1. Cervical cancer screening programme attendance and compliance predictors regarding Colombia’s Amazon region
- Author
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Alejandra González, Ricardo Sánchez, Milena Camargo, Sara Cecilia Soto-De León, Luisa Del Río-Ospina, Luis Hernando Mora, Edwin Ramírez, Anny Alejandra Rodríguez, Paula Hurtado, Manuel Elkin Patarroyo, and Manuel Alfonso Patarroyo
- Subjects
Human Papillomavirus Infection ,Viral Diseases ,Urology ,Science ,Sexually Transmitted Diseases ,Uterine Cervical Neoplasms ,Social Sciences ,Colombia ,Human Geography ,Geographical locations ,Social Geography ,Education ,Urban Geography ,Medicina preventiva ,Medical Conditions ,Sociology ,Citología ,Medicine and Health Sciences ,Neoplasias del Cuello Uterino ,Humans ,Public and Occupational Health ,Educational Attainment ,Geographic Areas ,Multidisciplinary ,Geography ,Genitourinary Infections ,Health Services Administration and Management ,Biology and Life Sciences ,Cell Biology ,South America ,Socioeconomic Aspects of Health ,Health Care ,Infectious Diseases ,Earth Sciences ,Neighborhoods ,Medicine ,Female ,People and places ,Cytology ,Research Article ,Urban Areas - Abstract
Background Cervical cancer (CC) promotion and prevention (P&P) programmes’ challenge lies in guaranteeing that follow-up strategies have a real impact on reducing CC-related mortality rates. CC P&P programme compliance and coverage rates are relevant indicators for evaluating their success and good performance; however, such indicators’ frequency rates are considerably lower among women living in rural and border areas. This study was aimed at identifying factors associated with CC screening programme attendance for women living in Colombia’s Amazon region. Methods This study (qualitative and quantitative phases) was carried out between September 2015 and November 2016; women residing in the border towns of Leticia and Puerto Nariño participated in it. The first phase (qualitative) involved interviews and focus group discussions; this led to establishing factors related to CC P&P programme attendance which were used in the quantitative phase for designing a survey for determining the strength of association in a logistic regression model. The terms attendance and compliance were considered to apply to women who had followed the 1–1–3 scheme throughout their lives, i.e. a cytology examination every 3 years after receiving two consecutive negative annual cytology results. Results Inclusion criteria were met by 309 women (≥18-year-olds having an active sexual life, having resided in the target community for at least one year); 15.2% had suitable P&P programme follow-up. Screening programme attendance was positively associated with first intercourse after becoming 20 years-old (aOR: 3.87; 1.03–9.50 95%CI; p = 0.045), frequent contraceptive use (aOR: 3.11; 1.16–8.33 95%CI; p = 0.023), awareness of the age to participate in P&P programmes (aOR: 2.69; 1.08–6.68 95%CI; p = 0.032), awareness of cytology’s usefulness in identifying cervical abnormalities (aOR: 2.43; 1.02–5.77 95%CI; p = 0.043) and considering cytology important (aOR: 2.64; 1.12–6.19 95%CI; p = 0.025). Women living in rural areas had a lower probability (aOR 0.43: 0.24–0.79 95%CI; p = 0.006) of adhering to CC P&P programmes. Conclusions This study’s findings suggested the need for including novel strategies in screening programmes which will promote CC P&P activities going beyond hospital outpatient attendance to reach the most remote or widely scattered communities, having the same guarantees regarding access, opportunity and quality. Including education-related activities and stimulating the population’s awareness regarding knowledge about CC prevention could be one of the main tools for furthering the impact of attendance at and compliance with P&P programmes.
- Published
- 2022
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