Prevalence and determinants of cervical cancer screening in five sub-Saharan African countries: A population-based study.
Prevalence and determinants of cervical cancer screening in five sub-Saharan African countries: A population-based study.
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DOI：
10.1016/j.canep.2021.101930
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发表时间：
2021-06
影响因子：
2.6
通讯作者：
Maiga M
中科院分区：
文献类型：
--
作者：
Ba DM;Ssentongo P;Musa J;Agbese E;Diakite B;Traore CB;Wang S;Maiga M
子宫颈癌是全世界妇女中第四大常见癌症，估计每年有570 000个新病例和约311 000人死亡。低资源国家，包括撒哈拉以南非洲国家，负担最高，估计占所有宫颈癌的84%。本研究探讨了撒哈拉以南非洲地区与宫颈癌筛查相关的患病率和社会人口经济因素。一项基于人口和健康调查数据的加权横断面研究。我们使用了2011年至2018年期间五个撒哈拉以南非洲国家（贝宁，象牙海岸，肯尼亚，纳米比亚和津巴布韦）人口与健康调查的宫颈癌筛查数据。研究人群包括21-49岁的育龄女性（n= 28，976）。我们拟合了一个多变量泊松回归模型，以确定与宫颈癌筛查相关的独立因素。宫颈癌筛查的总体加权患病率为19.0%（95% CI：18.5%-19.5%），范围从贝宁的0.7%到纳米比亚的45.9%。宫颈癌筛查的独立决定因素是：（40-49岁）调整后的患病率（aPR）=1.77（95% CI：1.64，1.90）与年轻时相比（21-29岁），中等/高等教育（aPR= 1.51，95 CI：1.28-1.79）与无教育、健康保险相比（aPR= 1.53，95%CI：1.44-1.61）与无保险相比，最高社会经济地位（aPR= 1.39，95%CI：1.26-1.52）与最低社会经济地位相比。在撒哈拉以南非洲国家，宫颈癌筛查的普及率很低，国家间差异很大。迫切需要采取干预措施，以增加撒哈拉以南非洲地区对宫颈癌筛查的接受。
Cervical cancer is the fourth most common cancer among women worldwide, with an estimate of 570,000 new cases and about 311,000 deaths annually. Low-resource countries, including those in sub-Saharan Africa, have the highest-burden with an estimate of 84% of all cervical cancers. This study examines the prevalence and socio-demographic-economic factors associated with cervical cancer screening in sub-Saharan Africa. A weighted population-based cross-sectional study using Demographic and Health Surveys data. We used available data on cervical cancer screening between 2011 and 2018 from the Demographic and Health Surveys for five sub-Saharan African countries (Benin, Ivory Coast, Kenya, Namibia, and Zimbabwe). The study population included women of childbearing age, 21–49 years (n=28,976). We fit a multivariable Poisson regression model to identify independent factors associated with cervical cancer screening. The overall weighted prevalence of cervical cancer screening was 19.0% (95% CI: 18.5%−19.5%) ranging from 0.7% in Benin to 45.9% in Namibia. Independent determinants of cervical cancer screening were: older age (40–49 years) adjusted prevalence ratio (aPR)=1.77 (95% CI: 1.64, 1.90) compared with younger age (21–29 years), secondary/higher education (aPR= 1.51, 95 CI: 1.28–1.79) compared with no education, health insurance (aPR= 1.53, 95% CI: 1.44–1.61) compared with no insurance, and highest socioeconomic status (aPR= 1.39, 95% CI: 1.26–1.52) compared with lowest. The prevalence of cervical cancer screening is substantially low in sub-Saharan Africa countries and shows a high degree of between-country variation. Interventions aimed at increasing the uptake of cervical cancer screening in sub-Saharan Africa are critically needed.
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DOI：
10.11604/pamj.2017.27.215.12994
发表时间：
2017
期刊：
The Pan African medical journal
影响因子：
--
作者：
Kuguyo O;Matimba A;Tsikai N;Magwali T;Madziyire M;Gidiri M;Dandara C;Nhachi C
通讯作者：
Nhachi C
影响因子：
34.3
作者：
Arbyn, Marc;Weiderpass, Elisabete;Bray, Freddie
通讯作者：
Bray, Freddie
影响因子：
1.8
作者：
Kivuti-Bitok, Lucy W;Pokhariyal, Ganesh P;McDonnell, Geoff
通讯作者：
McDonnell, Geoff
影响因子：
34.3
作者：
Gouda, Hebe N.;Charlson, Fiona;Whiteford, Harvey
通讯作者：
Whiteford, Harvey
影响因子：
1.6
作者：
Compaore, Salomon;Ouedraogo, Charlemagne M. R.;Soliman, Amr S.
通讯作者：
Soliman, Amr S.