Knowledge and Practice of Cervical Cancer Prevention and its Associated Factors among Primary School Female Teachers of Hawassa City, Southern Ethiopia: Cross-Sectional Study

Aynamaw Embiale, Muche Argaw, B. Meshesha, Dubale Dulla
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Abstract

Objective: This study was assessed knowledge and practice of cervical cancer prevention, and its associated factors among primary school female teachers of Hawassa city, southern Ethiopia. Methods: A school-based cross-sectional study design was used to investigate the Knowledge and practice of cervical cancer prevention and its associated factors. Data was collected from 475 female teachers with simple random sampling techniques. Data were analyzed and presented with frequency, proportion, mean and standard deviations while crude odds ratio and p-value were generated with binary logistic regression. Multivariate logistic regression was used to identify associated factors of knowledge and practices towards cervical cancer prevention with p-value ≤ 0.05. Results: From 475 respondents 129 (27.2%) were knowledgeable and 95 (20%) have practices to prevent cervical cancer. Age 35-39 years old were 2.20 times and have a history of pregnancy 2.09 times(Adjusted odds ratio 2.20, 95% Confidence Interval: 1.11-3.46) and (Adjusted odds ratio 2.09, 95%, Confidence Interval: 1.08-4.05) respectively, increases the odds of a good level of knowledge. On the other hand Age between 30-39 years old were 1.85 times more likely (Adjusted odds ratio 1.85, 95% Confidence Interval: 1.02-3.36), and those having a good level of knowledge 6.14 times more likely (Adjusted odds ratio 6.14, 95% Confidence Interval: 3.71-10.16) increases the odds level of practices. Conclusions: Inthis study knowledge and practice towards cervical cancer prevention were low. Age 35-39 years old, and was having history of pregnancy, increases the odds of a good knowledge. Where-as age 30-39 years old and was having a good level of knowledge increases the odds practices towards cervical cancer prevention. Therefore counseling with information, education, communication and service should be given at maternal and child health units and platforms should be created in schools to give health health education in order to reach more need specific groups. Keywords: Cervical cancer, Knowledge, Practice, Teachers, Hawassa, Prevention information
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埃塞俄比亚南部阿瓦萨市小学女教师宫颈癌预防知识与实践及其相关因素的横断面研究
目的:了解埃塞俄比亚南部阿瓦萨市小学女教师宫颈癌预防知识、行为及其相关因素。方法:采用以学校为基础的横断面研究设计,调查宫颈癌预防知识和实践及其相关因素。采用简单随机抽样的方法对475名女教师进行调查。数据分析采用频率、比例、均值和标准差表示,采用二元logistic回归生成粗比值比和p值。采用多因素logistic回归分析宫颈癌预防知识与行为的相关因素,p值≤0.05。结果:475名受访者中,129名(27.2%)了解宫颈癌预防知识,95名(20%)有宫颈癌预防实践。年龄35 ~ 39岁分别为2.20次和2.09次(校正优势比2.20,95%可信区间:1.11 ~ 3.46)和(校正优势比2.09,95%可信区间:1.08 ~ 4.05),增加了良好知识水平的优势。另一方面,年龄在30-39岁之间的可能性是1.85倍(调整优势比为1.85,95%可信区间为1.02-3.36),知识水平较高的可能性是6.14倍(调整优势比为6.14,95%可信区间为3.71-10.16),增加了实践的优势水平。结论:本研究对宫颈癌预防的认识和实践水平较低。年龄在35-39岁之间,并且有过怀孕史,了解良好知识的几率增加。年龄在30-39岁之间并且拥有良好的知识水平会增加预防宫颈癌的几率。因此,应在妇幼保健单位提供信息、教育、沟通和服务方面的咨询,并在学校建立健康教育平台,以达到更多有需求的特定群体。关键词:宫颈癌,知识,实践,教师,哈瓦萨,预防信息
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