Abstract:
Background: Despite its preventability, cervical cancer reported to affect an
estimated 485,000 women were diagnosed and 236,000 deaths in 2013
worldwide. In Ethiopia annually an estimated 7,095 new cervical cancer cases
were diagnosed and 4,732 died from it. Evidence on knowledge, attitude and
practice to cervical cancer screening is scarce in Ethiopia.
Objectives: The objective of the study was to assess Knowledge, attitude and
practice to cervical cancer screening and associated factors among women aged
30-49 years at Finote Selam town, North West Ethiopia, 2017.
Methods: Community based cross-sectional study was conducted with sample
of 1137 out of 1152 women aged 30-49 years in Finote Selam town from March
30, 2017- April 15.2017. A cluster sampling technique was used and pretested
structured questionnaire was used to collect the data. Bivariate and Multivariable
logistic regression analyses were done. Adjusted odds ratio with 95% confidence
interval was used to determine the degree and direction of association between
covariates and the outcome variable.
Results: Less than one third (30.3%) of women had knowledge about cervical
cancer and 58.1% of women had favorable attitude towards cervical cancer
screening. However, only 3% of study participant were screened for cervical
cancer. In multivariable analyses primary education(AOR=1.65,95%CI:1.052.57),secondaryeducation(AOR=5.59,95%C(I3.25-9.63),college
and
above(AOR=7.21,95%CI(3.41-15.29),
knew
anyone
who
had
cervical
cancer(
AOR =5.38,95%CI(2.38-12.15) and women history of sexual transmitted disease
(AOR=2.75,95%CI1.24-6.04) were significantly associated with Knowledge to
cervical cancer and educational status college and above (AOR=2.56,95%CI1.145.69),knew
anyone who had cervical cancer (AOR=3.24,95%CI (1.14-9.15) and
women knowledge about cervical cancer (AOR=3,95%CI(1.97-4.29) associated
with attitude towards cervical cancer screening.
Conclusion and recommendation: women knowledge on cervical cancer was
poor and attitude towards cervical cancer screening was fairly favorable. Cervical
cancer screening practice was extremely low, based on finding information
provision about the disease and screening service is required.
Keywords: Finote Selam town, women age 30-49 year抯 knowledge, attitude, screening practice.