Abstract：
Cervical cancer (CC) is the second leading cause of cancer morbidity and mortality among Nigerian women. Although screening is a cost-effective strategy for reducing its burden, uptake remains sub-optimal. A descriptive cross-sectional study was conducted among 514 sexually active women aged ≥25 years in Gwagwalada Area Council, Abuja, Nigeria using a semi-structured interviewer administered questionnaire. Mean age of respondents was 38.4±11.6years. 246(46.9%) had good knowledge of CC screening while 268(51.2%) had poor knowledge. Religion (aOR:1.8 [95% CI: 1.1 - 3.1]), location (aOR:1.2 [95% CI: 1.2 - 3.4) and number of children (aOR:2.3 [95% CI: 1.3 - 3.9]) were predictors for screening. Poor access routes to health facilities (aOR:0.5 [95% CI: 0.2 - 0.9]), high cost of screening (aOR:0.4 [95% CI: 0.2 - 0.9]), unaware of screening centers (aOR:0.4 [95% CI: 0.2 - 0.9]) and long waiting hours (aOR:0.5 [95% CI: 0.2 - 0.9) were identified environmental predictors. Fear of positive diagnosis/stigma (aOR:0.3 [95% CI: 0.1 - 0.9]), unacceptable touch (aOR:0.2 [95% CI: 0.1 - 0.8), deficiency in awareness programs (aOR:0.3 [95% CI: 0.2 - 0.7]), and not aware of appropriate screening age (aOR:0.1 [95% CI: 0.1 - 0.4]) were identified psychosocial predictors. This study highlights the need to intensify enlightenment programs, subsidize screening services, and encourage community screening.
摘要：
宫颈癌（CC）是尼日利亚妇女癌症发病率和死亡率的第二大原因。尽管筛查是减轻其负担的具有成本效益的策略，摄取仍然次优。在Gwagwalada地区委员会的514名年龄≥25岁的性活跃女性中进行了描述性横断面研究，阿布贾,尼日利亚使用半结构化的面试官进行问卷调查。受访者的平均年龄为38.4±11.6岁。246人（46.9％）对CC筛查有良好的了解，而268人（51.2％）的知识较差。宗教(OR：1.8[95%CI：1.1-3.1])，位置(aOR:1.2[95%CI:1.2-3.4)和儿童数量(aOR:2.3[95%CI:1.3-3.9])是筛查的预测因子.进入卫生设施的路线不畅(aOR：0.5[95%CI：0.2-0.9])，筛查费用高(AOR：0.4[95%CI：0.2-0.9])，未意识到筛查中心(aOR:0.4[95%CI:0.2-0.9])和长时间等待(aOR:0.5[95%CI:0.2-0.9)是确定的环境预测因子.对阳性诊断/污名的恐惧（aOR：0.3[95%CI：0.1-0.9]），不可接受的触摸(AOR：0.2[95%CI：0.1-0.8)，意识计划中的不足(AOR：0.3[95%CI：0.2-0.7])，并且不知道合适的筛查年龄(aOR:0.1[95%CI:0.1-0.4])被确定为心理社会预测因子.这项研究强调了加强启蒙计划的必要性，补贴筛查服务，鼓励社区筛查。
