# Factors Associated With Low Utilization of Cervical Cancer Screening Services in Gazipur, Bangladesh

## TL;DR

This study explores why few women in Bangladesh use cervical cancer screening services, finding fear and lack of knowledge are key barriers.

## Contribution

The study identifies specific factors associated with low cervical cancer screening uptake in a specific Bangladeshi district.

## Key findings

- Only 4.76% of women in the study had ever been screened for cervical cancer.
- Fear of pain and shyness were the main reasons for not undergoing screening.
- Low knowledge about screening's cancer-preventive role was linked to nonutilization.

## Abstract

Despite its availability, cervical cancer screening services continue to remain underutilized in many regions. This study aimed to assess the prevalence and determinants of cervical cancer screening uptake among women in the north‐central area of Bangladesh.

In this cross‐sectional study, between May and October 2022, women aged 30–60 years attending a tertiary care hospital in Gazipur district were approached for inclusion. Face‐to‐face interviews were conducted using a semistructured questionnaire. A total of 252 women were consecutively recruited within the study period. The self‐reported screening practice was recorded and verified by matching with identification numbers provided for screening by the hospital, and reasons for nonutilization were also collected.

Only 12 women (4.76%) had ever been screened for cervical cancer. Lower knowledge scores (OR: 0.26 and 95% CI: 0.08–0.95) were associated with higher odds of nonutilization of cervical cancer screening services on multivariable analysis. Despite high awareness of symptoms and risk factors, only 15.08% knew that screening prevents cancer. The main reasons for not getting screened were fear of pain (98.33%) and feeling shy (52.50%).

Awareness‐increasing programs are recommended to improve the utilization of cervical cancer screening among women.