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Cervical cancer screening knowledge and associated factors among Eswatini women: A cross-sectional study

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  • Phinda G Khumalo
  • Mariko Carey
  • Lisa Mackenzie
  • Rob Sanson-Fisher

Abstract

Background: Over recent years, cervical cancer incidence and related mortality have steadily increased in Eswatini. Low cervical cancer screening uptake partly explains the situation. Cervical cancer screening-related knowledge is positively associated with screening uptake. Little is known about women’s cervical cancer screening-related knowledge in Eswatini. Objective: This study aimed to assess cervical cancer screening knowledge and associated factors among Eswatini women eligible for screening. Methods: A cross-sectional study involving three hundred and seventy-seven women aged 25 to 59 selected from four primary healthcare clinics in Eswatini was conducted. A paper and pen survey assessed knowledge about cervical cancer risk factors, benefits of screening, the meaning of screening results, recommended screening intervals, and socio-demographics. Descriptive analyses were performed to assess participants’ sociodemographic characteristics. Linear regression was applied to examine associations between cervical cancer screening-related knowledge and participants’ sociodemographic characteristics. Results: Two hundred and twenty-nine (61%) participants answered 80% or more knowledge questions correctly. Compared to HIV-positive participants, HIV-negative participants had 0.61 times lower cervical cancer screening knowledge scores (β = -0.39, 95% CI: -0.56, -0.19, p = 0.03). Participants who travelled more than 30 minutes to the clinic had 0.3 times lower cervical cancer screening knowledge scores (β = -0.70, 95% CI: -1.15, -0.25, p

Suggested Citation

  • Phinda G Khumalo & Mariko Carey & Lisa Mackenzie & Rob Sanson-Fisher, 2024. "Cervical cancer screening knowledge and associated factors among Eswatini women: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 19(4), pages 1-15, April.
    • Handle: RePEc:plo:pone00:0300763
    DOI: 10.1371/journal.pone.0300763
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    1. repec:ldr:wpaper:97 is not listed on IDEAS
    2. Melaku Desta & Temesgen Getaneh & Bewuket Yeserah & Yichalem Worku & Tewodros Eshete & Molla Yigzaw Birhanu & Getachew Mullu Kassa & Fentahun Adane & Yordanos Gizachew Yeshitila, 2021. "Cervical cancer screening utilization and predictors among eligible women in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-22, November.
    3. Zoë McLaren & Cally Ardington & Murray Leibbrandt, 2013. "Distance as a barrier to health care access in South Africa," SALDRU Working Papers 097, Southern Africa Labour and Development Research Unit, University of Cape Town.
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