Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women

BMC Public Health

Research Article

Chidinma V Gab-Okafor¹  Oliver C Ezechi²  Per Olof Ostergren³  Karen Odberg Pettersson³ 

[1] Clinical Sciences Division, Nigerian Institute of Medical Research, Lagos, Nigeria;Clinical Sciences Division, Nigerian Institute of Medical Research, Lagos, Nigeria;Division of Social Medicine and Global Health, Faculty of Medicine, Lund University, Lund, Sweden;Division of Social Medicine and Global Health, Faculty of Medicine, Lund University, Lund, Sweden;

关键词: Cervical cancer;    Screening;    HIV;    Acceptability;   

DOI  :  10.1186/1471-2458-13-46

 received in 2012-08-21, accepted in 2013-01-08,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe proven benefit of integrating cervical cancer screening programme into HIV care has led to its adoption as a standard of care. However this is not operational in most HIV clinics in Nigeria. Of the various reasons given for non-implementation, none is backed by scientific evidence. This study was conducted to assess the willingness and acceptability of cervical cancer screening among HIV positive Nigerian women.MethodsA cross sectional study of HIV positive women attending a large HIV treatment centre in Lagos, Nigeria. Respondents were identified using stratified sampling method. A pretested questionnaire was used to obtain information by trained research assistants. Obtained information were coded and managed using SPSS for windows version 19. Multivariate logistic regression model was used to determine independent predictor for acceptance of cervical cancer screening.ResultsOf the 1517 respondents that returned completed questionnaires, 853 (56.2%) were aware of cervical cancer. Though previous cervical cancer screening was low at 9.4%, 79.8% (1210) accepted to take the test. Cost of the test (35.2%) and religious denial (14.0%) were the most common reasons given for refusal to take the test. After controlling for confounding variables in a multivariate logistic regression model, having a tertiary education (OR = 1.4; 95% CI: 1.03-1.84), no living child (OR: 1.5; 95% CI: 1.1-2.0), recent HIV diagnosis (OR: 1.5; 95% CI: 1.1-2.0) and being aware of cervical cancer (OR: 1.5; 95% CI: 1.2-2.0) retained independent association with acceptance to screen for cervical cancer.ConclusionsThe study shows that HIV positive women in our environment are willing to screen for cervical cancer and that the integration of reproductive health service into existing HIV programmes will strengthen rather than disrupt the services.

【 授权许可】

CC BY   
© Ezechi et al.; licensee BioMed Central Ltd. 2013