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Awareness and utilization of cervical cancer screening services among women in selected rural communities in IFE east local government, Osun State, Nigeria
Cervical cancer is a deadly disease that is preventable but has claimed the lives of many Nigerian women. This high fatality
is due to its late presentation. It is believed that widespread screening of women for precursor lesion and early detection of
the invasive disease can lead to a reduction in cervical cancer and cervical cancer deaths. The study assessed the knowledge and
utilization of cervical cancer screening among women in selected rural communities in Ife East Local Government, Ile Ife. The
study adopted a cross-sectional descriptive design in conducting the study and it was delimited to women. A sample size of 426
women who participated in the study were selected randomly from various rural communities. Semi structured questionnaires
tested for validity and reliability was used to collect data, data was coded, entered into statistical package for social sciences
version 17. Data were presented in frequency tables and cross tabulations and then Chi square and T-test were used to determine
association among variables of interest at a level of significance of <0.05. Results showed that the mean age of the respondents was
41卤5 years; the women who participated in the study were aware of cervical cancer (77%) but were not aware of papanicolaou
smear as the screening test for cervical cancer (62.9%). Above average (54.5%) of the respondents had a fair knowledge about
cervical cancer and screening but only a few percentage (9.4%) reported to have done pap smear test before, identified barriers
to the uptake of the test were finances, pain, lack of awareness, embarrassment. The study demonstrated a significant association
between women鈥檚 knowledge about cervical cancer and cervical cancer screening (results) and their age (X2=21.15, df=8, P=0.007).
There was also a significant difference in between illiterate and literate in their knowledge about cervical cancer and screening
services (p=0.027). In conclusion, there is need to increase awareness on Papanicolaou smear as a method of screening and its
importance in the prevention of cervical cancer. The government should also be sensitized to support women鈥檚 participation by
subsidizing the cost as cost remains a major challenge for women in utilizing the service.