Socioeconomic status and health awareness predictors of cervical cancer screening uptake among women aged 25-49 years in Kiambu sub-county, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254413Keywords:
Cervical cancer, Cervical screenings, Health awareness, UptakeAbstract
Background: Cervical cancer is a major public health concern in Kenya, accounting for 12% of all cancer cases and being the leading cause of cancer-related deaths. This study aimed to identify the socioeconomic status and health awareness determinants of cervical cancer screening uptake among women aged 25-49 years in Kiambu town sub-county, Kiambu County, Kenya.
Methods: A descriptive cross-sectional design was used in this study, where both qualitative and quantitative data were obtained for purposes of triangulation. Multi-stage sampling technique was utilized to select study participants. Both chi-square and binary logistic regression were used to identify socioeconomic status and health awareness determinants associated with cervical cancer screening uptake. SPSS version 29 was used in quantitative data analysis. The cutoff for statistical significance was p≤0.05. Qualitative data were analyzed thematically.
Results: Cervical cancer screening uptake was at 40.2%. Earning between Ksh 20,001-30,000 (OR=5.4, 95% CI; 2.074-6.464, p<0.001), being married (OR=1.8,95% CI; 1.343-9.790, p=0.03), awareness of cervical cancer (OR=2.4, 95% CI; 1.342-4.122, p=0.003), and awareness of signs and symptoms (OR=1.5, 95% CI; 1.154-2.704, p=0.01) increased the odds of cervical cancer screening. Conversely, younger women aged 25-29 years (OR=0.22, 95% CI; 0.243-0.846, p=0.023) had reduced odds of cervical cancer screening uptake.
Conclusions: The uptake of cervical cancer screening was low among women aged 25-49 years in Kiambu sub-county. Awareness of cervical cancer signs and symptoms, awareness of cervical cancer, study respondents’ age, marital status income were socioeconomic status and health awareness predictors of cervical cancer screening. Efforts should be put in place to enhance awareness of cervical cancer.
Metrics
References
Hernández Vargas JA, Ramírez Barbosa PX, Valbuena-Garcia AM, Acuña L, González-Diaz JA. Factors associated with delays in time to treatment initiation in Colombian women with cervical cancer: A cross-sectional analysis. Gynecol Oncol Rep. 2021;35. DOI: https://doi.org/10.1016/j.gore.2021.100697
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49. DOI: https://doi.org/10.3322/caac.21660
Pilleron S, Cabasag CJ, Ferlay J, Bray F, Luciani S, Almonte M, et al. Cervical cancer burden in Latin America and the Caribbean: Where are we? Int J Cancer. 2020;147(6):1638-48. DOI: https://doi.org/10.1002/ijc.32956
WHO. A Global Strategy for elimination of cervical cancer. 2020. Available from: https://www.paho.org/en/end-cervical-cancer#:~:text=The Global Strategy outlines the,lifetime of today’s young girls. Accessed on 11 November 2024.
Jedy-Agba E, Joko WY, Liu B, Buziba NG, Borok M, Korir A, et al. Trends in cervical cancer incidence in sub-Saharan Africa. Br J Cancer. 2020;123(1):148-54. DOI: https://doi.org/10.1038/s41416-020-0831-9
Guida F, Kidman R, Ferlay J, Schüz J, Soerjomataram I, Kithaka B, et al. Global and regional estimates of orphans attributed to maternal cancer mortality in 2020. Nat Med. 2022;28(12):2563. DOI: https://doi.org/10.1038/s41591-022-02109-2
WHO. WHO Guideline for Screening and Treatment of Cervical Pre-Cancer Lesions for Cervical Cancer Prevention. 2nd ed. World Health Organization; Geneva, Switzerland; 2021.
Small W, Peltecu G, Puiu A, Corha A, Cocîra E, Cig Ran RG, et al. Cervical cancer in Eastern Europe: review and proceedings from the Cervical Cancer Research Conference. Int J Gynecol Cancer. 2021 Jul 1;31(7):1061-7. DOI: https://doi.org/10.1136/ijgc-2020-001652
Lin S, Gao K, Gu S, You L, Qian S, Tang M, et al. Worldwide trends in cervical cancer incidence and mortality, with predictions for the next 15 years. Cancer. 2021;127(21):4030-9. DOI: https://doi.org/10.1002/cncr.33795
Pierz AJ, Randall TC, Castle PE, Adedimeji A, Ingabire C, Kubwimana G, et al. A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings. Gynecol Oncol Rep. 2020;33. DOI: https://doi.org/10.1016/j.gore.2020.100605
Yimer NB, Mohammed MA, Solomon K, Tadese M, Grutzmacher S, Meikena HK, et al. Cervical cancer screening uptake in Sub-Saharan Africa: a systematic review and meta-analysis. Public Health. 2021;195:105-11. DOI: https://doi.org/10.1016/j.puhe.2021.04.014
Isabirye A, Mbonye MK, Kwagala B. Predictors of cervical cancer screening uptake in two districts of Central Uganda. PLoS One. 2020;15(12). DOI: https://doi.org/10.1371/journal.pone.0243281
Kuria Waitara J, Kerich G, Kihoro J, Korir A. Poisson-Gamma and Spatial-Temporal Models: with Application to Cervical Cancer in Kenya’s Counties. Am J Theor Appl Stat. 2021;10(3):158. DOI: https://doi.org/10.11648/j.ajtas.20211003.14
Eastment MKC, Wanje G, Richardson BA, Mwaringa E, Patta S, Sherr K, et al. A cross-sectional study of the prevalence, barriers, and facilitators of cervical cancer screening in family planning clinics in Mombasa County, Kenya. BMC Health Serv Res. 2022;22(1):1-8. DOI: https://doi.org/10.1186/s12913-022-08984-2
KDHS. Kenya Demographic and Health Survey 2022. 2022. Available from: https://dhsprogram.com/pubs/pdf/PR143/PR143.pdf. Accessed on 4 September 2025.
