Knowledge about Cervical Cancer and Associated Factors among 15-49 Year Old Women in Dessie Town, Northeast Ethiopia.
BACKGROUND
Cervical cancer is one of the leading causes of morbidity and mortality amongst female cancer worldwide, especially in developing countries, including Ethiopia. The level of women's knowledge about cervical cancer is not well documented in Ethiopia. The current study sought to assess women's knowledge about cervical cancer and associated factors.


METHODS
A community based cross-sectional survey was conducted with a sample of 620 women aged 15-49 years residing in Dessie town, Northeast Ethiopia. Respondents were selected using a multistage sampling technique. The women were interviewed at home by trained data collectors using a structured questionnaire on cervical cancer knowledge. Knowledge about cervical cancer was measured using an eight item instrument. The maximum possible score was 8; those scoring 5 or more were categorized as having "sufficient" knowledge. Binary and multiple logistic regressions were employed to determine factors associated with knowledge about cervical cancer.


RESULTS
A total of 51% of the participants had sufficient knowledge about cervical cancer. After adjusting for covariates, having sufficient knowledge about cervical cancer was positively associated with better educational level and income. Women with primary education (Adjusted Odds Ratio (AOR): 3.4; 95% CI: 2.2-5.1) and those who had secondary and above education (AOR: 8.7; 95% CI: 5.5-13.7) were more likely to have sufficient knowledge about cervical cancer compared to those who had no formal education. Furthermore, women earning an average household monthly income above 1500 Ethiopian birr (ETB) (~75 U.S. dollars) were more likely to have sufficient knowledge (AOR: 2.3; 95% CI: 1.3-3.9) than women with an average household monthly income less than 500 ETB (~25 U.S. dollars).


CONCLUSIONS
This study shows a suboptimal knowledge about cervical cancer regarding its risk factors, signs and symptoms, prevention and treatment among women in the study site. The level of education and economic status were found to be important determinants for knowledge about cervical cancer. Prevention programs should focus cervical cancer educational resources on women with less education and women with lower economic status groups.
Department of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Israel
I
Mitiku
Ethiopian Family Guidance Association, Addis Ababa, Ethiopia.
Fasika
F
Tefera
Int J Cancer. 1999 Sep 24;83(1):59-65
10449609
Vaccine. 2006 Aug 31;24 Suppl 3:S3/1-10
16949995
Milbank Mem Fund Q. 1966 Jul;44(3):Suppl:94-127
5967464
BMC Cancer. 2013 Jan 02;13:2
23282173
PLoS Med. 2008 Jun 17;5(6):e132
18563963
BMC Womens Health. 2014 Feb 18;14(1):30
24548698
Tumori. 2010 Jul-Aug;96(4):517-23
20968129
East Afr J Public Health. 2008 Aug;5(2):111-6
19024420
BMC Health Serv Res. 2014 Aug 06;14:335
25100298
Afr J Reprod Health. 2004 Dec;8(3):68-80
17348326
PLoS One. 2013 Jul 02;8(7):e67005
23843976
Rev Obstet Gynecol. 2010 Summer;3(3):122-32
21364864
BMC Public Health. 2012 Jan 10;12:22
22233530
Int J Gynecol Cancer. 2014 Mar;24(3):576-85
24557438
Lancet. 2004 Jul 17-23;364(9430):249-56
15262102
Lancet Oncol. 2012 Aug;13(8):790-801
22658655
BMJ. 1997 Feb 22;314(7080):572
9055718
Ann Oncol. 2011 Dec;22(12):2675-2686
21471563
Vaccine. 2006 Aug 31;24 Suppl 3:S3/71-7
16950020
Br J Cancer. 2005 Nov 28;93(11):1301-4
16265348
Bull World Health Organ. 2007 Apr;85(4):264-72
17546307
Ann Oncol. 2006 Jun;17 Suppl 8:viii32-viii36
16801337