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Association Between Risky Sexual Behavior and Cervical Cancer Screening Among Women in Kenya: A Population-Based Study.
- Source :
-
Journal of Community Health . Apr2018, Vol. 43 Issue 2, p238-247. 10p. - Publication Year :
- 2018
-
Abstract
- Women residing in Eastern Africa are disproportionately affected by cervical cancer. Previous studies have identified risky sexual behavior as a major risk factor for cervical cancer. However, population-based studies examining the relationship between sexual behavior and cervical cancer screening are currently lacking. This descriptive cross-sectional study utilized nationally representative secondary data from the 2014 Kenya Demographic and Health Survey (n = 6104) to examine the association between risky sexual behavior and cervical cancer screening among sexually active women. Both descriptive and inferential statistical methods were utilized. Overall, 20.2% of the study sample reported having cervical cancer examination. Approximately 13.1% of the participants reported involvement in risky sexual behavior. Significantly lower proportion of women engaged in risky sexual behavior reported having cervical cancer examination (14.5 vs. 21.0%; p = 0.001). In the multivariable model, we found a significant interaction between risky sexual behavior and marital status on cervical cancer examination. Among women who were married/living together, risky sexual behavior was negatively associated with cervical cancer examination after adjusting for potential confounders (Prevalence Ratio, 95% CI) (0.42; 0.24-0.74; p = 0.002). The prevalence of having visual inspection with VIA or VILI were lower among women who were involved in risky sexual behavior (0.39; 0.18-0.87; p = 0.022). However, we were unable to detect any significant association between risky sexual behavior and having Papanicolaou test. With increasing incidence of cervical cancer in resource-limited settings, it is critical to identify populations at increased risk of infection and provide effective screening and follow-up services. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CONFIDENCE intervals
*SEXUAL health
*MARITAL status
*RESEARCH methodology
*MULTIVARIATE analysis
*PAP test
*RISK-taking behavior
*MATHEMATICAL variables
*WOMEN'S health
*PSYCHOLOGY of women
*DISEASE prevalence
*CROSS-sectional method
*ATTITUDES toward sex
*INFERENTIAL statistics
*EARLY detection of cancer
*POPULATION-based case control
*DIAGNOSIS
CERVIX uteri tumors
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 43
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 128249865
- Full Text :
- https://doi.org/10.1007/s10900-017-0410-z