Format

Send to

Choose Destination
See comment in PubMed Commons below
Ghana Med J. 2010 Jun;44(2):59-63.

Clinic visits and cervical cancer screening in accra.

Author information

  • 1Department of Obstetrics and Gynaecology, University of Ghana Medical School, PO Box 4236, Accra, Ghana.

Abstract

OBJECTIVE:

To determine the factors that increase the chances of a woman in Accra having a Pap smear and whether women who have recently visited clinics have higher chances of having had Pap smears.

DESIGN:

A cross-sectional study

METHODS:

A representative sample of women in Accra, Ghana was interviewed and the clinical and demographic factors influencing cervical cancer screening was assessed.

RESULTS:

Out of 1193 women with complete data, only 25 (2.1%) had ever had a Pap smear performed though 171 (14.3%) had their last outpatient clinic visit for either a gynaecological consultation or a regular check up. Simple logistic regression showed that a high educational level, high socioeconomic status and a history over the past month of postmenopausal or intermenstrual bleeding significantly increased the odds of ever having a pap smear. Neither monthly income nor last clinic visit for a gynaecological consultation or regular check up increased the odds of having a pap smear. Multiple logistic regression showed that a high educational level and experiencing postmenopausal or intermenstrual bleeding were the most important determinants of ever having a Pap smear.

CONCLUSION:

While we wait for a national program for cervical cancer screening, there is a need for clinicians to put more individual effort into ensuring that asymptomatic women are screened for cervical cancer.

KEYWORDS:

Accra; Ghana; Pap smear; cervical cancer; cervical cancer screening

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk