TITLE:
Factors Associated with the Use of Cervical Cancer Screening in the Mbour Health District (Senegal)
AUTHORS:
Niang Khadim, Tine Jean Augustin Diegane, Thiam Ousmane, Ly Toly, Diongue Fatoumata Bintou, Diallo Amadou Ibra, Faye Adama, Ndiaye Papa
KEYWORDS:
Cancer, Cervix, Screening, Women, Senegal
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.4,
April
26,
2020
ABSTRACT: Cervical cancer with an estimated incidence between 1700 and 2000 new cases
per year and mortality around 70% to 80% has become the leading cancer in
Senegal. The objectives of this present work were to study the factors associated
with cervical cancer screening in the Mbour health district in 2015. It was a
cross-sectional, descriptive and analytical study carried out on a sample of
599 women chosen according to a two-stage survey. The survey used a
questionnaire where data on individual characteristics, knowledge, attitudes
and practices are collected during an individual interview after informed
consent. The data collected were entered in the Epi Info 3.5.3 software and analyzed with the R 3.1.2
software. The average age was 44.4 years with a standard deviation of 8.9. The
proportion of women screened for cervical cancer was 19.4%. Screening for
cervical cancer was positively related to the possession of an
income-generating activity (Adjusted OR = 2.39 [1.4 - 4.2]), increase of
education and knowledge of a person suffering from cancer in the environment
(adjusted OR = 2.40 [1.3 - 4.2]). Knowledge of the methods of diagnosis of
cervical cancer was positively associated with cervical cancer screening
(adjusted OR = 20 [11.1 - 33.3]). The lack of awareness and the lack of financial resources and
education for women were the main obstacles to cervical cancer screening for
women in Mbour. The health system should focus on building the capacity of
women to fight cervical cancer.