{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:19:54Z","timestamp":1792070394271,"version":"4.4.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"President\u2019s Emergency Plan for AIDS Relief","award":["#U2GGH002172"],"award-info":[{"award-number":["#U2GGH002172"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite Zambia implementing the World Health Organisation's (WHO) tri-pillar cervical cancer prevention goals 90-70-90 Prevent, Screen, and Treat, cervical cancer claims 2000 lives annually and reigns as the most common cancer among women, especially those living with HIV (WLHIV). Our study describes the national uptake of screening and treatment from the ZAMPHIA 2021 survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Utilising a two-stage cluster sampling approach, the study included participants aged 15\u00a0years and older across Zambia\u2019s ten provinces. Data were collected on demographic traits, reproductive history, sexual behaviour, and cervical cancer prevention using a structured questionnaire, and HIV was diagnosed from biological samples. Women aged 15-49 were eligible for inclusion in the analysis. The primary outcome of interest was whether a woman self-reported being screened for cervical cancer. Sociodemographic characteristics were calculated for categorical variables using the SAS proc surveyfreq procedure, producing both raw and weighted estimates. The weighted estimates and their variance were generated using jackknife replicate weights for each record.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 8801 surveyed women, 22.2% reported undergoing cervical cancer screening, the majority being aged between 35-49 years. Cervical cancer screening uptake was more likely among compared to HIV negative counterparts (aOR = 3.92, 95% CI: 3.10, 4.95), those aged 25-34 years (aOR = 1.76, 95% CI: 1.42, 2.21) or 35-49 years (aOR = 2.65, 95% CI: 2.11, 3.33) than younger and those with 1-4 (aOR = 2.16, 95% CI: 1.54, 3.02) or more than 5 live births (aOR = 1.98, 95% CI: 1.37, 2.87) than none. Marital status, WLHIV, education, and parity were other factors significantly associated with screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We report low cervical cancer screening uptake compared to the 70% target of WHO. The WHO\u2019s call for bolstered strategies and efforts to increase cervical cancer screening and treatment is timely and urgent. Therefore, ongoing messaging and health education among all women is key.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748241307361","type":"journal-article","created":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T22:48:12Z","timestamp":1734907692000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Self-Reported Cervical Cancer Screening Uptake Among Women of Reproductive Age in Zambia: Evidence from the 2021 Zambia Population-Based HIV Impact Assessment (ZAMPHIA) Survey"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8526-3410","authenticated-orcid":false,"given":"Mwansa Ketty","family":"Lubeya","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, School of Medicine, University of Zambia, Lusaka, Zambia"},{"name":"Women and Newborn Hospital, University Teaching Hospitals, Lusaka, Zambia"},{"name":"Young Emerging Scientists Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Sinyani","sequence":"additional","affiliation":[{"name":"Department of Pathology and Microbiology, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Mukosha","sequence":"additional","affiliation":[{"name":"Young Emerging Scientists Zambia, Lusaka, Zambia"},{"name":"Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Center for International Health Education and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enock Mulowa","family":"Mumbula","sequence":"additional","affiliation":[{"name":"Department of Pathology and Microbiology, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinedu","family":"Agbakwuru","sequence":"additional","affiliation":[{"name":"Center for International Health Education and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bwalya","family":"Daka","sequence":"additional","affiliation":[{"name":"Department of Pathology and Microbiology, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca G.","family":"Nowak","sequence":"additional","affiliation":[{"name":"Center for International Health Education and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akipu","family":"Ehoche","sequence":"additional","affiliation":[{"name":"Center for International Health Education and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Mulundu","sequence":"additional","affiliation":[{"name":"Department of Pathology and Microbiology, School of Medicine, University of Zambia, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"bibr1-10732748241307361","volume-title":"Global Cancer Observatory: Cancer Today","author":"Ferlay JEM","year":"2024"},{"key":"bibr2-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-020-0831-9"},{"key":"bibr3-10732748241307361","volume-title":"Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem","author":"World