Effect of health education on cervical cancer screening uptake and knowledge among target women in Addis Ababa: A randomized controlled trial
1
Reproductive, family and population health, Addis Ababa University, Addis Ababa, Ethiopia
2
Public heal, Adama hospital medical college, Adama, Ethiopia
3
Department of Epidemiology and Biostatistics, School of Public Health,, Addis Ababa University,, Addis Ababa,, Ethiopia
4
Department of oncology, School of Medicine,, Addis Ababa University,, Addis Ababa,, Ethiopia
5
5Surveillance & Health Equity Science,, American Cancer Society,, Atlanta,, United States
Popul. Med. 2026;8(Supplement Supplement 1):A2790
ABSTRACT
BACKGROUND:
Health education can improve cervical cancer screening uptake, however evidence from the general population of Addis Ababa is limited. The aim of this study is to assess the effect of health education on screening uptake among women aged 30-49 years in Addis Ababa, Ethiopia.
METHODS:
A randomized controlled trial was conducted involving 1154 women who had never been screened before. The intervention group received home-based health education about cervical cancer, supplemented by brochures. Chi-square test, independent sample t-test and Paired t-tests were used to assess pre- and post-intervention differences. The impact of the intervention was measured using the differences in differences (DID) approach. Results and
CONCLUSIONS:
Three months after intervention, screening uptake was significantly higher in the intervention group, 241(41.8%) of women screened compared to 93 (16.1%) in the control group. Post-intervention, awareness increased by 42.2%, knowledge of symptoms rose by 23.1%, knowledge of risk factors increased by 15.2%, positive attitudes improved by 26.7% and overall knowledge increased by 19.5%, among the intervention group indicating the change is statistically significant. The difference in differences analysis indicated 51% of change in overall knowledge was due to intervention. Factors such as older age (40–49 years) (AOR = 2.40; 95% CI: 1.25–4.60), government employee (AOR = 2.13; 95% CI: 1.17–3.90) or an NGO employee (AOR = 2.65; 95% CI: 1.37–5.12), were strongly associated with screening uptake among the intervention group. Conversely, women earning 5,001–9,000 Eth. Birr per month (AOR = 0.49; 95% CI: 0.26–0.90) were negative association with screening uptake. Lack of time was the main barrier to screening in the intervention group, while feeling healthy remained the key reason in the control group. Structured home-based education significantly improved cervical cancer knowledge and screening uptake, indicating that scaling up such interventions can effectively increase screening rates.
Health education can improve cervical cancer screening uptake, however evidence from the general population of Addis Ababa is limited. The aim of this study is to assess the effect of health education on screening uptake among women aged 30-49 years in Addis Ababa, Ethiopia.
METHODS:
A randomized controlled trial was conducted involving 1154 women who had never been screened before. The intervention group received home-based health education about cervical cancer, supplemented by brochures. Chi-square test, independent sample t-test and Paired t-tests were used to assess pre- and post-intervention differences. The impact of the intervention was measured using the differences in differences (DID) approach. Results and
CONCLUSIONS:
Three months after intervention, screening uptake was significantly higher in the intervention group, 241(41.8%) of women screened compared to 93 (16.1%) in the control group. Post-intervention, awareness increased by 42.2%, knowledge of symptoms rose by 23.1%, knowledge of risk factors increased by 15.2%, positive attitudes improved by 26.7% and overall knowledge increased by 19.5%, among the intervention group indicating the change is statistically significant. The difference in differences analysis indicated 51% of change in overall knowledge was due to intervention. Factors such as older age (40–49 years) (AOR = 2.40; 95% CI: 1.25–4.60), government employee (AOR = 2.13; 95% CI: 1.17–3.90) or an NGO employee (AOR = 2.65; 95% CI: 1.37–5.12), were strongly associated with screening uptake among the intervention group. Conversely, women earning 5,001–9,000 Eth. Birr per month (AOR = 0.49; 95% CI: 0.26–0.90) were negative association with screening uptake. Lack of time was the main barrier to screening in the intervention group, while feeling healthy remained the key reason in the control group. Structured home-based education significantly improved cervical cancer knowledge and screening uptake, indicating that scaling up such interventions can effectively increase screening rates.
| eISSN: | 2654-1459 |
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