article number
101985
publisher
Elsevier
external identifiers
  • pmid:36176589
  • scopus:85138504440
ISSN
2211-3355
DOI
10.1016/j.pmedr.2022.101985
language
English
LU publication?
no
additional info
Funding Information: We acknowledge the regional medical officer of the Kilimanjaro Region for permission to carry out this study. We also appreciate the support from the CTC health care providers in Mawenzi regional hospital and Hai district hospital during the data collection process. We express profound gratitude to the study participants, whose consent and participation enabled the availability of data used in this study. Publisher Copyright: © 2022 The Authors
id
fdbc3229-43fd-4ccf-aa7e-242103fdb480
date added to LUP
2022-10-06 08:01:40
date last changed
2024-09-20 05:03:48
@article{fdbc3229-43fd-4ccf-aa7e-242103fdb480,
  abstract     = {{<p>Despite cervical cancer being a highly preventable disease, it is the fourth most common cancer among women in both incidence and mortality. Cervical cancer screening is crucial in preventing the disease. Women living with HIV (WLHIV) are at higher risk of cervical cancer because of their immune-compromised state. We aimed to determine factors associated with cervical cancer screening among WLHIV in the Kilimanjaro region, northern Tanzania. A cross-sectional study was conducted in the Kilimanjaro region among 297 WLHIV attending care and treatment centers (CTC) in northern Tanzania between August 21 and September 3, 2020; and interviewed using a questionnaire. Logistic regression model determined factors associated with cervical cancer screening at 5% significance level. Half (50.2 %) of the 297 WLHIV had ever screened for cervical cancer. WLHIV with positive attitudes towards cervical cancer screening (AOR = 3.48, 95 % CI 1.86, 6.51) and those who received information on cervical cancer from Health Care Providers (HCP) (AOR = 17.31, 95 % CI 6.00, 50.22) had higher odds of ever being screened for cervical cancer. Lower odds of screening (AOR = 0.50, 95 % CI 0.27, 0.96) were among women diagnosed with HIV within the past three years. WLHIV having a positive attitude towards screening and received cervical cancer screening information from HCP, were likely to have ever screened. Women newly diagnosed with HIV are less likely to have ever screened. HCPs at CTC are an important source of information about screening and for promoting cervical cancer screening among WLHIV. Special attention should be given to women newly diagnosed with HIV.</p>}},
  author       = {{Mwantake, Meshack R. and Kajoka, Happiness D. and Kimondo, Faustini C. and Amour, Caroline and Mboya, Innocent B.}},
  issn         = {{2211-3355}},
  keywords     = {{Associated factors; Cervical cancer; Cervical cancer screening; Tanzania; WLHIV}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Preventive Medicine Reports}},
  title        = {{Factors associated with cervical cancer screening among women living with HIV in the Kilimanjaro region, northern Tanzania : A cross-sectional study}},
  url          = {{http://dx.doi.org/10.1016/j.pmedr.2022.101985}},
  doi          = {{10.1016/j.pmedr.2022.101985}},
  volume       = {{30}},
  year         = {{2022}},
}