title: Willingness and acceptability of cervical cancer screening among women living with HIV/AIDS in Addis Ababa, Ethiopia: a cross sectional study.
abstract: BACKGROUND
  In Ethiopia, cervical cancer (CC) ranks the 2nd most frequent cancer and the country had 27.19 million women at risk of developing the disease though only 0.6 % women age 18-69 years was screened every 3 years. Nearly a quarter (22.1 %) of southern Ethiopia HIV (Human Immunodeficiency Virus) infected Women were positive for precancerous cervical cancer. Doing regular screening can prevent the disease by around half (45 %) of the cases in age of 30s and three quarter (75 %) cases in 50s and 60s.In the presence of high risk for acquiring cervical cancer among HIV patients, willingness and acceptance of the screening is low in Addis Ababa, Ethiopia thus the current study was aimed to assess willingness and acceptability of cervical cancer screening and its determinants among women living with HIV/AIDS in Addis Ababa, Ethiopia.
  
  
  METHODS
  A facility based cross sectional study was conducted among HIV positive women attending HIV treatment centers in Addis Ababa. The respondents were identified using systematic random sampling method. Data was collected using pretested questionnaire and were entered in to Epi-info version 3.5.1 software and exported in to SPSS version 20 statistical package for analysis. The criterias for entering independent variables into multivariate analysis were having p-value 0.05 or less at bivariate analysis and not co-linear.
  
  
  RESULTS
  One third (34.2 %) of participants knew cervical cancer and two third (62.7 %) were willing for the test though only a quarter (24.8 %) were accepted the test. The independent variables significantly associated with acceptance of screening were educational level, source of information, awareness for the test and preventability of the disease.
  
  
  CONCLUSIONS
  In current study willingness and acceptance of CC (cervical cancer) were low thus organizations working on cancer and HIV/AIDS should establish cervical cancer screening program and further enhance awareness creation.
authors.affiliation: Ethiopian Public Health Institute, Health System Research Directorate, Addis Ababa, Ethiopian.
authors.forename: Netsanet
authors.initials: N
authors.lastname: Belete
authors.affiliation: Addis Ababa University, Allied School of Health Science, Addis Ababa, Ethiopian.
authors.forename: Yosief
authors.initials: Y
authors.lastname: Tsige
authors.affiliation: Debre Markos University, College of Medicine and Health Science, Department of Public Health, Debre Markos, Ethiopia.
authors.forename: Habtamu
authors.initials: H
authors.lastname: Mellie
keywords: Acceptability; Cervical cancer; Ethiopia; HIV/AIDS; Screening; Willingness