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Int J Gynaecol Obstet. 2013 Dec;123(3):221-5. doi: 10.1016/j.ijgo.2013.05.026. Epub 2013 Sep 4.

Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania.

Author information

1
Center for Global Health, University of Michigan, Ann Arbor, USA; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA.

Abstract

OBJECTIVE:

To investigate promoters and barriers for cervical cancer screening in rural Tanzania.

METHODS:

We interviewed 300 women of reproductive age living in Kiwangwa village, Tanzania. The odds of attending a free, 2-day screening service were compared with sociodemographic variables, lifestyle factors, and knowledge and attitudes surrounding cervical cancer using multivariable logistic regression.

RESULTS:

Compared with women who did not attend the screening service (n=195), women who attended (n=105) were older (OR 4.29; 95% CI, 1.61-11.48, age 40-49years versus 20-29years), listened regularly to the radio (OR 24.76; 95% CI, 11.49-53.33, listened to radio 1-3 times per week versus not at all), had a poorer quality of life (OR 4.91; CI, 1.96-12.32, lowest versus highest score), had faced cost barriers to obtaining health care in the preceding year (OR 2.24; 95% CI, 1.11-4.53, yes versus no), and held a more positive attitude toward cervical cancer screening (OR 4.64; 95% CI, 1.39-15.55, least versus most averse).

CONCLUSION:

Efforts aimed at improving screening rates in rural Tanzania need to address both structural and individual-level barriers, including knowledge and awareness of cervical cancer prevention, cost barriers to care, and access to health information.

KEYWORDS:

Barriers; Cervical cancer; Low-income countries; Rural; Screening

PMID:
24095307
PMCID:
PMC4291064
DOI:
10.1016/j.ijgo.2013.05.026
[Indexed for MEDLINE]
Free PMC Article

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