Original Research Article
Year: 2019 | Month: December | Volume: 6 | Issue: 12 | Pages: 374-382
Self-Perceived Risk of Cervical Cancer and Associated Factors among HIV Positive Women Attending Adult HIV/AIDS Care and Follow Up Clinic in Gondar University Referral Hospital, Northwest Ethiopia, 2016
Abebe Dires Nega1, Sisay Gedamu2, Prem Kumar3
1Lecturer, Department of Nursing, School of Nursing and Midwifery, College of Medicine & Health sciences (CMHS), Wollo University, Dessie, Ethiopia
2Lecturer, Department of Nursing, School of Nursing and Midwifery, CMHS, Wollo University, Dessie
3Assistant Professor, School of Nursing and Midwifery, CMHS, Wollo University, Dessie
Corresponding Author: Prem Kumar
ABSTRACT
Back ground: Cervical cancer is one of the leading causes of death in women worldwide and in Ethiopia; it is the second most frequent cancer among all women. In HIV positive women, precancerous cervical lesion is expected to develop into cervical cancer and invasive cervical disease earlier than women not infected with HIV. Women’s perception about their risk of developing the disease is one of the top listed factors affecting cervical cancer screening.
Objective: This study was aimed to assess self-perceived risk of cervical cancer and associated factors among HIV positive women attending adult HIV/AIDS care and follow up clinic in Gondar university referral hospital, Northwest Ethiopia, April to May 2016.
Methods: Institution based cross sectional study was conducted. A total of 460 participants were selected by systematic random sampling technique. Interviewer administered questionnaire. Bivariate and multivariable logistic regression analyses were used to determine the presence and degree of association between dependent and independent variables with P-value of <0.05 and Odds ratio with 95% confidence interval was considered statistically significant.
Results: Among all respondents, 37.8% of women had cervical cancer screening awareness and 53% of women perceived as they were at risk of cervical cancer. Regarding previous screening history, the life time uptake of cervical cancer screening was 10%. In this study, being cigarette smoker(AOR=4.43, 95%CI :1.61-12.18), married(AOR=1.98, 95% CI: 1.28-3.07), initiation of sexual intercourse in the early age(AOR=1.89, 95% CI: 1.19-3.00), attainment of college education and above(AOR=3.12, 95% CI: 1.13-8.56), didn’t initiated combined anti-retroviral therapy (AOR=2.27, 95% CI: 1.11-4.65), aware of cervical cancer screening(AOR=1.63, 95% CI: 1.03-2.56) and reported history of previous cervical cancer screening(AOR=3.52, 95% CI: 1.45-8.56) were among the independent variables having statistically significant association with perceived risk of cervical cancer
Conclusion: The women’s perceived risk of cervical cancer was found moderate. Therefore, health care providers and organizations working on cervical cancer prevention and controlling programs need to focus on awareness creation about cervical cancer and its screening for HIV positive women.
Key words: Cervical cancer, Perceived risk, HIV/AIDS
[PDF Full Text]