Assessing Knowledge, Uptake and Factors associated with cervical cancer screening among women in selected communities of Wakiso district in Uganda: A population-based study

作者：Robert Bulamba, Emmanuel Kyasanku, Fred Nalugoda, Alex Daama, James Nkale, Amanda P. Miller, William Byansi, Juliana Namutundu, Godfrey Kigozi, Grace Kigozi Nalwoga, Chris Balwanaki, Stephen Watya, Anna Mia Ekström, Stephen Mugamba, Rawlance Ndejjo, Gertrude Nakigozi · 发表于：PLoS ONE · 年份：2025 · DOI：10.1371/journal.pone.0317641 · 被引用次数：3 · 研究领域：Cervical Cancer and HPV Research、Global Cancer Incidence and Screening、Reproductive tract infections research

BACKGROUND: Uganda has the highest prevalence and incidence of cervical cancer in the East African region, with 80% of women diagnosed at advanced stage when survival is minimal. Literature on uptake of cervical cancer screening is limited in Uganda and thus womens' knowledge and uptake of cervical cancer screening in the general population remains unknown. This study examined this gap of knowledge among women aged 25-65 years, across rural, urban and semi urban communities in a Ugandan district to inform design of targeted future cervical cancer screening programs in the country. METHODS: This descriptive cross-sectional study was conducted in Wakiso district, Uganda in May 2024 among 783 eligible women. Face-to-face interviews were conducted. Uptake of cervical cancer screening (outcome of interest) was dichotomously (yes/no) assessed. Knowledge of cervical cancer disease was assessed using the AWACAN validated tool, knowledge of cervical cancer screening was assessed using a set of ten (10) questions adapted from previous studies elsewhere, and all were measured on a Likert scale. Univariate, bivariate, and multivariable Poisson regression models with robust variance were performed using Stata software version 17. RESULTS: Respondents' median age was 31 years (IQR 27-39 years). Majority (89.5%, 701/783) had heard of cervical cancer, and 90.6% (635/701) were aware of screening. Median knowledge score on signs and symptoms, risk factors and cervical cancer screening was 8.0 ...