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

Powell Perng, Wei Perng, Twalib Ngoma, Crispin Kahesa, Julius Mwaiselage, Sofia D. Merajver, Amr S. Soliman

Research output: Contribution to journalArticle

18 Citations (Scopus)

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 40-49 years versus 20-29 years), 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.

Original languageEnglish (US)
Pages (from-to)221-225
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume123
Issue number3
DOIs
StatePublished - Dec 2013

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Tanzania
Early Detection of Cancer
Uterine Cervical Neoplasms
Radio
Costs and Cost Analysis
Access to Information
Life Style
Logistic Models
Quality of Life
Delivery of Health Care

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Perng, P., Perng, W., Ngoma, T., Kahesa, C., Mwaiselage, J., Merajver, S. D., & Soliman, A. S. (2013). Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania. International Journal of Gynecology and Obstetrics, 123(3), 221-225. https://doi.org/10.1016/j.ijgo.2013.05.026

Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania. / Perng, Powell; Perng, Wei; Ngoma, Twalib; Kahesa, Crispin; Mwaiselage, Julius; Merajver, Sofia D.; Soliman, Amr S.

In: International Journal of Gynecology and Obstetrics, Vol. 123, No. 3, 12.2013, p. 221-225.

Research output: Contribution to journalArticle

Perng, P, Perng, W, Ngoma, T, Kahesa, C, Mwaiselage, J, Merajver, SD & Soliman, AS 2013, 'Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania', International Journal of Gynecology and Obstetrics, vol. 123, no. 3, pp. 221-225. https://doi.org/10.1016/j.ijgo.2013.05.026
Perng, Powell ; Perng, Wei ; Ngoma, Twalib ; Kahesa, Crispin ; Mwaiselage, Julius ; Merajver, Sofia D. ; Soliman, Amr S. / Promoters of and barriers to cervical cancer screening in a rural setting in Tanzania. In: International Journal of Gynecology and Obstetrics. 2013 ; Vol. 123, No. 3. pp. 221-225.
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