Facteurs associés au dépistage du cancer du col de l’utérus dans le district sanitaire d’Issia, Côte d’Ivoire

Konan Roland OUSSOU; Audrey  Marie Michelle Abina; Deby  Arsene Kouamé; Makani  Angèle Zoh; Harvey  Attoh-Toure

doi:10.4314/rasp.v6i2.5

Authors

Konan Roland OUSSOU Universite Alassane Ouattara
Audrey Marie Michelle Abina Institut National d’Hygiène Publique (INHP)
Deby Arsene Kouamé Institut National d’Hygiène Publique (INHP), Côte d’Ivoire
Makani Angèle Zoh Institut National de Formation des Agents de Santé (INFAS), Côte d’Ivoire
Harvey Attoh-Toure Institut National d’Hygiène Publique (INHP), Côte d’Ivoire

DOI:

https://doi.org/10.4314/rasp.v6i2.5

Keywords:

factors, screening, cancer, cervix

Abstract

In Côte d'Ivoire, several strategies have been put in place to prevent cervical cancer, including screening for precancerous lesions and their treatment. However, the proportion of women screened remains low. The aim was to determine the proportion of women having undergone cervical cancer screening and to identify associated factors in the Issia health district. This cross-sectional study took place in the Issia health district from September 2023 to January 2024. Our population consisted of 384 women aged 25 to 49 years. Data were collected using a questionnaire and analysed using R Studio software. Factors associated with cervical cancer screening were determined using multivariate analysis by logistic regression on explanatory variables. The mean age was 34±5.5 years. Among our respondents, 52.08% had a secondary school education, 67.45% were single, and the majority (88%) were multiparous. The primary sources of information about cervical cancer were television (91.9%) and friends and family (52.8%). The proportion of women who had undergone cervical cancer screening was 6.7%. Factors associated with low screening rates were liberal professions (ORa=0.11), the unemployed (ORa=0.18), and multiparity (ORa=0.04). To prevent cervical cancer, it's essential to raise awareness among multiparous, unemployed and self-employed women and to involve healthcare staff in communicating about screening.

References

Bingham, A., Bishop, A., Coffey, P., Winkler, J., Bradley, J., Dzuba, I. and Agurto, I. (2003). Factors affecting utilization of cervical cancer prevention services in low-resource settings. Salud publica de Mexico, 45(S3), 408-416

Chali, K., Oljira, D., Sileshi, T. and Mekonnen, T. (2021). Knowledge on cervical cancer, attitude toward its screening, and associated factors among reproductive age women in Metu Town, Ilu Aba Bor, South West Ethiopia, 2018: community‐based cross‐sectional study. Cancer Reports, 4(5), p.e1382

D’hervé C. (2011).Les freins à la participation au dépistage du cancer du col de l’utérus: Etude descriptive par auto-questionnaire chez les femmes non participantes de l'étude PapU 29. Thèse de Doctorat en médecine: Université Brest; 65p.

INCa, Institut National du Cancer. (2009).Les Français face au dépistage des cancers - synthèse des résultats de la deuxième vague de l’enquête barométrique Inca/Bva (janvier-février 2009). Boulogne-Billancourt: INCa/BVA.

Haesebaert, J., Lutringer-Magnin, D., Kalecinski, J., Barone, G., Jacquard, A. C., Régnier, V., & Lasset, C. (2012). French women’s knowledge of and attitudes towards cervical cancer prevention and the acceptability of HPV vaccination among those with 14–18 year old daughters: a quantitative-qualitative study. BMC public health, 12, 1-10.

Mabelele, M. M., Materu, J., Ng’ida, F. D., & Mahande, M. J. (2018). 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, 18, 1-8.

Markovic, M., Kesic, V., Topic, L. and Matejic, B.(2005). Barriers to cervical cancer screening: a qualitative study with women in Serbia. Social science & medicine, 61(12), 2528-2535

Maree, J. E., & Kampinda-Banda, M. (2020). Knowledge and practices of cervical cancer and its prevention among Malawian women. Journal of Cancer Education, 35(1), 86-92.

Ng’ang’a, A., Nyangasi, M., Nkonge, N.G., Gathitu, E., Kibachio, J., Gichangi, P., Wamai, R.G. and Kyobutungi, C.(2018). Predictors of cervical cancer screening among Kenyan women: results of a nested case-control study in a nationally representative survey. BMC public health, 18,1-10.

OMS. (2022a). Stratégie mondiale en vue d’accélérer l’élimination du cancer du col de l’utérus en tant que problème de santé publique

OMS.(2022b). Approche globale de prévention et de lutte contre le cancer du col de l'utérus: vers une meilleure santé pour les femmes et les jeunes filles

ORS, Observatoire Régional de la Santé.(2004). Dépistage des cancers gynécologiques en Bourgogne : point de vue des professionnels et des femmes.

Programme National de Lutte contre le Cancer (PNLCa).(2013).Normes et Directives nationales pour prévention du cancer du col de l’utérus en Côte d’Ivoire. Abidjan.

Sabiani, L., Bremond, A., Mortier, I., Lecuyer, M., Boubli, L., & Carcopino, X. (2012). Évaluation de la couverture vaccinale du vaccin anti-hpv: résultats d’une enquête auprès des lycéennes et étudiantes de la région PACA. Journal de gynécologie obstétrique et biologie de la reproduction, 41(2), 136-144.

Tacken, M.A., Braspenning, J.C., Hermens, R.P., Spreeuwenberg, P.M., Van Den Hoogen, H.J., De Bakker, D.H., Groenewegen, P.P. and Grol, R.P.(2007). Uptake of cervical cancer screening in The Netherlands is mainly influenced by women's beliefs about the screening and by the inviting organization. The European Journal of Public Health, 17(2), 178-185.