Abstrakti
Background: Female health workers’ knowledge about cervical cancer screening may not translate to better uptake. This study compared the uptake of cervical cancer screening services as well as its determinants between female health and non-health workers in Ibadan, Nigeria.
Methods: A comparative cross-sectional design employing a total population survey was conducted among 602 female health and non-health workers using a semi-structured questionnaire. Data were analysed using descriptive and inferential statistics evaluated at 5% significance level.
Results: Mean age for both groups was 40.8 ± 9 years. More health workers (82.4%) compared to non-health workers (28.4%) had good knowledge of cervical cancer (p < 0.001). More health workers (98.4%) compared to nonhealth workers (84.0%) had good knowledge of cervical cancer screening services (p < 0.001). Health workers (23.2%) were not different from non-health workers (18.7%) in their uptake of cervical cancer screening services (p=0.226). Doctors were more likely to utilize cervical cancer screening services compared to other female health workers (OR: 4.40, 95% CI: 1.577 – 12.280). Non-health workers on grade level 13 and above (OR: 3.83, 95% CI: 1.495 – 9.823) were more likely to utilize cervical cancer screening services compared to those on grade level 01-06, and those with good knowledge of cervical cancer (OR: 2.11, 95% CI: 1.021 – 4.350) compared to those with poor knowledge.
Conclusion: A knowledge-practice gap exists in uptake of cervical cancer screening services among health workers. Awareness campaigns need to be intensified, particularly among health workers who are not doctors, and the middle/lower cadre non-health workers.
Keywords: Cervical cancer; Cancer screening tests; Uptake of Cancer screening; Healthcare workers; Knowledge of cervical cancer.
Résumé
Contexte: Les connaissances des femmes agentes de santé sur le dépistage du cancer du col de l’utérus peuvent ne pas se traduire par une meilleure utilisation . Cette étude a comparé le recours aux services de dépistage du cancer du col de l’utérus ainsi que ses déterminants entre les femmes agentes et non-agentes de santé à Ibadan, au Nigéria.
Méthodes: Une étude transversale comparative employant une enquête de la population totale a été menée auprès de 602 femmes agentes et non-agentes de santé en utilisant un semi-structuré questionnaire. Les données ont été analysées à l’aide de statistiques descriptives et inférentielles évaluées à un niveau de signification de 5%.
Résultats: L’âge moyen pour les deux groupes était de 40,8 ± 9 ans. Plus d’agentes de santé (82,4%) par rapport aux non-agentes de santé (28,4%) avaient une bonne connaissance du cancer du col de l’utérus (p <0,001). Plus d’agentes de santé (98,4 %) par rapport aux non-agentes de santé (84,0%) avaient une bonne connaissance des services de dépistage du cancer du col de l’utérus (p <0,001). Les agentes de santé (23,2%) n’étaient pas différentes des nonagentes de santé (18,7%) dans leur recours aux services de dépistage du cancer du col de l’utérus (p = 0,226). Les médecins étaient plus susceptibles d’utiliser les services de dépistage du cancer du col de l’utérus que les autres agentes de santé (OR: 4,40, IC à 95%: 1,577 - 12,280). Les non-agentes de santé de niveau 13 et plus (OR: 3,83, IC à 95%: 1,495 - 9,823) étaient plus susceptibles d’utiliser les services de dépistage du cancer du col de l’utérus par rapport à celles du niveau 01-06 et à celles ayant une bonne connaissance du cancer du col de l’utérus (OR: 2,11, IC à 95%: 1,021 - 4,350) par rapport à celles qui ont de faibles connaissances.
Conclusion: Il existe un écart de connaissance-pratique dans l’utilisation des services de dépistage du cancer du col utérin parmi les agentes de santé. Les campagnes de sensibilisation doivent être intensifiées, en particulier parmi les agentes de santé qui ne sont pas médecins, et les non-agentes de santé des cadres moyens/inférieurs.
Mots clés: Cancer du col de l’utérus; Tests de dépistage du cancer; Adoption du dépistage du cancer; Les agentes de la santé; Connaissance du cancer du col de l’utérus.
Correspondence: Dr. V.O. Oladoyin, Department of Community Medicine, University of Medical Sciences, PMB 536, Ondo, Nigeria. E-mail: dayooladoyin@gmail.com
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