乌干达东部三级医院妇女使用宫颈癌筛查服务的相关因素：一项横断面研究

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100897

Priscillah Kwehayo , Milton W. Musaba , Faith Oguttu , Samuel Olowo , Lydia Ssenyonga , Brendah Nambozo , Solomon Wani , Ritah Nantale , David Mukunya , Julius N Wandabwa

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引用次数: 0

摘要

在全球范围内，如果早期诊断并及时治疗，宫颈癌是可以治愈的。然而，在报告子宫颈癌发病率和死亡率最高的低收入和中等收入国家很少这样做。在乌干达，不到20%的目标人口利用宫颈癌筛查服务，尽管这些服务在全国各地的卫生机构都可以免费获得。我们的目的是确定乌干达东部Mbale地区转诊医院育龄妇女使用宫颈癌筛查服务的相关因素。方法本研究为横断面研究，共纳入355名受试者，招募在Mbale地区转诊医院计划生育门诊就诊的患者。我们进行了多变量logistic回归来确定与宫颈癌筛查服务使用相关的因素。在Stata 14.1版本中分析数据。结果355名妇女中仅有33人（9.3%）曾接受过宫颈癌筛查服务。在接受过宫颈癌筛查的妇女中，有23/33（69.7%）是在卫生工作者的建议下进行筛查的。宫颈癌筛查服务的使用与以下因素相关：产妇年龄在30岁及以上[调整优势比（AOR） 11.25可信区间（3.67-34.55）]和对宫颈癌的了解程度[调整优势比（AOR） 5.13 95% CI(1.75-15.08)]。结论乌干达东部地区转诊医院的妇女对宫颈癌的充分认识和宫颈癌筛查服务的利用水平较低。我们建议采取以下干预措施，以增加社区获得服务的机会和提高卫生知识水平。1. 将宫颈癌筛查纳入现有的社区外展计划，如免疫接种。2. 利用大众传媒及本地方言短讯，传递有关子宫颈癌的资讯。3. 由社区主导的运动和外展活动，旨在教育公众了解宫颈癌的危险因素和现有的预防方法。4. 还鼓励保健工作者定期建议和鼓励向其照顾的所有育龄妇女提供宫颈癌筛查服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Factors associated with utilization of cervical cancer screening services among women at a tertiary hospital in eastern Uganda: A cross sectional study

Background

Globally, cervical cancer can be cured if diagnosed at an early stage and treated promptly. However, this is rarely done in low- and middle-income countries, where the highest rates of cervical cancer incidence and mortality are reported. In Uganda, less than 20% of the targeted population utilize cervical cancer screening services despite these being readily available in health facilities across the country at no cost. We aimed to determine the factors associated with utilization of cervical cancer screening services among women of reproductive age at Mbale regional referral hospital in eastern Uganda.

Methods

This was a cross-sectional study involving 355 participants, we recruited clients attending the family planning clinic at Mbale regional referral hospital. We conducted multivariable logistic regression to determine the factors associated with utilization of cervical cancer screening services. Data were analyzed in Stata version 14.1.

Results

Only 33/355 (9.3 %) women had ever utilized cervical cancer screening services. Majority of the women 23/33(69.7 %) who had ever screened for cervical cancer, did so after recommendation by a health worker. Utilization of cervical cancer screening services was associated with: maternal age of 30 years and above [Adjusted Odds Ratio (AOR) 11.25 Confidence Interval (CI) (3.67–34.55)] and being more knowledgeable about cervical cancer [AOR 5.13 95 % CI (1.75–15.08)].

Conclusion

Adequate knowledge about cervical cancer and level of utilization of cervical cancer screening services was low among women at a regional referral hospital in Eastern Uganda. We recommend the following interventions targeted at increasing access to services and health literacy levels in the community. 1. Integrating cervical cancer screening into existing community outreach programs such as immunization. 2. Use of mass media and text messages in local dialects to communicate information about cervical cancer. 3. Community led campaigns and outreaches aimed at educating the public about risk factors and available methods of prevention of cervical cancer. 4. Health workers are also encouraged to routinely recommend and encourage cervical cancer screening services to all women of reproductive age that are under their care.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.