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Jesse Saint-Saba Antaon, Marie-José Essi, Esther Ngo Um Meka

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary
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    Low screening rates for cervical cancer in Cameroon are linked to factors like limited education, unemployment, and poor knowledge. Addressing these barriers is crucial for improving access to vital screening services.

    Area of Science:

    • Public Health
    • Gynecology
    • Cancer Screening

    Background:

    • Cervical cancer screening uptake remains critically low among Cameroonian women at risk, with only 10% ever screened.
    • This highlights a significant gap in preventative healthcare access within the region.

    Purpose of the Study:

    • To investigate and identify key factors contributing to the challenges women face in accessing cervical cancer screening services.
    • The study specifically focuses on the urban setting of Yaoundé, Cameroon.

    Main Methods:

    • An analytical cross-sectional study was conducted with 300 women in Yaoundé, Cameroon, from May to August 2020.
    • Participants were categorized into two groups: those who had never been screened and those who had undergone at least one screening session.
    • Data were collected via a validated questionnaire and analyzed using logistic regression to determine factors associated with non-participation in screening.

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    Main Results:

    • 50% of the interviewed women (150 out of 300) had never participated in cervical cancer screening.
    • Multivariate analysis revealed significant associations between lack of screening and primary education level (AOR: 5.12), unemployment (AOR: 5.44), insufficient knowledge (AOR: 7.11), and unfavorable attitudes (AOR: 5.58).

    Conclusions:

    • Multiple socio-demographic and knowledge-based factors impede access to cervical cancer screening in Yaoundé.
    • Developing targeted strategies is essential to enhance the uptake of cervical cancer screening services and improve women's health outcomes in Cameroon.