Women’s knowledge and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross- sectional study

• DOI: 10.21203/rs.2.14008/v1
• Publication Date: 2019-09-06T20:40:41Z
• Authors: Qiao Weng; Jie Jiang; Fatma Mrisho Haji; Lamlet Hassan Nondo; Huaijun Zhou
• Keywords: Cross-sectional study; Cancer screening

Abstract Background: Cervical cancer is the most common and leading cause of death among women in Tanzania. Knowledge willingness cervical screening are important determinants prevention services. This study aimed to describe women's awareness about explore attitudes, acceptability barriers toward Zanzibar, Tanzania, order help organizing forthcoming China-Zanzibar program. Methods: A cross-sectional was conducted from March June 2018, involving 1483 who responded questionnaires concerning general demographic characteristics, 10 districts Zanzibar. Chi-square tests, analysis variance, rank sum tests stepwise multiple regression were using STATA 15.0 software. Results : The average Total Scores(TKS) 7.83±5.32 on a 23 scale. Education level family income positively correlated with TKS (Coef=1.075, 95% CI=0.687-1.462 Coef=0.810, CI=0.262-1.358 respectively). Previous schistosomiasis history (OR = 24.140, CI= 3.306-176.266) genetic disease 3.140, 1.644-5.997) strong predictors free screening. Women less likely be screened freely if they had 7 or more deliveries 0.300, 0.150-0.598) unknown previous tumor 0.381, 0.218-0.665). As for non-free screening, age education negatively associated while uptake screening; divorced widowed marriage unawareness reluctance predictor uptake. Among 129 reluctant 50 uncertain participate 51.4% thought it unnecessary, 18.44% showed obvious fear 20.67% worrying extra infection. Conclusions: findings revealed that knowledge poor. level, significant influencing factors Specific programs increase should designed implemented public without delay.