Health Organisation","year":"2020"},{"key":"bibr4-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(21)00062-0"},{"key":"bibr5-10732748241307361","volume-title":"Zambia Population-based HIV Impact Assessment (ZAMPHIA) 2021: Final Report.","author":"Ministry of Health, Zambia"},{"key":"bibr6-10732748241307361","volume-title":"Zambia Population-Based HIV Impact Assessment (ZAMPHIA)","author":"Ministry of health Zambia","year":"2016"},{"key":"bibr7-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(20)30459-9"},{"key":"bibr8-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2021.100784"},{"key":"bibr9-10732748241307361","volume-title":"New Recommendations for Screening and Treatment to Prevent Cervical Cancer","author":"World Health Orgaisation","year":"2021"},{"key":"bibr10-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1177\/1757975910363938"},{"key":"bibr11-10732748241307361","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11050912"},{"key":"bibr12-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(16)31392-7"},{"key":"bibr13-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6469240"},{"key":"bibr14-10732748241307361","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2015.21.231.6350"},{"key":"bibr15-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0122169"},{"key":"bibr16-10732748241307361","unstructured":"Zambia steps cervical cancer screening using HPV testing | WHO | Regional Office for Africa. February 2024."},{"key":"bibr17-10732748241307361","volume-title":"Vaccination campaign","author":"The Ministry of Health Launches HPV Multi-Age Cohort (MAC)"},{"key":"bibr19-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0000000000002710"},{"key":"bibr21-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"bibr22-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6874-2"},{"key":"bibr23-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.04.014"},{"key":"bibr24-10732748241307361","unstructured":"Finish cancer registry. 2022. https:\/\/cancerregistry.fi\/screening\/cervical-cancer-screening\/"},{"key":"bibr25-10732748241307361","unstructured":"National Health Service. Cervical screening uptake. 2022. https:\/\/www.gov.uk\/government\/publications\/be-clear-on-cancer-first-national-cervical-screening-saves-lives-campaign\/cervical-screening-uptake#:\u223c:text=(p%3C0.001)-in_quarter_1_(April_to_June)%3A_there_was_a,in_2019_(p%3D0.01)"},{"key":"bibr26-10732748241307361","unstructured":"Australian Government department of health and aged care. National cervical cancer screening program. 2023. https:\/\/www.health.gov.au\/our-work\/national-cervical-screening-program"},{"key":"bibr27-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-02043-y"},{"key":"bibr28-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13485"},{"key":"bibr29-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048834"},{"key":"bibr30-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1196"},{"key":"bibr31-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(21)00230-8"},{"key":"bibr32-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2021.11.011"},{"key":"bibr33-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0267617"},{"key":"bibr34-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1460"},{"key":"bibr35-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-17842-1"},{"key":"bibr36-10732748241307361","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines11071246"},{"key":"bibr37-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.07.019"},{"key":"bibr38-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13750-4"},{"key":"bibr39-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15094"},{"key":"bibr40-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1177\/1073274819845872"},{"key":"bibr41-10732748241307361","doi-asserted-by":"publisher","DOI":"10.1177\/10732748221132646"}],"container-title":["Cancer Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10732748241307361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10732748241307361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10732748241307361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:23:20Z","timestamp":1777386200000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10732748241307361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":39,"alternative-id":["10.1177\/10732748241307361"],"URL":"https:\/\/doi.org\/10.1177\/10732748241307361","relation":{"has-review":[{"id-type":"doi","id":"10.1177\/10732748241307361\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/10732748241307361\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/10732748241307361\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/10732748241307361\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/10732748241307361\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1177\/10732748241307361\/v2\/review1","asserted-by":"object"}]},"ISSN":["1073-2748","1526-2359"],"issn-type":[{"value":"1073-2748","type":"print"},{"value":"1526-2359","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"article-number":"10732748241307361"}}