Prevalence and Predictors of Pap-Smear Screening for Cervical Cancer among Married Women in Urban of Mandalay, Myanmar
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 17, Issue 8
Abstract
Aims: To determine the prevalence of Pap-smear screening, to assess the knowledge regarding cervical cancer and Pap-smear test and to identify the predictors of practice of Pap-smear screening among married women in urban of Mandalay, Myanmar. Study Design: Cross-sectional study. Place and Duration of Study: This study was done in urban townships in Mandalay, Myanmar from February–March, 2012. Methodology: 230 married women were selected using multistage sampling. Interviews were conducted using structured questionnaire by five research assistants. Questionnaire consisted socio-demographic characteristics, past Pap-smear practice, knowledge and perception towards cervical cancer. Practice of Pap-smear screening was defined as ever had a test in life time. Results: Of 230 married women, only 38 (16.5%) had reported history of Pap-smear test in their life time of whom 71.1% had the test within last 1 year and 5.2% had within last 3 years. Logistic regression analysis shows that the likelihood to perform Pap-smear screening test was higher in woman age between 36-45 years (adjusted OR = 34.79; 95% CI = 7.1 – 170.2) and woman more than 45 year of age (adjusted OR = 10.1; 95% CI = 1.9 – 51.8). Woman who got married at 20-25 year-old (adjusted OR = 16.4; 95% CI = 1.9 – 142.6) and more than 25 year-old (adjusted OR = 9.5; 95%CI = 1.2 – 75.2) are more likely to have screening compared to woman got married at age of under 20 years. Women having good perception (adjusted OR = 14.5; 95% CI = 3.9 – 53.9) and whose husband were aware about cervical cancer and Pap-smear screening test (adjusted OR = 46.1; 95%CI = 9.7 – 219.6) were significant predictors of having Pap-smear test. Conclusion: Poor knowledge for cervical cancer and lack of self-care knowledge are immediate concerns to reduce the morbidity as well as mortality of cervical cancer among Myanmar married women.
Authors and Affiliations
Chit Pyae Pyae Han, Htoo Htoo Kyaw Soe, Nan Nitra Than, Htay Lwin, Soe Moe
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