{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:37:18Z","timestamp":1785760638227,"version":"3.56.0"},"reference-count":22,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T00:00:00Z","timestamp":1669075200000},"content-version":"unspecified","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,10,20]]},"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the practice of cervical cancer screening and its associated factors among women aged 30\u201349 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Community-based cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Mertule Mariam Town, Northwest Ethiopia, 1 May\u201320 June 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Women aged 30\u201349 years who were living in the study area were eligible for inclusion. A systematic random sampling technique was used to select study participants. A total of 488 respondents participated in the study. Data were collected by using interviewer-administered structured questionnaires. Data were entered into EpiData V.3.1 and then exported to SPSS V.25 for analysis. Bivariable and multivariable logistic regression analyses were done.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Prevalence of cervical cancer screening and factors associated with screening utilisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of cervical cancer screening was found to be 14.1%. Age (\u226416 years) at first sexual intercourse (adjusted OR 14.89, 95%\u2009CI 6.21 to 35.74), history of sexually transmitted disease (11.65, 4.56 to 29.78), having multiple sexual partners (11.65, 4.56 to 29.78), having good knowledge about cervical cancer screening (4.72, 2.33 to 9.56) and having a family history of cervical cancer (4.72, 2.33 to 9.56) were statistically significantly associated factors for utilisation of cervical cancer screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Utilisation of cervical cancer screening was low in Northwest Ethiopia. Educational status, age at first sexual intercourse, history of multiple sexual partners, sexually transmitted disease, family history of cervical cancer and knowledge about cervical cancer screening were significant factors for utilisation of cervical cancer screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-067229","type":"journal-article","created":{"date-parts":[[2022,11,22]],"date-time":"2022-11-22T10:55:54Z","timestamp":1669114554000},"page":"e067229","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Utilisation of cervical cancer screening and factors associated with screening utilisation among women aged 30\u201349 years in Mertule Mariam Town, East Gojjam Zone, Ethiopia, in 2021: a cross-sectional survey"],"prefix":"10.1136","volume":"12","author":[{"given":"Kinfemichael","family":"Tesfaw","sequence":"first","affiliation":[{"name":"Integrated Emergency Surgery and Obstetrics, Addis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walelign","family":"Kindie","sequence":"additional","affiliation":[{"name":"Department of Integrated Emergency Surgery and Obstetrics, Bahir Dar University, College of Medicine and Health Sciences, Bahir Dar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kebadnew","family":"Mulatu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Bahir Dar University, College of Medicine and Health Sciences, School of Public Health, Bahir Dar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0010-3750","authenticated-orcid":false,"given":"Eyob Ketema","family":"Bogale","sequence":"additional","affiliation":[{"name":"Halth Promotion and Behavioral Sciences Department, Bahir Dar University, College of Medicine and Health Sciences, School of Public Health, Bahir Dar, Amhara, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,11,22]]},"reference":[{"key":"2025121408291511000_12.11.e067229.1","unstructured":"Berek JS . Berek and Novak\u2019s Gynecology. 14th ed. Lippincott Williams & Wilkins, 2007."},{"key":"2025121408291511000_12.11.e067229.2","first-page":"589","article-title":"Impact of socio-economic factors in delayed reporting and late-stage presentation among patients with cervix cancer in a major cancer hospital in South India","volume":"9","author":"Kaku","year":"2008","journal-title":"Asian Pac J Cancer Prev"},{"key":"2025121408291511000_12.11.e067229.3","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2015.0055"},{"key":"2025121408291511000_12.11.e067229.4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-22"},{"key":"2025121408291511000_12.11.e067229.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0011059"},{"key":"2025121408291511000_12.11.e067229.6","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1430"},{"key":"2025121408291511000_12.11.e067229.7","unstructured":"WHO . Attaining the nine global noncommunicable diseases targets; a shared responsibility. global status report on NCDS, 2014."},{"key":"2025121408291511000_12.11.e067229.8","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910600102"},{"key":"2025121408291511000_12.11.e067229.9","unstructured":"WHO . Advocacy for cervical cancer prevention and control in Africa: facilitator manual, 2017."},{"key":"2025121408291511000_12.11.e067229.10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0181415","article-title":"Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana town, Hadiya zone, southern Ethiopia: community-based cross-sectional study","volume":"12","author":"Aweke","year":"2017","journal-title":"PLoS One"},{"key":"2025121408291511000_12.11.e067229.11","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-13-1"},{"key":"2025121408291511000_12.11.e067229.12","unstructured":"Federal Democratic Republic of Ethiopia Ministry of Health . Guideline for cervical cancer prevention and control in Ethiopia, 2015."},{"key":"2025121408291511000_12.11.e067229.13","unstructured":"Wittet S , Goltz S , Cody A . Progress in cervical cancer prevention the CCA report card, 2015."},{"key":"2025121408291511000_12.11.e067229.14","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0231307","article-title":"Utilization of cervical cancer screening and associated factors among women in Debremarkos town, Amhara region, Northwest Ethiopia: community based cross-sectional study","volume":"15","author":"Aynalem","year":"2020","journal-title":"PLoS One"},{"key":"2025121408291511000_12.11.e067229.15","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1007\/s13187-016-1021-6","article-title":"Uptake of cervical cancer screening and associated factors among 15-49-Year-Old women in Dessie town, northeast Ethiopia","volume":"32","author":"Tefera","year":"2017","journal-title":"J Cancer Educ"},{"key":"2025121408291511000_12.11.e067229.16","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-018-0579-z","article-title":"Low uptake of cervical cancer screening among HIV positive women in Gondar university referral Hospital, Northwest Ethiopia: cross-sectional study design","volume":"18","author":"Nega","year":"2018","journal-title":"BMC Womens Health"},{"key":"2025121408291511000_12.11.e067229.17","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6963-14-335","article-title":"Determinants of cervical screening services uptake among 18-49 year old women seeking services at the Jaramogi Oginga Odinga teaching and referral Hospital, Kisumu, Kenya","volume":"14","author":"Morema","year":"2014","journal-title":"BMC Health Serv Res"},{"key":"2025121408291511000_12.11.e067229.18","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.jcrpr.2018.01.001","article-title":"Perspectives of cervical cancer and screening practices among staff of a teaching hospital in South-South Nigeria","volume":"5","author":"Eze","year":"2018","journal-title":"Journal of Cancer Research and Practice"},{"key":"2025121408291511000_12.11.e067229.19","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6576-9"},{"key":"2025121408291511000_12.11.e067229.20","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0149908"},{"key":"2025121408291511000_12.11.e067229.21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0238869","article-title":"Knowledge and practice of cervical cancer screening and associated factors among reproductive age group women in districts of Gurage zone, southern Ethiopia. A cross-sectional study","volume":"15","author":"Endalew","year":"2020","journal-title":"PLoS One"},{"key":"2025121408291511000_12.11.e067229.22","unstructured":"Gebru Z , Gerbaba M , Dirar A . Utilization of cervical carcinoma screening service and associated factors among currently married women in Arba Minch town. Gamo Gofa zone Southern Ethiopia, 2014."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2022-067229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:29:25Z","timestamp":1765729765000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2022-067229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":22,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,22]]},"published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1136\/bmjopen-2022-067229"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2022-067229","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11]]}}}