{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:44:23Z","timestamp":1783637063981,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cervical cancer can be prevented by regular screening; however, screening rates are low in developing countries. We evaluated the proportion of women screened, modalities of screening utilized, and factors influencing uptake among Ghanaian women with access to free screening services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were women aged 25\u201365 in Asokore\u2010Mampong, Ghana. A structured questionnaire collected socio\u2010demographic characteristics, risk factors, knowledge of, and utilization of cervical cancer screening. Adjusted logistic regression evaluated predictors of screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 710 participants, the majority had heard of cervical cancer (64.6%) and screening (57.7%). Screening utilization was 24.6%. Visual inspection with acetic acid was the most common screening method (97.1%). For those who had never been screened, common reasons were believing they were healthy (21.7%), fearing pain (12.9%), lacking awareness of screening (11.8%), and being too busy (11.6%). Participants who were aged 35\u201344 (aOR 1.82; 95% CI 1.09\u20133.03; <jats:italic>p\u00a0=<\/jats:italic>\u00a00.023), married (aOR 3.98; 95% CI 1.68\u20139.40; <jats:italic>p\u00a0=<\/jats:italic>\u00a00.002), formally employed (aOR 9.31; 95% CI 2.86\u201330.35; <jats:italic>p\u00a0&lt;<\/jats:italic>0.001), and had higher cervical cancer knowledge (aOR 3.98; 95% CI 2.64\u20136.02; <jats:italic>p\u00a0&lt;<\/jats:italic>0.001) were more likely to have been screened.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite geographic proximity to a health center that provides free cervical cancer screening, screening uptake among Ghanaian women remains low.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14158","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T11:08:06Z","timestamp":1645787286000},"page":"513-521","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Determinants of cervical cancer screening uptake among women with access to free screening: A community\u2010based study in peri\u2010urban Ghana"],"prefix":"10.1002","volume":"159","author":[{"given":"Augustine","family":"Tawiah","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Gynecologic Oncology Unit, Komfo Anokye Teaching Hospital  Kumasi Ghana"},{"name":"Department of Obstetrics and Gynecology School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas O.","family":"Konney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Gynecologic Oncology Unit, Komfo Anokye Teaching Hospital  Kumasi Ghana"},{"name":"Department of Obstetrics and Gynecology School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward T.","family":"Dassah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology  Kumasi Ghana"},{"name":"School of Public Health Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia E.","family":"Visser","sequence":"additional","affiliation":[{"name":"Formerly of Holy Family Hospital  Berekum Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwabena","family":"Amo\u2010Antwi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Gynecologic Oncology Unit, Komfo Anokye Teaching Hospital  Kumasi Ghana"},{"name":"Department of Obstetrics and Gynecology School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adu","family":"Appiah\u2010Kubi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Gynecologic Oncology Unit, Komfo Anokye Teaching Hospital  Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah G.","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Johnston","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma R.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0149908"},{"key":"e_1_2_8_4_1","unstructured":"International Agency for Research on Cancer.Latest world cancer statistics Global cancer burden rises to 14.1 million new cases in 2012: Marked increase in breast cancers must be addressed. 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