Factors associated with participation in cervical cancer screening among Latvian women

Anita Ņevzorova, Svetlana Bessudnova, Anda Ķīvīte-Urtāne, Jana Žodžika

Research output: Contribution to conferenceAbstractpeer-review


Introduction. In Latvia cervical cancer (CC) is the second leading cause of cancer deaths in women aged 15 to 44 years. With regular CC screening precancerous conditions and early stages of CC can be identified and treated to decrease mortality. Aim. To evaluate the factors associated with women participation in CC screening.

Materials and Methods. Participants of this cross-section study were recruited by 9 general practitioners all over Latvia and by gynecologists in the central Colposcopy Clinic in Latvia. Women filled out anonymous questionnaire. Frequencies (%) were calculated to detect the total and stratified lifetime cervical cancer screening prevalence. Univariate and multivariate binary logistic regression analysis was used to identify factors associated with participation in CC screening program. SPSS 28.0 software was used for data processing. Results were considered as statistically significant if p<0.05.

Results. The data is preliminary (the research is ongoing). 406 women participated in the study (out of total sample – 1500), aged between 25 and 70 years. The study showed that 87.9% of participants had ever participated in CC screening. Although in univariate analysis younger age, Latvian nationality, higher education, nonsmoking and non-binge-drinking statuses and knowledge about screening program and HPV vaccine were significantly associated with higher odds of participation in screening program, after adjustment for all the independent variables only age and knowledge about screening program remained significant. The odds of screening attendance were 9.1 (p=0.003) and 4.5 (p=0.3) times higher for women aged 36–45 years and 46–55 years respectively (vs. 56+). And odds were 70% lower (OR=0.3, p=0.02) for those not knowing that women of age between 25 and 69 years in Latvia are invited to screening once per 3 years.

Conclusions. Knowledge about screening program and younger age are the main factors associated with participation in cervical cancer screening. Providing targeted health education for senior women could increase screening coverage.
Original languageEnglish
Number of pages1
Publication statusPublished - 2022
Event64th International Scientific Conference of Daugavpils University - online, Daugavpils, Latvia
Duration: 21 Apr 202222 Apr 2022
Conference number: 64


Conference64th International Scientific Conference of Daugavpils University
OtherDaugavpils Universitātes 64. starptautiskā zinātniskā konference
Internet address


  • Cervical cancer screening
  • Latvian women
  • Cervical cancer

Field of Science*

  • 3.3 Health sciences

Publication Type*

  • 3.4. Other publications in conference proceedings (including local)


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