KNBS. 2019 Kenya Population and Housing Census Results. 2019. Available from: https://www.knbs.or.ke/2019-kenya-population-and-housing-census-results/. Accessed on 9 October 2025.
Mong’are PN, Gitonga LK, Mukhwana ES, Mong’are PN, Gitonga LK, Mukhwana ES. Patient-related factors influencing uptake of cervical cancer screening services among outpatient HIV-positive women at PCEA Chogoria Hospital, Tharaka-Nithi, Kenya. Open Access Libr J. 2023;10(2):1-14. DOI: https://doi.org/10.4236/oalib.1109753
Gizaw AT, El-Khatib Z, Wolancho W, Amdissa D, Bamboro S, Boltena MT, et al. Uptake of cervical cancer screening and its predictors among women of reproductive age in Gomma district, South West Ethiopia: a community-based cross-sectional study. Infect Agent Cancer. 2022;17(1):43. DOI: https://doi.org/10.1186/s13027-022-00455-x
Tesfaye D, Weldegebreal F, Ayele F, Dheresa M. Cervical cancer screening uptake and associated factors among Women Living with Human Immunodeficiency Virus in public hospitals, eastern Ethiopia. Front Oncol. 2023;13. DOI: https://doi.org/10.3389/fonc.2023.1249151
Gebreegziabher ZA, Semagn BE, Kifelew Y, Abebaw WA, Tilahun WM. Cervical cancer screening and its associated factors among women of reproductive age in Kenya: further analysis of Kenyan demographic and health survey 2022. BMC Public Health. 2024;24(1):1-11. DOI: https://doi.org/10.1186/s12889-024-18148-y
George TJ. Factors influencing utilization of cervical cancer screening services among women- a cross sectional survey. Clin Epidemiol Glob Health. 2021;11:100752. DOI: https://doi.org/10.1016/j.cegh.2021.100752
Shin HY, Park B, Suh M, Choi KS, Jun JK. Association of late marriage and low childbirth with cervical cancer screening among Korean women: results from a nationwide survey. Cancers. 2022;14(2). DOI: https://doi.org/10.3390/cancers14020327
Murfin J, Irvine F, Meechan-Rogers R, Swift A. Education, income and occupation and their influence on the uptake of cervical cancer prevention strategies: a systematic review. J Clin Nurs. 2020;29(3-4):393-415. DOI: https://doi.org/10.1111/jocn.15094
Mabelele MM, Materu J, Ng’ida FD, Mahande MJ. Knowledge towards cervical cancer prevention and screening practices among women who attended reproductive and child health clinic at Magu district hospital, Lake Zone Tanzania: a cross-sectional study. BMC Cancer. 2018;18(1). DOI: https://doi.org/10.1186/s12885-018-4490-7
Aredo MA, Sendo EG, Deressa JT. Knowledge of cervical cancer screening and associated factors among women attending maternal health services at Aira Hospital, West Wollega, Ethiopia. SAGE Open Med. 2021;9. DOI: https://doi.org/10.1177/20503121211047063
Gatumo M, Gacheri S, Sayed AR, Scheibe A. Women’s knowledge and attitudes related to cervical cancer and cervical cancer screening in Isiolo and Tharaka Nithi counties, Kenya: a cross-sectional study. BMC Cancer. 2018;18(1). DOI: https://doi.org/10.1186/s12885-018-4642-9
Ghosh S, Mallya SD, Shetty RS, Pattanshetty SM, Pandey D, Kabekkodu SP, et al. Knowledge, attitude and practices towards cervical cancer and its screening among women from tribal population: a community-based study from southern India. J Racial Ethn Health Dispar. 2021;8(1):88-93. DOI: https://doi.org/10.1007/s40615-020-00760-4