Determinants of acceptance of cervical cancer screening in Dar es Salaam, Tanzania

BMC Public Health

Research Article

Britt Tersbol¹  Vibeke Rasch²  Myassa Dartell³  Crispin Kahesa⁴  Susanne Kjaer⁵  Twalib Ngoma⁶  Julius Mwaiselage⁶ 

[1] Department of International Health, Immunology and Microbiology, University of Copenhagen, Copenhagen K, Denmark;Department of International Health, Immunology and Microbiology, University of Copenhagen, Copenhagen K, Denmark;Department of Gynaecology and Obstetrics, Odense University Hospital, Denmark;Department of International Health, Immunology and Microbiology, University of Copenhagen, Copenhagen K, Denmark;Department of Virus, Lifestyle and Genes, Institute of Cancer and Epidemiology, Danish Cancer Society Gynaecologic Clinic Rigshospitalet, University of Copenhagen, Copenhagen K, Denmark;Department of International Health, Immunology and Microbiology, University of Copenhagen, Copenhagen K, Denmark;Ocean Road Cancer Institute, Dar es Salaam, Tanzania;Department of Virus, Lifestyle and Genes, Institute of Cancer and Epidemiology, Danish Cancer Society Gynaecologic Clinic Rigshospitalet, University of Copenhagen, Copenhagen K, Denmark;Ocean Road Cancer Institute, Dar es Salaam, Tanzania;

关键词: Cervical cancer;    Screening acceptance;    Demographic characteristics;    Knowledge;    Tanzania;   

DOI  :  10.1186/1471-2458-12-1093

 received in 2012-04-09, accepted in 2012-11-17,  发布年份 2012

来源: Springer

【 摘 要 】

ObjectiveTo describe how demographic characteristics and knowledge of cervical cancer influence screening acceptance among women living in Dar es Salaam, Tanzania.MethodsMultistage cluster sampling was carried out in 45 randomly selected streets in Dar es Salaam. Women between the ages of 25–59 who lived in the sampled streets were invited to a cervical cancer screening; 804 women accepted and 313 rejected the invitation. Information on demographic characteristics and knowledge of cervical cancer were obtained through structured questionnaire interviews.ResultsWomen aged 35–44 and women aged 45–59 had increased ORs of 3.52 and 7.09, respectively, for accepting screening. Increased accepting rates were also found among single women (OR 2.43) and among women who had attended primary or secondary school (ORs of 1.81 and 1.94). Women who had 0–2 children were also more prone to accept screening in comparison with women who had five or more children (OR 3.21). Finally, knowledge of cervical cancer and awareness of the existing screening program were also associated with increased acceptance rates (ORs of 5.90 and 4.20).ConclusionThere are identifiable subgroups where cervical cancer screening can be increased in Dar es Salaam. Special attention should be paid to women of low education and women of high parity. In addition, knowledge and awareness raising campaigns that goes hand in hand with culturally acceptable screening services will likely lead to an increased uptake of cervical cancer screening.

【 授权许可】

Unknown   
© Kahesa et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.