ArticleBMC women's health2025
Rural-urban disparities in cervical cancer screening uptake and its predictors among women aged 30-49 years in Ghana: a multivariate decomposition analysis.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Predicting knowledge of cervical cancer screening among reproductive-age women in sub-saharan africa using machine learning algorithms.Scientific reports · 2026Article
- Access to cervical cancer care in sub-Saharan Africa: a narrative review of barriers and opportunities.Frontiers in public health · 2026Review
- Beyond the digital divide: multi-group SEM examination of socioeconomic status, mHealth utilization, and urban-rural physical activity disparities in Indonesia.Frontiers in digital health · 2026Article
- Congenital Heart Defect Screening Among Children with Down Syndrome in Rwanda: A Cross-Sectional Study.Pediatric health, medicine and therapeutics · 2026Article
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- Knowledge and attitudes toward human papillomavirus and cervical cancer prevention among women in the Asir Region, Saudi Arabia: a cross-sectional study.Frontiers in oncology · 2025Article
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Abstract
backgroundDespite the high morbidity and mortality associated with cervical cancer in Ghana, screening uptake remains alarmingly low. Rural-urban disparities exist in screening uptake among women aged 30-49 years, a priority group for cervical cancer screening according to the World Health Organisation guidelines. This study examined rural-urban disparities in cervical cancer screening uptake and its predictors among women aged 30-49 years.
methodsWe analysed secondary data from the 2022 Ghana Demographic and Health Survey, comprising 7,105 women aged 30-49 years. A multivariate non-linear decomposition analysis was conducted to examine factors explaining rural-urban disparities in cervical cancer screening uptake. Furthermore, bivariate and multivariable logistic regression analyses were performed to identify predictors of screening uptake.
resultsCervical cancer screening uptake was higher among urban women (9.66%) [n = 335/3,471; 95% CI: 8.15-11.41] than rural women (4.12%) [n = 150/3,634; 95% CI: 3.30-5.14]. Approximately 92% of the rural-urban disparity in cervical cancer screening uptake was attributable to differences in education, household wealth and media exposure. Among rural women, higher cervical cancer screening uptake was associated with older age (45-49 years; AOR = 2.11; 95% CI: 1.20-3.70), higher educational attainment (AOR = 11.78; 95% CI: 6.38-21.78), and frequent health facility visits (AOR = 2.19; 95% CI: 1.21-3.98). Among urban women, cervical cancer screening uptake was significantly associated with higher educational attainment (AOR = 3.03; 95% CI: 1.48-6.23) and being in the highest wealth index (AOR = 5.47; 95% CI: 1.34-22.33).
conclusionCervical cancer screening uptake remains significantly lower among rural women compared to urban women in Ghana. The rural-urban disparities in cervical cancer screening uptake were largely due to differences in socio-demographic, socio-economic and behavioural characteristics. Key predictors of cervical cancer screening uptake included older age, higher education levels, more frequent visits to health facilities, and belonging to wealthier households. These findings underscore the need for targeted interventions, such as mobile screening units, community-based education, enhanced media campaigns, and subsidising the cost of cervical cancer screening, to address access barriers and improve equitable uptake across rural and urban settings.
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