BACKGROUND Although an opportunistic approach of cervical cancer screening strategy had been implemented in Ethiopia, utilization of screening services among women is still low, accounted < 1%. We hypothesize that commercial sex women in Ethiopia faced a number of obstacles in order to access screening services. Identifying the predictors influencing utilizations of the screening services is an essential effort to tailor screening program towards increasing the utilization. METHODS An unmatched case-control study was implemented with a total sample size of 230 (46 cases and 184 controls). The study was conducted among commercial sex workers who attended confidential clinic opened for sex workers. Simple random sampling was employed. After the data were checked for completeness, consistency and accuracy, it was entered in to Epi nfo version 7 then exported to SPSS for further statistical analysis. Descriptive statistics were used to describe the profile of study participants. Logistic regression was employed to identify the predictors of cervical cancer screening uptake. P < 0.05 was computed to determine the level of statistical significance. RESULTS Cervical cancer screening utilization was associated with providers' recommendation (AOR = 6.8; 95% CI: 2.3, 9.7), history of sexually transmitted infection (AOR = 6.9; 95% CI: 1.29, 7.2), frequency of facility visit (AOR = 4.8; 95% CI: 1.97, 11.8) and history of vaginal examination (AOR = 0.21; 95% CI: 0.1, 0.68). CONCLUSIONS The level of cervical cancer screening service utilization was higher among women with history of STI, frequency of facility visit and providers' recommendation. The level of cervical cancer screening service utilization was lower in women with previous vaginal examination.

中文翻译：

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西北埃塞俄比亚商业性工作者中子宫颈癌筛查服务利用的预测指标：病例对照研究。

背景技术尽管在埃塞俄比亚已经实施了机会主义的宫颈癌筛查策略，但是女性筛查服务的利用率仍然很低，仅占<1％。我们假设埃塞俄比亚的商业性妇女在获得筛查服务方面面临许多障碍。识别影响筛选服务利用率的预测因素是定制筛选程序以提高利用率的必不可少的工作。方法进行了一项无与伦比的病例对照研究，样本总数为230（46例和184例对照）。该研究是在商业性工作者中进行的，他们参加了为性工作者开设的保密诊所。采用简单随机抽样。在检查完数据的完整性，一致性和准确性之后，将其输入Epi 7版本7，然后导出到SPSS进行进一步的统计分析。描述性统计用于描述研究参与者的概况。采用逻辑回归分析来确定子宫颈癌筛查摄取的预测因子。计算P <0.05，以确定统计学显着性水平。结果宫颈癌筛查的利用与提供者的推荐有关（AOR = 6.8； 95％CI：2.3、9.7），性传播感染史（AOR = 6.9； 95％CI：1.29、7.2），就诊频率（AOR） = 4.8； 95％CI：1.97，11.8）和阴道检查史（AOR = 0.21； 95％CI：0.1，0.68）。结论在有性传播感染史，性病就诊频率和提供者推荐的女性中，宫颈癌筛查服务的利用水平较高。