Determinants Of Cervical Cancer Screening Disparities In Addis Ababa Ethiopia

Background: - Cervical cancer is the fourth most common cancer in womenrnworldwide and the leading cause of cancer deaths in developing countries. Cervicalrncancer belongs to the group of cancers that are preventable & treatable byrnvaccination of HPV and by early diagnoses and screening. However, most patients,rn80% of patients, in developing countries like Ethiopia, screened late with advancedrnstage disease in which treatment may involve multiple modalities that is associatedrnwith low participation in cervical cancer screening services.rnObjective:- This study was aimed to assess the determinants of cervical cancerrnscreening disparities among women in Addis Ababa, Ethiopia.rnMethods: Institutional based case control study was conducted. Controls werernwomen who have received screening services during the last 3-5 years and casesrnwere randomly selected women coming for other services but not ever screenedrnand aware of the screening service. Accordingly, 294 women were enrolled. Datarnwas collected by using structured questionnaire through interviewing. Bivariaternand multivariable logistic regression analysis was performed to assess thernassociation between each explanatory variables and screening disparity.rnResults: The study shows respondents having higher sexual autonomy were 3.128rntimes more likely to have better practice on CC screening than those having lowerrnsexual autonomy [(AOR=3.128, 95% C.I:(1.730, 5.658)]. Women who werernreferred from other health facility 67.5 % more practice to be screened CC thanrnthose not referred from other health facility [(AOR=0.325, 95% C.I: (0.147,rn0.720)]. In addition to this, women who have 1-4 children 2.844 times more likelyrnto have a better practice on CC screening than those having no child [(AOR=2.844,rn95% C.I: (1.344, 6.014)].rnConclusion: This study revealed women’s own sexual autonomy, exposure tornreferral health system and giving more birth contribute CC screening disparities.rnThus, incorporating these factors align with CC service into local health policyrnefforts will enable better targeted interventions in Addis Ababa and, could alsornprovide focus on issues of sexual autonomy which is linked to gender

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