Factors associated with advanced stage at diagnosis of cervical cancer in Addis Ababa, Ethiopia: a population-based study.
Nebiyu DerejeAlem GebremariamAdamu AddissieAlemayehu WorkuMathewos AssefaAynalem AbrahaWondemagegnehu TigenehEva Johanna KantelhardtAhmedin JemalPublished in: BMJ open (2020)
Our findings of the high proportion of advanced-stage diagnosis of cervical cancer in Addis Ababa and its strong associations with out-of-pocket medical bill, seeking care out of conventional medicine settings and multiple visits to healthcare facilities before diagnostic confirmations underscore the need for public policies to improve the affordability of cancer care and enhance community awareness about the severity of the disease and referral system, in addition to expanding cervical cancer screening.