{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:43:31Z","timestamp":1792737811397,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T00:00:00Z","timestamp":1731628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the determinants of cervical cancer (CC) screening among underserved rural women in Zimbabwe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Community\u2010based cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>840 rural women (25\u201365 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>A structured, pretested questionnaire was used to collect data on sociodemographic characteristics and factors influencing screening. The outcome was defined as self\u2010reported ever screening for CC. Multivariable logistic regression was used to examine the association between CC screening and independent variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 840 women included, 33% had a history of screening. Women 25\u201345 years (adjusted odds ratio (aOR): 0.43; 95% CI: 0.30\u20130.61) and without medical insurance (aOR: 0.66; 95% CI: 0.45\u20130.97) had reduced odds of CC screening. Conversely, women who had seen or heard messages on CC screening (aOR: 1.48; 95% CI: 1.03\u20132.13), were living with HIV (aOR: 1.87; 95% CI: 1.22\u20132.87) reported recent antibiotic use (aOR: 4.50; 95% CI: 1.47\u201313.79) and had malaria in the last 6 months (aOR: 2.45; 95% CI: 1.02\u20135.86) had increased odds of CC screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need for intensified efforts to improve CC screening uptake, particularly in underserved rural areas with suboptimal screening rates and high CC burden. Strategies should include widespread tailored awareness messaging targeting younger women, women living with HIV, and women without medical insurance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13490","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T10:54:17Z","timestamp":1731668057000},"page":"621-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Determinants of Cervical Cancer Screening Among Rural Women in Zimbabwe"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7788-4874","authenticated-orcid":false,"given":"Paddington T.","family":"Mundagowa","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health University of South Carolina Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Tapera","sequence":"additional","affiliation":[{"name":"Sadtap Health Research Institute (SHRI)  Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bothwell","family":"Guzha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Zimbabwe Faculty of Medicine and Health Sciences Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan Burke","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Racheal S. 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