Evidence map›Paper›PMID 29441700›Full record

ArticleCancer medicine2018

Knowledge about cervical cancer and barriers toward cervical cancer screening among HIV-positive women attending public health centers in Addis Ababa city, Ethiopia.

Saba Shiferaw, Adamu Addissie, Muluken Gizaw, Selamawit Hirpa, Wondimu Ayele, Sefonias Getachew, Eva J Kantelhardt, Mathewos Assefa, Ahmedin Jemal

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 9 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 9 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Saba ShiferawMeshualekia Health Center, Addis Ababa, Ethiopia.
Adamu AddissieCollege of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0003-4709-3606
Muluken GizawCollege of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Selamawit HirpaCollege of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Wondimu AyeleCollege of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Sefonias GetachewCollege of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Eva J KantelhardtDepartment of Gynecology, Institute of Clinical Epidemiology, Martin Luther University, Halle and der Saale, Germany.
Mathewos AssefaRadiotherapy Center, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Ahmedin JemalAmerican Cancer Society, Atlanta, Georgia.ORCID 0000-0002-0000-4111
Addis Ababa University · ETAddis Ababa City Administration Health Bureau · ETAmerican Cancer Society · USMartin Luther University Halle-Wittenberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Screening rate for cervical cancer among HIV-infected women and among women overall is low in Ethiopia despite the high burden of the disease and HIV infection, which increases cervical cancer risk. In this paper, we assessed knowledge about cervical cancer symptoms, prevention, early detection, and treatment and barriers to screening among HIV-positive women attending community health centers for HIV-infection management in Addis Ababa. A cross-sectional survey of 581 HIV-positive women aged 21-64 years old attending 14 randomly selected community health centers without cervical cancer screening service in Addis Ababa. We used univariate analysis to calculate summary statistics for each variable considered in the analysis, binary logistic regression analysis to measure the degree of association between dependent and independent variables, and multiple regressions for covariate adjusted associations. Statistical significance for all tests was set at P < 0.05. We used thematic analysis to describe the qualitative data. Of the 581 women enrolled in the study with mean age 34.9 ± 7.7 years, 57.8% of participants had heard of cervical cancer and 23.4% were knowledgeable about the symptoms, prevention, early detection, and treatment of the disease. In multivariate analysis, higher educational attainment and employment were significantly associated with good knowledge about cervical cancer. In addition, only 10.8% of the participants ever had screening and 17% ever received recommendation for it. However, 86.2% of them were willing to be screened if free of cost. Knowledge about cervical cancer is poor and cervical cancer screening rate and provider recommendation are low among HIV-positive women attending community health centers for management and follow-up of their disease in Addis Ababa. These findings underscore the need to scale up health education about cervical cancer prevention and early detection among HIV-positive women as well as among primary healthcare providers in the city.

Indexed as

AdultCross-Sectional StudiesEarly Detection of CancerEthiopiaFemaleHIV InfectionsHumansPublic HealthUterine Cervical NeoplasmsYoung AdultCervical CancerEthiopiaScreening

Identifiers

PMID29441700
PMCPMC5852347
OpenAlexW2790412130

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.