Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa
Objective We investigated the association between women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa.Design Secondary data from the Demographic and Health Surveys of six countries in sub-Saharan Africa were used. We employed multilevel binary logistic regre...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e058026.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832575898266632192 |
|---|---|
| author | Bright Opoku Ahinkorah Abdul-Aziz Seidu Richard Gyan Aboagye Bernard Yeboah-Asiamah Asare Joshua Okyere Bupe Mwamba |
| author_facet | Bright Opoku Ahinkorah Abdul-Aziz Seidu Richard Gyan Aboagye Bernard Yeboah-Asiamah Asare Joshua Okyere Bupe Mwamba |
| author_sort | Bright Opoku Ahinkorah |
| collection | DOAJ |
| description | Objective We investigated the association between women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa.Design Secondary data from the Demographic and Health Surveys of six countries in sub-Saharan Africa were used. We employed multilevel binary logistic regression modelling.Setting Sub-Saharan Africa.Participants Women aged 15–49 years in Benin (n=5282), Côte d’Ivoire (n=1925), Cameroon (n=7558), Kenya (n=6696), Namibia (n=1990) and Zimbabwe (n=5006).Primary outcome measures Cervical cancer screening uptake.Results The overall prevalence of cervical cancer screening across the six sub-Saharan African countries was 13.4%. Compared with women whose healthcare decisions were made solely by husbands/partners/someone else, the likelihood of cervical cancer screening uptake was significantly higher among women who took healthcare decisions in consultation with their husbands/partners (aOR=1.38; 95% CI 1.19 to 1.59), but highest among those who made healthcare decisions alone (aOR=1.66; 95% CI 1.44 to 1.91). Women aged between 40 and 45 years (aOR=5.18; 95% CI 3.15 to 8.52), those with higher education (aOR=2.13; 95% CI 1.57 to 2.88), those who had ever heard of cervical cancer (aOR=32.74; 95% CI 20.02 to 53.55), read newspaper or magazine at least once a week (aOR=2.11; 95% CI 1.83 to 2.44), listened to the radio at least once a week (aOR=1.35; 95% CI1.18 to 1.52) and those in households with richest wealth index (aOR=1.55; 95% CI 1.20 to 2.00) had significantly higher odds of screening for cervical cancer compared to their counterparts.Conclusion Women who are able to make autonomous healthcare decisions and those who practice shared decision making are more likely to uptake cervical cancer screening. Therefore, policy interventions should focus on empowering women to be able to take autonomous healthcare decisions or shared decision making while targeting subpopulations (ie, multiparous and rural-dwelling women, as well as those in other religious affiliations aside from Christianity) that are less likely to uptake cervical cancer screening. Also, the radio and print media could be leveraged in raising awareness about cervical cancer screening to accelerate cervical cancer screening uptake in sub-Saharan Africa. |
| format | Article |
| id | doaj-art-fcf44b5487f84d96ab3d4615a5dbdef6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fcf44b5487f84d96ab3d4615a5dbdef62025-01-31T17:20:08ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-058026Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan AfricaBright Opoku Ahinkorah0Abdul-Aziz Seidu1Richard Gyan Aboagye2Bernard Yeboah-Asiamah Asare3Joshua Okyere4Bupe Mwamba5School of Clinical Medicine, University of New South Wales Sydney, Sydney, New South Wales, AustraliaDepartment of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Central, GhanaDepartment of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, GhanaHealth Psychology, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK8 Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaCentre for Midwifery, Family and Child Health, University of Technology Sydney, Sydney, New South Wales, AustraliaObjective We investigated the association between women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa.Design Secondary data from the Demographic and Health Surveys of six countries in sub-Saharan Africa were used. We employed multilevel binary logistic regression modelling.Setting Sub-Saharan Africa.Participants Women aged 15–49 years in Benin (n=5282), Côte d’Ivoire (n=1925), Cameroon (n=7558), Kenya (n=6696), Namibia (n=1990) and Zimbabwe (n=5006).Primary outcome measures Cervical cancer screening uptake.Results The overall prevalence of cervical cancer screening across the six sub-Saharan African countries was 13.4%. Compared with women whose healthcare decisions were made solely by husbands/partners/someone else, the likelihood of cervical cancer screening uptake was significantly higher among women who took healthcare decisions in consultation with their husbands/partners (aOR=1.38; 95% CI 1.19 to 1.59), but highest among those who made healthcare decisions alone (aOR=1.66; 95% CI 1.44 to 1.91). Women aged between 40 and 45 years (aOR=5.18; 95% CI 3.15 to 8.52), those with higher education (aOR=2.13; 95% CI 1.57 to 2.88), those who had ever heard of cervical cancer (aOR=32.74; 95% CI 20.02 to 53.55), read newspaper or magazine at least once a week (aOR=2.11; 95% CI 1.83 to 2.44), listened to the radio at least once a week (aOR=1.35; 95% CI1.18 to 1.52) and those in households with richest wealth index (aOR=1.55; 95% CI 1.20 to 2.00) had significantly higher odds of screening for cervical cancer compared to their counterparts.Conclusion Women who are able to make autonomous healthcare decisions and those who practice shared decision making are more likely to uptake cervical cancer screening. Therefore, policy interventions should focus on empowering women to be able to take autonomous healthcare decisions or shared decision making while targeting subpopulations (ie, multiparous and rural-dwelling women, as well as those in other religious affiliations aside from Christianity) that are less likely to uptake cervical cancer screening. Also, the radio and print media could be leveraged in raising awareness about cervical cancer screening to accelerate cervical cancer screening uptake in sub-Saharan Africa.https://bmjopen.bmj.com/content/12/7/e058026.full |
| spellingShingle | Bright Opoku Ahinkorah Abdul-Aziz Seidu Richard Gyan Aboagye Bernard Yeboah-Asiamah Asare Joshua Okyere Bupe Mwamba Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa BMJ Open |
| title | Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa |
| title_full | Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa |
| title_fullStr | Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa |
| title_full_unstemmed | Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa |
| title_short | Towards a cervical cancer-free future: women’s healthcare decision making and cervical cancer screening uptake in sub-Saharan Africa |
| title_sort | towards a cervical cancer free future women s healthcare decision making and cervical cancer screening uptake in sub saharan africa |
| url | https://bmjopen.bmj.com/content/12/7/e058026.full |
| work_keys_str_mv | AT brightopokuahinkorah towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica AT abdulazizseidu towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica AT richardgyanaboagye towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica AT bernardyeboahasiamahasare towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica AT joshuaokyere towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica AT bupemwamba towardsacervicalcancerfreefuturewomenshealthcaredecisionmakingandcervicalcancerscreeninguptakeinsubsaharanafrica |