Table 6.
Bivariate and multivariate analysis of factors associated with adequate knowledge scores about cervical cancer among health workers
| Demographic and HC characteristics | n (%) | Knowledge | COR | 95% CI | P-value | AOR | 95% CI | P-value | |
|---|---|---|---|---|---|---|---|---|---|
| Inadequate n = 114 (40) | Adequate n = 171 (60) | ||||||||
| Health workers qualifications (n = 285) | |||||||||
| Nurses | 153 (54) | 60 (39) | 93 (61) | 1 | 1 | ||||
| Midwife | 80 (28) | 32 (40) | 48 (60) | 0.97 | 0.56–1.68 | 0.91 | 1.15 | 0.57–2.30 | 0.70 |
| Clinical Officer | 52 (18) | 22 (42) | 30 (58) | 0.88 | 0.46–1.67 | 0.69 | 0.98 | 0.45–2.15 | 0.97 |
| Gender of health workers (n = 286) | |||||||||
| Male | 98 (34) | 42 (43) | 56 (57) | 1 | 1 | ||||
| Female | 187 (66) | 72 (39) | 115 (61) | 1.20 | 0.73–1.97 | 0.48 | 1.43 | 0.74–2.76 | 0.28 |
| Health centre level of health workers (n = 286) | |||||||||
| Health centre level IV | 64 (22) | 26 (41) | 38 (59) | 1 | 1 | ||||
| Health centre level III | 221 (78) | 88 (40) | 133 (60) | 1.03 | 0.59–1.82 | 0.91 | 1.10 | 0.56–2.16 | 0.78 |
| Numbers of years employed as a health worker (n = 281) | |||||||||
| 1–4 years | 54 (19) | 27 (50) | 27 (50) | 1 | 1 | ||||
| 5–9 years | 112 (40) | 42 (37.5) | 70 (62.5) | 1.67 | 0.86–3.21 | 0.13 | 2.07 | 0 .84–5.11 | 0.11 |
| 10–14 years | 53 (19) | 20 (38) | 33 (62) | 1.65 | 0.76–3.56 | 0.20 | 1.17 | 0.38–3.62 | 0.79 |
| 15 + years | 61 (22) | 24 (39) | 37 (61) | 1.54 | 0.74–3.23 | 0.25 | 0.91 | 0.22–3.65 | 0.89 |
| Age group of health workers (n = 280 | |||||||||
| 21–25 years | 19 (7) | 9 (47) | 10 (53) | 1 | 1 | ||||
| 26–30 years | 76 (27) | 35 (46) | 41 (54) | 1.05 | 0.39–2.89 | 0.92 | 0.83 | 0.24–2.88 | 0.77 |
| 31–35 years | 71 (25) | 27 (38) | 44 (62) | 1.47 | 0.53–4.07 | 0.46 | 0.87 | 0.21–3.57 | 0.85 |
| 36–40 years | 52 (19) | 20 (38) | 32 (62) | 1.44 | 0.50–4.16 | 0.50 | 1.32 | 0.30–5.72 | 0.71 |
| 41+ years | 61 (22) | 23 (38) | 38 (62) | 1.49 | 0.53–4.20 | 0.45 | 1.64 | 0.29–9.31 | 0.58 |
| Healthcare worker trained to conduct cervical cancer screening (n = 282) | |||||||||
| Yes | 93 (33) | 26 (28) | 67 (72) | 1 | 1 | ||||
| No | 189 (67) | 85 (45) | 104 (55) | 0.47 | 0.28–0.81 | 0.01 | 0.39 | 0.21–0.72 | < 0.001 |
| HC has education material about cervical cancer (n = 283) | |||||||||
| Yes | 84 (30) | 33 (39) | 51 (61) | 1 | 1 | ||||
| No | 199 (70) | 80 (40) | 119 (60) | 0.96 | 0.57–1.62 | 0.89 | 1.17 | 0.62–2.23 | 0.63 |
| Health worker conduct outreach health education in the community (n = 283) | |||||||||
| Yes | 128 (45) | 45 (35) | 83 (65) | 1 | 1 | ||||
| No | 154 (55) | 69 (45) | 85 (55) | 0.67 | 0.41–1.08 | 0.10 | 0.73 | 0.41–1.30 | 0.28 |
| HC has guideline for cervical cancer screening (n = 281) | |||||||||
| Yes | 58 (21) | 18 (31) | 40 (69) | 1 | 1 | ||||
| No | 222 (79) | 94 (42) | 128 (58) | 0.61 | 0.33–1.13 | 0.12 | 0.53 | 0.25–1.12 | 0.10 |
| HC has HPV vaccination guideline (n = 275) | |||||||||
| Yes | 204 (74) | 76 (37) | 128 (63) | 1 | 1 | ||||
| No | 71 (26) | 33 (46) | 38 (54) | 0.68 | 0.40–1.18 | 0.17 | 0.68 | 0.38–1.25 | 0.21 |
COR Crude Odds Ratio, AOR Adjusted Odds Ratio. Adjusted for each demographic characteristic. Bolded figures indicate statistically significant variables at p ≤ 0.05. HC Health centre. We used Hosmer-Lemeshow goodness-of-fit test to check if our final model had fitted the data perfectly well and the p-value = 0.44 from the Hosmer-Lemeshow’s goodness-of-fit test is an indicator that our model fitted the data well. The few missing data on demographic characteristics were not dropped from the analysis since the missing rates were less than 5% and were considered inconsequential based on Schafer (1999)