Page 209 - GHES-3-1

Global Health Economics and
Sustainability
Cervical cancer screening in Maroua

Table 3. Knowledge of cervical cancer and factors associated Table 4. Attitude toward cervical cancer and factors
with screening associated with screening
Explanatory Screened OR p‑value Explanatory Screened OR p‑value
variables Yes No (95% CI) variables Yes No (95% CI)

(n=35) (n=341) (n=35) (n=341)
Having heard about cervical cancer Cervical cancer treatment cost
No 2 86 1 No idea 22 236 1
Yes 33 255 1.07 (0.35 – 0.866) 0.988 Free 1 5 1.06 (0.43 – 2.49) 0.882
Knowledge of cervical cancer risk Reasonable price 2 13 1.57 (0.23 – 6.19) 0.564
factors Very expensive 10 87 1.17 (0.51 – 2.51) 0.679
No 24 289 1 Concern about cervical cancer
Yes 11 52 2.54 (1.13 – 5.40) 0.017 * Very worried 8 48 1.59 (0.68 – 3.45) 0.254
Knowledge of cervical cancer A little worried 25 191 1
symptoms
Not at all 2 102 0.95 (0.29 – 2.71) 0.849
No 29 317 1 worried
Yes 6 24 2.73 (0.95 – 6.86) 0.042 * All adult women can develop cervical cancer
Knowledge of cervical cancer No idea 1 91 0.833 (0.09 – 5.77) 0.857
prevention measures
No 1 42 1
No 23 306 1
Yes 33 208 6.86 (1.41 – 1.23) 0.061
Yes 12 35 4.56 (2.04 – 9.84) 0.0001 ***
Cervical cancer is not passed from person to person
Heard about cervical cancer
screening No idea 3 111 0.833 (0.09 – 5.77) 0.857
No 2 130 1 No 18 105 1
Yes 33 211 1.07 (0.35 – 3.66) 0.902 Yes 15 125 0.63 (0.3 – 1.28) 0.207
Need for screening See a doctor if there is bleeding between periods or after sex
No 2 113 1 No idea 1 23 1
Yes 33 228 1.13 (0.37 – 3.81) 0.831 No 2 5 1.07 (0.35 – 3.66) 0.902
Age of screening Yes 32 313 4.75 (1.19 – NA) 0.985
No idea 7 228 1 Screening helps prevent cervical cancer
18 years 4 45 2.89 (0.73 – 10) 0.101 No idea 2 96 1
25 years 9 16 18.32 (6.09 – 57.80) <0.0001*** No 1 4 1.06 (0.33 – 2.84) 0.908
40 years 15 52 9.39 (3.76 – 25.69) <0.0001*** Yes 32 241 4.24 (1.47 – 17.9) 0.018 *
Frequency of screening Screening poses no danger to the patient
Once a year 27 63 24 (9.34 – 86) <0.0001*** No idea 3 127 1
Once every 4 24 9.7 (2.17 – 43) 0.002 ** No 6 39 6.51 (1.63 – 32) 0.210
3 years Yes 26 175 6.28 (2.15 – 26.77) 0.003 **
Once every 1 21 1.06 (0.33 – 2.84) 0.908 Screening for precancerous lesions is accessible to everyone
5 years
No idea 9 231 1
No idea 3 233 1
No 1 24 1.06 (0.05 – 6.05) 0.95
Knowledge of the therapeutic Yes 25 86 7.4 (3.46 – 17.5) <0.0001***
methods
Cervical cancer affects most women in Cameroon
No 25 283 1
Yes 10 58 1.95 (0.85 – 4.17) 0.0954 No idea 11 196 1
No 1 7 2.54 (0.13 – 16.22) 0.401
Abbreviations: OR: Odds ratio; CI: Confidence interval; P-value:
Significance level; * P<0.05; ** P<0.01; *** P<0.001. Yes 23 138 2.96 (1.43 – 6.52) 0.004 **
Abbreviations: OR: Odds ratio; CI: Confidence interval;
control for confounding factors and identify independent P-value: Significance level; NA: Not applicable; * P<0.05; ** P<0.01;
predictors of cervical cancer screening at Maroua Regional *** P<0.001.

Volume 3 Issue 1 (2025) 201 https://doi.org/10.36922/ghes.4080