Cervical cancer screening among Sudanese women.
BACKGROUND
Worldwide, cervical cancer is one of the three most common female cancers and accounts for over 370,000 new cases each year ( nearly 10% of all cancers). In Sudan, invasive cervical cancers is a leading cause of cancer death among women.


METHODS
We conducted a community-based survey of Sudanese women living in Khartoum, from 2003 to 2008. Indicators of cervical cancer screening participation were examined : at least one previous Pap smear and Pap testing in the last 1 year. In Khartoum more than 30% of the ethnic Sudanese women live in the central and northern parts of the city.


RESULTS
The overall estimated response rate was 32%, and the cooperation rate was 42%. Our study sample for this analysis included 256 women. Nearly one-half (35%) of the respondents had never had a Pap test, and only 65% been screened recently. Factors independently associated with cervical cancer screening use included marital status, housing type, and age.


CONCLUSIONS
Our findings confirm low levels of cervical cancer screening among Sudanese women. Culturally and linguistically appropriate Pap testing intervention programs for less acculturated Sudanese women should be developed, implemented, and evaluated.
Hassan
F M
FM
Sudan University of Science and Technology, College of Medical Laboratory Science, Khartoum, Sudan. fathmaga@yahoo.com
Khirelseed
M
M
D000328:Adult; D001290:Attitude; D003469:Culture; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D065006:Papanicolaou Test; D013397:Sudan; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears