Evaluation of Predictive Factors and Barriers to Cervical Cancer Screening in Women Referring to Comprehensive Health Centers in Khorramabad, Lorestan Province, Iran during 2020

Khatereh Anbari, Alireza Hosieni, Pardis Ghanadi

Abstract


Background: Cervical cancer is among the most common malignancies in women, especially in developing countries. Proper and timely screening can prevent this cancer and its complications. The present study aims to assess the cervical cancer screening status in women referring to comprehensive health centers in Khorramabad, Iran.

Methods: A total of 457 married women aged 18-60 years, who referred to health centers in Khorramabad city, were included in this cross-sectional study using a multi-stage (stratified-cluster-random) sampling method. Information on demographic characteristics, pregnancy history, cervical cancer screening status, including taking or not taking screening tests so far, frequency and intervals of screening and the reason for not taking screening tests were collected using a multi-part questionnaire. The data were analyzed using the independent t-test and one-way analysis of variance (ANOVA).

Results: The mean age of participants in the study was 36.1± 9.69 years. About 66.7% of the participants stated that they had the history of taking at least one Pap smear (Papanicolaou smear) by the time of the study. The age of first Pap smear in most participants was 25-29 years and the frequency of taking a Pap smear test in most cases (28.9%) was once. Most participants reported that they did not take Pap tests because they were unaware of the importance and necessity of taking a Pap smear test. The frequency of Pap smear screening in the women surveyed was statistically significant by age (PV=0.001), education level (PV<0.001), occupation (PV=0.001), and place of residence (PV=0.001).   

Conclusion: The level of awareness and subsequently cervical cancer screening frequency can be increased in women of the community with proper planning and training women in the community at various levels, including the comprehensive health center.

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References


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DOI: http://dx.doi.org/10.62940/als.v9i3.1367

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