{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T19:19:13Z","timestamp":1783106353734,"version":"3.54.6"},"reference-count":31,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"unspecified","delay-in-days":26,"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":[[2023,7,16]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"\n Objectives<\/jats:title>\n To assess the usage of cervical cancer screening services and associated factors among HIV-positive women on antiretroviral treatment in Southern Ethiopia in 2020.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A multicentre cross-sectional study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n The study was conducted in Wolaita Sodo University Teaching Referral Hospital and Sodo Health Centre, Southern Ethiopia, from 1 July 2020 to 30 September 2020.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Four hundred and seventeen HIV-positive women on antiretroviral treatment attending public health facilities were approached during the study period. A multivariable binary logistic regression model was carried out to identify independent factors associated with the usage of cervical cancer screening services, and a p value<0.05 was used to declare statistical significance.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The uptake of cervical cancer screening services among HIV-positive women was 27.8% with a 95% CI of 24.2% to 33.1%. Married women and women reporting a high level of perceived barriers were 75% and 66% less likely to receive cervical cancer screening services, adjusted OR (AOR)=0.25; 95%\u2009CI: 0.07 to 0.93, and AOR=0.34; 95%\u2009CI: 0.12 to 0.98, respectively. Whereas, being a government employee, AOR=3.85; 95%\u2009CI: 1.31 to 11.3, sexual debut before the age of 20, AOR=2.39; 95%\u2009CI: 1.09 to 5.26, using modern contraceptives, AOR=2.43; 95%\u2009CI: 1.05 to 5.65, having a high perceived self-efficacy, AOR=4.42; 95%\u2009CI: 1.79 to 10.89 and having a high perceived benefit of cervical cancer screening services, AOR=12.23; 95%\u2009CI: 2.22 to 67.35 were significantly associated with the usage of cervical cancer screening services.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The usage of cervical cancer screening services among HIV-positive women remains low in this setting. Married HIV-positive women and those with a high perceived barrier were associated with low uptake of cervical cancer screening services. Being a government employee, having an early sexual experience, using modern contraceptives, having a high perceived self-efficacy and having a high perceived benefit were identified as factors associated with increased uptake of cervical cancer screening services.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-068253","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T11:40:11Z","timestamp":1690458011000},"page":"e068253","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Usage of cervical cancer screening services among HIV-positive women in Southern Ethiopia: a multicentre cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"given":"Atnafwork Haile","family":"Mesfin","sequence":"first","affiliation":[{"name":"Department of Public Health, Selihom Health Science College, Wolaita-Sodo, Ethiopia, Sodo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2236-5524","authenticated-orcid":false,"given":"Zenawi Hagos","family":"Gufue","sequence":"additional","affiliation":[{"name":"Department of Public Health, Adigrat University College of Health Sciences, Adigrat, Tigray, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2459-7476","authenticated-orcid":false,"given":"Mihiretu Arba","family":"Alemayehu","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia"},{"name":"School of Nursing and Public Health, Discipline of Public Health, University of KwaZulu-Natal College of Health Sciences, Durban, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8987-3152","authenticated-orcid":false,"given":"Beimnet Desalegn","family":"Kedida","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birhan","family":"Legese","sequence":"additional","affiliation":[{"name":"Public Health, Ambo University College of Medicine and Public Health, Ambo, Oromia, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Negeso Gebeyehu","family":"Gejo","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"2025121407485822000_13.7.e068253.1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"2025121407485822000_13.7.e068253.2","unstructured":"International Agency for Research on Cancer . 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