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Int J Gynecol Cancer. 2012 May;22(4):638-44. doi: 10.1097/IGC.0b013e318249470a.

Cervical cancer awareness and screening in Botswana.

Author information

1
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina Chapel Hill, NC 27599, USA. mingo@email.unc.edu

Abstract

OBJECTIVE:

Cervical cancer remains a leading cause of death in many developing countries because limited screening by Papanicolaou (Pap) smear. We sought to better understand women's beliefs about cervical cancer and screening in Botswana, a middle-income African country with high rates of cervical cancer.

METHODS:

We interviewed 289 women attending general medicine or human immunodeficiency virus (HIV) clinics, where Pap testing was available, in Gaborone, Botswana, in January 2009.

RESULTS:

About three fourths (72%) of the respondents reported having ever had a Pap smear; HIV-positive women were more likely to have had a Pap smear than HIV-negative women (80% vs 64%; odds ratio, 1.97; 95% confidence interval, 1.10-3.55). Screening was also more common among women who were older, had higher incomes, or had heard of cervical cancer. Almost all participants reported a desire to have a Pap smear. Reasons included to determine cervical health (56%), to improve overall health (33%), and to obtain early treatment (34%). About half (54%) of the respondents said they did not know what causes cervical cancer, and almost none attributed the disease to human papillomavirus infection.

CONCLUSIONS:

Study findings can inform interventions that seek to increase cervical cancer awareness and uptake of screening as it becomes more widely available.

PMID:
22367370
PMCID:
PMC4437542
DOI:
10.1097/IGC.0b013e318249470a
[Indexed for MEDLINE]
Free PMC Article
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