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Knowledge, Attitude and Practice Towards Cervical Cancer Screening Among Women and Associated Factors in Hospitals of Wolaita Zone, Southern Ethiopia

Authors Tekle T, Wolka E, Nega B, Kumma WP, Koyira MM

Received 28 November 2019

Accepted for publication 24 January 2020

Published 11 February 2020 Volume 2020:12 Pages 993—1005


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Eileen O'Reilly

Tadesse Tekle,1 Eskinder Wolka,1 Banchialem Nega,2 Wondimagegn Paulos Kumma,1 Mengistu Meskele Koyira1

1School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia

Correspondence: Mengistu Meskele Koyira
Wolaita Sodo University, P.O.Box: 138, Wolaita Sodo, Ethiopia
Tel +2519-13-17-79-96

Background: Cervical cancer is a worldwide public health concern, and approximately 85% of deaths occurs in developing countries. Thus study is designed to assess knowledge, attitude, and practice towards cervical cancer screening in Wolaita Zone, Southern Ethiopia.
Methods: We conducted a facility-based cross-sectional study. In this research, we used a multi-stage sampling procedure to select 520 participants. Information on socio-demographics, knowledge, attitude, and cervical cancer screening related questionnaires were collected using face-to-face interviews. Data were entered and cleaned in Epi-Data version 3.1 and exported to SPSS version 20 for analysis. For the analysis, we used logistic regression along with odds ratios and 95% confidence intervals. The statistical significance was determined by p < 0.05.
Results: Approximately 154 (43.1%) of women had good knowledge, 235 (45.5%) had a favorable attitude, and nearly a quarter (118; 22.9%) had been screened for cervical cancer. Women 30– 34 years [AOR=3.02, 95% CI: 1.11, 8.24), women with degree/diploma level of education [AOR=7.3, 95% CI 2.53– 21.01), and having sourced information from a health professional [AOR=2.3, 95% CI: 1.27– 4.17) were associated with good knowledge of cervical cancer screening. Being single [AOR=3.47, 95% CI: 1.03– 11.75] and good knowledge of cervical cancer [AOR=4.76, 95%:2.65– 8.57) were significant predictors of a positive attitude towards cervical cancer screening. Women who knew cervical cancer patients[AOR=2.47, 95% (1.37– 4.44)] and high monthly income [AOR=3.8, 95% CI: 1.86– 7.77] were associated with good practice related to cervical cancer screening.
Conclusion: Knowledge, attitude, and practice towards cervical cancer screening were shallow. The concerned body should aggressively disseminate information on cervical cancer screening, improve the economic status of women, and provide counseling about cervical cancer during health care delivery visits.

Keywords: knowledge, attitude, practice, cervical cancer screening, Ethiopia

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