IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v197y2018icp203-212.html
   My bibliography  Save this article

The next Sub Saharan African epidemic? A case study of the determinants of cervical cancer knowledge and screening in Kenya

Author

Listed:
  • Kangmennaang, Joseph
  • Onyango, Elizabeth O.
  • Luginaah, Isaac
  • Elliott, Susan J.

Abstract

Early cervical cancer screening has been shown to be beneficial in reducing cervical cancer related deaths. Despite the benefits of early cervical cancer screening, uptake remains limited, with wide disparities in access and uptake in most developing countries. As part of a larger study, this paper uses a socio-ecological framework to explain the determinants of cervical cancer knowledge and screening among women of reproductive age (15–49 years) in Kenya. We conducted a multilevel analysis of cervical cancer knowledge (n = 11,138) and screening (n = 10,333) using the 2014 Kenya Demographic and Health Survey (KDHS). Results show regional disparities in cancer knowledge and the utilization of cervical cancer screening services; regions with high wealth inequality (OR = 0.70, 95% CI [0.56–0.87]) emerged as vulnerable regions where women were less likely to screen for cervical cancer. Gender equity, health insurance coverage and education level significantly predicted cervical cancer screening rates. Results further revealed regional as well as rural-urban wealth inequalities in cervical cancer screening. We argue that given that Kenyan women are highly exposed to human papilloma virus (HPV) due to the legacy of human immunodeficiency virus (HIV) in the country, cervical cancer may be the next epidemic if integrated measures are not adopted to increase cervical cancer knowledge and overcome the barriers to utilizing early screening services. The paper concludes with policy recommendations and directions for future research.

