Willingness to cervical cancer screening and associated factors among family planning receiving women at selected health centers in Addis Ababa, Ethiopia

Abstract

Background: Cervical cancer is a disease in which cervical cells become abnormal and begin to develop uncontrollably forming tumors It is the first most common cancer in women living in Sub-Saharan Africa. Cervical cancer is a disease that can be cured. Cervical cancer screening can reduce at least 50% of cervical cancer deaths. In Ethiopia, practice of cervical cancer screening is below 1%. In the presence of high risk for acquiring cervical cancer among family planning receiving women, willingness of the screening is low in Addis Ababa, Ethiopia. Thus, the current study was aimed, to assess the willingness towards cervical cancer screening and associated factors among family planning users in selected the health center of Addis Ababa. Method; An institution based cross-sectional study was conducted among 520 family planning service users at selected health centers in Addis Ababa from June 2020-February 2021. The study participants were selected using a multistage sampling method. Descriptive analysis was done and binary logistic regression was used to assess the association between the independent and dependent variable. A variable with p-value less than 0.25 was entered in to multivariable logistic regression model. Final the finding was reported by using adjusted and crude odds ratio along with a 95% confidence interval. Result: The willingness to have tested for cervical cancer screening among family planning service users was 72.5%. The odd of cervical cancer screening willingness was three times more likely among women who had good knowledge about cervical cancer than those who had poor knowledge (AOR:3.18,95% CI:1.83-5.54). Women who attend higher education were three times more likely willing to screening test than those who attend below that level (AOR: 2.54, 95% CI: 1.02, 6.35). Having more than four children (AOR: 1.34, 95% CI: 1.10-3.38). Conclusion: This study assesses the willingness of women to participate in cervical cancer screening and explore the factors that affect their willingness. Accordingly, among women interviewed, the study found that majority of them (72%) was willing to participate in cervical screening. The willingness of cervical cancer screening among respondents were affected by knowledge level toward cervical cancer, number of children a women had, education status of women.