Factors Associated with Adhesion of Women of Childbearing Age to Cervical Cancer Screening in the District of Bamako-Mali, 2017

Abstract

Introduction :Cervical cancer contributed to half of cancers in women in Mali in 2015 and the screening rate was 11% at national level and 17 % in the district of Bamako. The study investigate factors associated with adherence of women in reproductive age to cervical cancer screening in Bamako. Methods: We conducted a case-control study from 1st february to 31 march 2017 among women of reprouctive age living in Bamako. Case was woman in reproductive age with cervical cancer living since three months in the study area. Control was woman never screened and living in the neighborhood of cases. A univariate and multivariate analysses were performed using Epi-Info® version 7 and Excel®. Results : Globally, 768 women with 256 cases and 512 controls were included in the study. Mea nage was 33,7 ± 8,1 in cases versus 27,9 ±8,7 years in control group. Factors independently associated with adhesison to cervical cancer screening were information source (health employee) (odds ratio (95% confident interval, 3,75 [2,3-6,2]), women age of 30 to 49 years (3,3 [2,3-4,7]), knowledge of screening (2,0 [1,3-3,1]). Major reasons of non adhésion to screening were : lack of information 163 (32%), none reason (lack of time 54 (11%), worry of a positive screening 35(7%) and no illness 31(6%). Conclusion :Women of 30 to 49 age old and those with knowoledge on cervical cancer and its prevention more adhere to screening.