Suggested Citation

  • Kangmennaang, Joseph & Onyango, Elizabeth O. & Luginaah, Isaac & Elliott, Susan J., 2018. "The next Sub Saharan African epidemic? A case study of the determinants of cervical cancer knowledge and screening in Kenya," Social Science & Medicine, Elsevier, vol. 197(C), pages 203-212.
    • Handle: RePEc:eee:socmed:v:197:y:2018:i:c:p:203-212
    DOI: 10.1016/j.socscimed.2017.12.013
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953617307438
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2017.12.013?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gyimah, Stephen Obeng & Takyi, Baffour K. & Addai, Isaac, 2006. "Challenges to the reproductive-health needs of African women: On religion and maternal health utilization in Ghana," Social Science & Medicine, Elsevier, vol. 62(12), pages 2930-2944, June.
    2. Luginaah, Isaac N. & Kangmennaang, Joseph & Fallah, Mosoka & Dahn, Bernice & Kateh, Francis & Nyenswah, Tolbert, 2016. "Timing and utilization of antenatal care services in Liberia: Understanding the pre-Ebola epidemic context," Social Science & Medicine, Elsevier, vol. 160(C), pages 75-86.
    3. Markovic, Milica & Kesic, Vesna & Topic, Lidija & Matejic, Bojana, 2005. "Barriers to cervical cancer screening: A qualitative study with women in Serbia," Social Science & Medicine, Elsevier, vol. 61(12), pages 2528-2535, December.
    4. Viens, Laura J. & Clouston, Sean & Messina, Catherine R., 2016. "Women's autonomy and cervical cancer screening in the Lesotho Demographic and Health Survey 2009," Social Science & Medicine, Elsevier, vol. 150(C), pages 23-30.
    5. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    6. Sukumar Vellakkal & S V Subramanian & Christopher Millett & Sanjay Basu & David Stuckler & Shah Ebrahim, 2013. "Socioeconomic Inequalities in Non-Communicable Diseases Prevalence in India: Disparities between Self-Reported Diagnoses and Standardized Measures," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-12, July.
    7. White, Heather L. & Mulambia, Chishimba & Sinkala, Moses & Mwanahamuntu, Mulindi H. & Parham, Groesbeck P. & Moneyham, Linda & Grimley, Diane M. & Chamot, Eric, 2012. "‘Worse than HIV’ or ‘not as serious as other diseases’? Conceptualization of cervical cancer among newly screened women in Zambia," Social Science & Medicine, Elsevier, vol. 74(10), pages 1486-1493.
    8. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Anne-Marie Konopka & Thomas Barnay & Nathalie Billaudeau & Christine Sevilla-Dedieu, 2019. "Les déterminants du recours au dépistage du cancer du col de l’utérus : une analyse départementale," Erudite Working Paper 2019-19, Erudite.
    2. David Barrera Ferro & Steffen Bayer & Laura Bocanegra & Sally Brailsford & Adriana Díaz & Elena Valentina Gutiérrez-Gutiérrez & Honora Smith, 2022. "Understanding no-show behaviour for cervical cancer screening appointments among hard-to-reach women in Bogotá, Colombia: A mixed-methods approach," PLOS ONE, Public Library of Science, vol. 17(7), pages 1-20, July.
    3. Ziegler, Bianca R. & Kansanga, Moses & Sano, Yuji & Kangmennaang, Joseph & Kpienbaareh, Daniel & Luginaah, Isaac, 2020. "Antenatal care utilization in the fragile and conflict-affected context of the Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 262(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. McGovern, Mark E., 2014. "Comparing the relationship between stature and later life health in six low and middle income countries," The Journal of the Economics of Ageing, Elsevier, vol. 4(C), pages 128-148.
    2. Gerdtham, Ulf-G & Sundberg, Gun, 1996. "Measuring Income-Related Health Inequalities in Sweden," SSE/EFI Working Paper Series in Economics and Finance 120, Stockholm School of Economics.
    3. Peng Nie & Andrew E. Clarck & Conchita D'Ambrosio & Lanlin Ding, 2020. "Income-related health inequality in urban China (1991-2015): The role of homeownership and housing conditions," Working Papers 524, ECINEQ, Society for the Study of Economic Inequality.
    4. Clarke, Philip & Van Ourti, Tom, 2010. "Calculating the concentration index when income is grouped," Journal of Health Economics, Elsevier, vol. 29(1), pages 151-157, January.
    5. William Joe & U. S. Mishra & K. Navaneetham, 2009. "Inequalities in Childhood Malnutrition in India: Some Evidence on Group Disparities," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 10(3), pages 417-439.
    6. Kenya Valeria M. S. Noronha & M™nica Viegas Andrade, 2002. "Desigualdades sociais em saúde: evidências empíricas sobre o caso brasileiro," Textos para Discussão Cedeplar-UFMG td171, Cedeplar, Universidade Federal de Minas Gerais.
    7. Tom Van Ourti & Philip Clarke, 2008. "The Bias of the Gini Coefficient due to Grouping," Tinbergen Institute Discussion Papers 08-095/3, Tinbergen Institute.
    8. Anna D’Ambrosio & Roberto Leombruni & Tiziano Razzolini, 2022. "Trading off wage for workplace safety? Gaps between immigrants and natives in Italy," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 39(3), pages 903-960, October.
    9. D’Ambrosio, Anna & Leombruni, Roberto & Razzolini, Tiziano, 2017. "Native-Migrant Differences in Trading Off Wages and Workplace Safety," IZA Discussion Papers 10523, Institute of Labor Economics (IZA).
    10. Adam Wagstaff & Eddy van Doorslaer, 2004. "Overall versus socioeconomic health inequality: a measurement framework and two empirical illustrations," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 297-301, March.
    11. Chen, Zhuo & Roy, Kakoli, 2009. "Calculating concentration index with repetitive values of indicators of economic welfare," Journal of Health Economics, Elsevier, vol. 28(1), pages 169-175, January.
    12. M. Dolores Montoya Diaz, 2002. "Socio‐economic health inequalities in Brazil: gender and age effects," Health Economics, John Wiley & Sons, Ltd., vol. 11(2), pages 141-154, March.
    13. Khaled, Mohamad A. & Makdissi, Paul & Yazbeck, Myra, 2018. "Income-related health transfers principles and orderings of joint distributions of income and health," Journal of Health Economics, Elsevier, vol. 57(C), pages 315-331.
    14. Adam Wagstaff, 2005. "Inequality decomposition and geographic targeting with applications to China and Vietnam," Health Economics, John Wiley & Sons, Ltd., vol. 14(6), pages 649-653, June.
    15. Ziebarth, Nicolas, 2010. "Measurement of health, health inequality, and reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 71(1), pages 116-124, July.
    16. Laura Rossouw & Hana Ross, 2021. "Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    17. Udaya S. Mishra, 2016. "Measuring Progress Towards MDGs in Child Health: Should Base Line Sensitivity and Inequity Matter?," Working Papers id:10705, eSocialSciences.
    18. Cleon Tsimbos, 2010. "An assessment of socio-economic inequalities in health among elderly in Greece, Italy and Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(1), pages 5-15, February.
    19. H. Eme Ichoku & William Fonta & Michael Thiede, 2011. "Socioeconomic gradients in self-rated health: a developing country case study of Enugu State, Nigeria," Economic Change and Restructuring, Springer, vol. 44(3), pages 179-202, August.
    20. Bago d'Uva, Teresa & Jones, Andrew M. & van Doorslaer, Eddy, 2009. "Measurement of horizontal inequity in health care utilisation using European panel data," Journal of Health Economics, Elsevier, vol. 28(2), pages 280-289, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:197:y:2018:i:c:p:203-212. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.