Uptake of cervical cancer screening among sex workers living with HIV in Nairobi, Kenya: a cross-sectional study.

IF 3.8 Q2 INFECTIOUS DISEASES Therapeutic Advances in Infectious Disease Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.1177/20499361241284238

Maureen Akolo, Lawrence Gelmon, Horatius Musembi, Benard Mutwiri, Isabel Kambo, Joshua Kimani, Christopher Akolo

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Abstract

Background: Hospitals within Nairobi County, Kenya, offer cervical cancer screening services. However, most female sex workers do not seek this service.

Objective: To determine uptake of cervical cancer screening among female sex workers living with HIV in Nairobi, Kenya.

Design: A descriptive cross-sectional study.

Methods: Computerized simple random sampling was used to select 75 study participants who met the inclusion criteria; data were collected using a structured questionnaire. The study was carried out among female sex workers living with HIV in Nairobi, Kenya, attending the Sex Workers Outreach Program.

Results: 40% (n = 30) of respondents were aged 18-25 years. Only 45.3% (34) had been screened for cervical cancer within the last 1 year. 65.3% (n = 49) of respondents knew that cervical cancer affects the cervix but were not aware of what caused the disease. 77.6% (n = 58) found the 8 am-5 pm health facility opening hours a hinderance to seeking services and 66.7% (n = 50) found the screening method uncomfortable. Cultural practices and beliefs fostered stigma in 39.2% (n = 29) of the sex workers; hence, they did not seek out services.

Conclusion: Lack of information, cultural barriers, and facility operating hours prevent female sex workers living with HIV from getting tested for cervical cancer. These barriers once addressed could improve cervical cancer screening uptake among this high-risk population.

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肯尼亚内罗毕感染艾滋病毒的性工作者接受宫颈癌筛查的情况：一项横断面研究。

背景：肯尼亚内罗毕县的医院提供宫颈癌筛查服务。然而，大多数女性性工作者并不寻求这项服务：目的：确定肯尼亚内罗毕感染艾滋病毒的女性性工作者接受宫颈癌筛查的情况：设计：描述性横断面研究：采用计算机简单随机抽样的方法，挑选出 75 名符合纳入标准的研究参与者；使用结构化问卷收集数据。研究对象为肯尼亚内罗毕参加性工作者外展计划的女性艾滋病感染者：40%（n=30）的受访者年龄在 18-25 岁之间。只有 45.3%（34 人）在过去 1 年中接受过宫颈癌筛查。65.3%（n=49）的受访者知道宫颈癌会影响宫颈，但不知道这种疾病的病因。77.6%（n = 58）的受访者认为，医疗机构上午 8 点至下午 5 点的开放时间妨碍了他们寻求服务，66.7%（n = 50）的受访者认为筛查方法让他们感到不舒服。39.2%的性工作者（人数=29）认为文化习俗和信仰导致了耻辱感，因此她们没有寻求服务：结论：缺乏信息、文化障碍和设施工作时间阻碍了感染艾滋病毒的女性性工作者接受宫颈癌检测。一旦解决了这些障碍，就能提高这一高危人群的宫颈癌筛查率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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