Determinants of cervical cancer screening among women living with HIV in Zimbabwe

Dados Bibliográficos

ID22945496
AutoresR Antabe (0000-0003-0312-3201, University of Toronto Scarborough, autor correspondente), Nasong A Luginaah (Faculty of Science, Western University , 1151 Richmond Street, London, ON N6A 3K7 , Canada), Joseph Kangmennaang (0000-0002-1760-3524, Queen's University), Paul Mkandawire (0000-0002-5301-5607, Carleton University)
Ano2023
Volume38
Fascículo4
Data de publicação2023-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Promotion International (JOURNAL)
Identificadores do periódicoISSN: 0957-4824 • E-ISSN: 1460-2245
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daad073
PMID37440254
OpenAlexW4384119428
IdiomaEN
Citações recebidas2
Referências citadas33

In sub-Saharan Africa (SSA), cervical cancer (CC) is the second leading cause of cancer-related deaths, with human immunodeficiency virus (HIV) seropositive women being particularly vulnerable. Despite the benefits of early CC screening in reducing HIV-related CC deaths, CC screening uptake remains limited, with wide disparities in access across SSA. As part of a larger study, this paper examines the determinants of CC screening among HIV-seropositive women of reproductive age (15–49 years) in Zimbabwe. Using the 2015 Zimbabwe Demographic and Health Survey, we conducted multilevel analyses of CC screening among 1490 HIV-seropositive women, nested in 400 clusters. Our findings revealed that, even though 74% of HIV-seropositive women knew about CC, only 17.6% of them reported ever screening for it. Women who held misconceptions about HIV (OR = 0.47, p = 0.01) were less likely to screen for CC compared to those with accurate knowledge about HIV and CC. HIV-seropositive women with secondary or higher education were more likely to screen (OR = 1.39, p = 0.04) for CC compared to those with a primary or lower level of education. Age was positively associated with screening for CC. Furthermore, locational factors, including province and rural–urban residence, were associated with CC screening. Based on these findings, we call for integrated care and management of HIV and non-communicable diseases in Southern Africa, specifically, Zimbabwe due to the legacy of HIV in the region.

Cancer · Cervical cancer · Cervical cancer screening · Environmental health · Human immunodeficiency virus (HIV) · Residence · Cervical Cancer and HPV Research · Demography · HIV/AIDS Research and Interventions · Immunology · Internal Medicine · Medicine · Viral-associated cancers and disorders · Gerontology