Individual and community-level determinants of cervical cancer screening in Zimbabwe: a multi-level analyses of a nationwide survey.
Individual and community-level determinants of cervical cancer screening in Zimbabwe: a multi-level analyses of a nationwide survey.
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DOI：
10.1186/s12905-022-01881-0
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发表时间：
2022-07-25
影响因子：
2.5
通讯作者：
De Allegri, Manuela
中科院分区：
文献类型：
--
作者：
Isabirye, Alone;Elwange, Bob Charlestine;Singh, Kavita;De Allegri, Manuela
尽管宫颈癌（CC）筛查有利于减少疾病负担，但在发展中国家的应用仍然有限。本研究旨在评估津巴布韦育龄妇女宫颈癌筛查的个人和社区决定因素。我们分析了从2015年津巴布韦人口与健康调查中收集的400个社区的数据，样本量为9955名15-49岁的女性。进行了描述性统计和调整潜在协变量的多水平回归模型，以检查个人，家庭和社区因素与妇女接受宫颈癌筛查之间的关联。津巴布韦妇女接受宫颈癌筛查的平均年龄为27.9（9.9）岁。妇女的比例相对较小，即，只有13.4%的人曾经接受过宫颈癌筛查，在以下亚组中观察到较高的筛查率：（比值比（OR）= 2.01; 95%置信区间（CI）1.72-2.34），目前正在研究（OR = 1.35; 95%CI 1.17-1.55），有健康保险者（OR = 1.95; 95%CI 1.63-2.34），使用现代避孕药（OR = 1.51; 95% CI 1.22-1.86），暴露于多种介质（OR = 1.27; 95% CI 1.03-1.58），那些生活在妇女占多数的社区，对针对妇女的亲密伴侣暴力持赞成态度的人（OR = 1.21; 95%CI 1.04-1.41）和非贫困财富指数（OR = 1.54; 95%CI 1.14-2.05）。我们的数据显示，津巴布韦育龄妇女中宫颈癌筛查的流行率极低。为了提高宫颈癌筛查的普及率，迫切需要针对社会经济地位低下的妇女实施行为干预措施，并倡导全民健康保险，包括财务风险保护，以帮助所有妇女实现其健康权。
Despite the benefits of cervical cancer (CC) screening to reduce the disease burden, uptake remains limited in developing countries. This study aims to assess the individual and community-level determinants of cervical cancer screening among women of reproductive age in Zimbabwe. We analyzed data collected from 400 communities from the 2015 Zimbabwe Demographic and Health Survey with a sample size of 9955 women aged 15–49 years. The descriptive statistics and multi-level regression models adjusted for potential covariates were performed to examine the association between individual, household and community-level factors and the uptake of cervical cancer screening in women. The mean (SD) age of women in Zimbabwe using cervical cancer screening was 27.9 (9.9) years. A relatively small proportion of women, i.e., only 13.4% had ever screened for cervical cancer, with higher screening rates observed in the following sub-groups: middle aged women 31–49 years (odds ratio (OR) = 2.01; 95% confidence intervals (CI) 1.72–2.34), and currently working (OR = 1.35; 95% CI 1.17–1.55), those with health insurance (OR = 1.95; 95% CI 1.63–2.34), used modern contraceptives (OR = 1.51; 95% CI 1.22–1.86), exposed to multiple media (OR = 1.27; 95% CI 1.03–1.58), those living in communities that had a high predominance of women with favorable attitude towards Intimate Partner Violence (IPV) against women (OR = 1.21; 95% CI 1.04–1.41) and a non-poor wealth index (OR = 1.54; 95% CI 1.14–2.05). Our data shows a significantly low prevalence of cervical cancer screening among reproductive age women in Zimbabwe. To increase the uptake of cervical cancer screening, there is an urgent need both to implement behavioral interventions targeted at women from low socio-economic groups and to advocate for universal health coverage that includes financial risk protection to help all women realize their right to health.
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影响因子：
--
作者：
Bursac, Zoran;Gauss, C Heath;Williams, David Keith;Hosmer, David W
通讯作者：
Hosmer, David W
DOI：
10.2307/351538
发表时间：
1982-01-01
期刊：
JOURNAL OF MARRIAGE AND THE FAMILY
影响因子：
--
作者：
KALMUSS, DS;STRAUS, MA
通讯作者：
STRAUS, MA
影响因子：
2.5
作者：
Fitzpatrick, Megan;Pathipati, Mythili P.;Pinsky, Benjamin
通讯作者：
Pinsky, Benjamin
影响因子：
6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H
影响因子：
4.5
作者：
Abiodun, Olumide A.;Olu-Abiodun, Oluwatosin O.;Oluwole, Francis A.
通讯作者：
Oluwole, Francis A.