Assessing the prevalence of non-use of cervical cancer screening in Khouribga, Morocco

Early detection of cervical cancer is crucial for reducing disease progression and improving recovery rates. Screening delays increase the risk of advanced cancer and metastasis. This study assessed the prevalence of non-use of cervical cancer screening in Khouribga and identified associated risk factors. A cross-sectional study was done with 499 women aged 30 to 49 years who visited the Khouribga healthcare centers between March and December 2024. A face-to-face questionnaire was used to collect information about sociodemographic variables, knowledge of cervical cancer, screening awareness, healthcare interactions, and social influences. A multivariate analysis found key risk factors for not using cervical cancer screening. Among the 458 participants (91.8%) who had not undergone screening, the mean age was 38.9 ± 6.1 years. The main risk factors for not participating in cervical cancer screening were lack of awareness about the target screening population (APR = 10.83; CI [2.22-52.7]) and unawareness of the availability of free screening services (APR = 9.82; CI [2.69-35.7]). The high prevalence of non-use of cervical cancer screenings highlights the pressing need for focused awareness initiatives. To increase participation and lessen the burden of cervical cancer, education must be strengthened, and the availability and eligibility of free screening services must be made obvious.