A cross-sectional study of barriers to cervical cancer screening uptake in Ghana: An application of the health belief model

Autor: Esther Owusu, Ama G. Ampofo, Afia D Adumatta, Kofi Awuviry-Newton
Rok vydání: 2019
Předmět:
Health Knowledge
Attitudes
Practice

Health Screening
Cross-sectional study
Uterine Cervical Neoplasms
Social Sciences
Logistic regression
Cervical Cancer
Ghana
Cultural Anthropology
Geographical Locations
0302 clinical medicine
Sociology
Surveys and Questionnaires
Epidemiology of cancer
Cancer screening
Odds Ratio
Medicine and Health Sciences
Health belief model
Medicine
Mass Screening
Psychology
Public and Occupational Health
030212 general & internal medicine
Early Detection of Cancer
Cervical cancer
Multidisciplinary
Middle Aged
Religion
Oncology
Health Education and Awareness
030220 oncology & carcinogenesis
Female
Cancer Screening
Research Article
Adult
Adolescent
Psychometrics
Science
03 medical and health sciences
Young Adult
Diagnostic Medicine
Environmental health
Cancer Detection and Diagnosis
Humans
Behavior
Descriptive statistics
business.industry
Cancers and Neoplasms
Biology and Life Sciences
Odds ratio
Patient Acceptance of Health Care
medicine.disease
Health Care
Cross-Sectional Studies
Anthropology
People and Places
Africa
Health Facilities
business
Gynecological Tumors
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 4, p e0231459 (2020)
ISSN: 1932-6203
Popis: BACKGROUND:The high incidence (32.9, age-standardized per 100,000) and mortality (23.0, age-standardized per 100,000) of cervical cancer (CC) in Ghana have been largely attributed to low screening uptake (0.8%). Although the low cost (Visual inspection with acetic acid) screening services available at various local health facilities screening uptake is meager. OBJECTIVE:The purpose of the study is to determine the barriers influencing CC screening among women in the Ashanti Region of Ghana using the health belief model. METHODS:A analytical cross-sectional study design was conducted between January and March 2019 at Kenyase, the Ashanti Region of Ghana. The study employed self-administered questionnaires were used to collect data from 200 women. Descriptive statistics were used to examine the differences in interest and non-interest in participating in CC screening on barriers affecting CC screening. Multivariable logistic regression was used to determine factors affecting CC screening at a significance level of p 0.003). CONCLUSIONS:Married women, unemployed and those with no formal education are less likely to participate in CC screening. The study details significant barriers to cervical cancer screening uptake in Ghana. It is recommended that the Ghana health services should develop appropriate, culturally tailored educational materials to inform individuals with no formal education through health campaigns in schools, churches and communities to enhance CC screening uptake.
Databáze: OpenAIRE