TY - JOUR
T1 - Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania
AU - Perng, Powell
AU - Perng, Wei
AU - Ngoma, Twalib
AU - Kahesa, Crispin
AU - Mwaiselage, Julius
AU - Merajver, Sofia D.
AU - Soliman, Amr S.
N1 - Funding Information:
The present study was supported by a Fulbright Program grant sponsored by the Bureau of Educational and Cultural Affairs of the United States Department of State and administered by the Institute of International Education. The study was also supported by the Cancer Epidemiology Education in Special Populations program of the University of Nebraska (Omaha, NE, USA; grant R25 CA11 2383 ), the Avon Foundation (A.S.S., S.D.M), and the Breast Cancer Research Foundation (S.D.M).
PY - 2013/12
Y1 - 2013/12
N2 - Objective To investigate promoters and barriers for cervical cancer screening in rural Tanzania. Methods We interviewed 300 women of reproductive age living in Kiwangwa village, Tanzania. The odds of attending a free, 2-day screening service were compared with sociodemographic variables, lifestyle factors, and knowledge and attitudes surrounding cervical cancer using multivariable logistic regression. Results Compared with women who did not attend the screening service (n = 195), women who attended (n = 105) were older (OR 4.29; 95% CI, 1.61-11.48, age 40-49 years versus 20-29 years), listened regularly to the radio (OR 24.76; 95% CI, 11.49-53.33, listened to radio 1-3 times per week versus not at all), had a poorer quality of life (OR 4.91; CI, 1.96-12.32, lowest versus highest score), had faced cost barriers to obtaining health care in the preceding year (OR 2.24; 95% CI, 1.11-4.53, yes versus no), and held a more positive attitude toward cervical cancer screening (OR 4.64; 95% CI, 1.39-15.55, least versus most averse). Conclusion Efforts aimed at improving screening rates in rural Tanzania need to address both structural and individual-level barriers, including knowledge and awareness of cervical cancer prevention, cost barriers to care, and access to health information.
AB - Objective To investigate promoters and barriers for cervical cancer screening in rural Tanzania. Methods We interviewed 300 women of reproductive age living in Kiwangwa village, Tanzania. The odds of attending a free, 2-day screening service were compared with sociodemographic variables, lifestyle factors, and knowledge and attitudes surrounding cervical cancer using multivariable logistic regression. Results Compared with women who did not attend the screening service (n = 195), women who attended (n = 105) were older (OR 4.29; 95% CI, 1.61-11.48, age 40-49 years versus 20-29 years), listened regularly to the radio (OR 24.76; 95% CI, 11.49-53.33, listened to radio 1-3 times per week versus not at all), had a poorer quality of life (OR 4.91; CI, 1.96-12.32, lowest versus highest score), had faced cost barriers to obtaining health care in the preceding year (OR 2.24; 95% CI, 1.11-4.53, yes versus no), and held a more positive attitude toward cervical cancer screening (OR 4.64; 95% CI, 1.39-15.55, least versus most averse). Conclusion Efforts aimed at improving screening rates in rural Tanzania need to address both structural and individual-level barriers, including knowledge and awareness of cervical cancer prevention, cost barriers to care, and access to health information.
KW - Barriers
KW - Cervical cancer
KW - Low-income countries
KW - Rural
KW - Screening
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U2 - 10.1016/j.ijgo.2013.05.026
DO - 10.1016/j.ijgo.2013.05.026
M3 - Article
C2 - 24095307
AN - SCOPUS:84887094459
VL - 123
SP - 221
EP - 225
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
SN - 0020-7292
IS - 3
ER -