Table 2 Bivariate and multivariate analysis of the factors associated with the utilization of cervical cancer screening services among HIV-positive women aged 18-49years at Lira Regional Referral Hospital, Lira City, Northern Uganda

Ever heard of CCS

No

45(36.9)

24 (13.7)

1.00

Yes

77(63.1)

151(86.3)

1.90(1.24–2.93)

0.003*

1.80(1.31–2.49)

< 0.001**

Know where CCS is done

No

44(36.1)

21(12.0)

1.00

Yes

78(63.9)

154(88.0)

2.05(1.30–3.24)

0.002*

1.99(1.42–2.81)

< 0.001**

Partner support in HIV treatment

No

43(35.2)

53(30.3)

1.00

Yes

77(63.2)

118(67.4)

1.10(0.79–1.52)

0.579

No partner

2(1.6)

4(2.3)

1.21(0.44–3.34)

0.716

Embarrassed by the procedure

No

87(71.3)

130(74.3)

1.00

Yes

35(28.7)

45(25.7)

0.94(0.67–1.32)

0.716

Fear outcomes of screening

No

63(51.6)

131(74.9)

1.00

Yes

59(48.4)

44(25.1)

0.63(0.45–0.89)

0.009*

0.67(0.54–0.84)

< 0.001**

Think screening is beneficial

No

21(17.2)

23(13.1)

1.00

Yes

86(70.5)

147(84.0)

1.21(0.78–1.87)

0.402

0.85(0.65–1.12)

0.252

I don’t know

15(12.3)

5(2.9)

0.48(0.18–1.26)

0.135*

0.39(0.20–0.75)

0.005**

Received HPV vaccination

No

76(62.3)

101(57.7)

1.00

Yes

46(37.7)

74(42.3)

1.08(0.80–1.46)

0.612

Have friends/relatives who screened

No

61(50.0)

58(33.1)

1.00

Yes

61(50.0)

117(66.9)

1.35(0.98–1.85)

0.063*

1.31(1.09–1.59)

0.005**

Distance to the facility

Near

62(50.8)

88(50.3)

1.00

Far

31(25.4)

50(28.6)

1.05(0.74–1.49)

0.774

Very far

29(23.8)

37(21.1)

0.96(0.65–1.40)

0.817

Health education on CCS

No

51(41.8)

51 (29.1)

1.00

Yes

71(58.2)

124(70.9)

1.27(0.92–1.76)

0.148*

CCS appointments at the facility

No

40(32.8)

41(23.4)

1.00

Yes

82(67.2)

134(76.6)

1.23(0.86–1.74)

0.254

Conduct CCS outreaches

No

43(35.2)

39(22.3)

1.00

Yes

75(61.5)

130(74.3)

1.33(0.93–1.91)

0.115*

I don’t know

4(3.3)

6(3.4)

1.26(0.53–2.98)

0.596

Provider recommendation

No

26(21.3)

21(12.0)

1.00

Yes

94(77.1)

152(86.9)

1.38(0.88–2.18)

0.164*

I don’t know

2(1.6)

2(1.1)

1.12(0.26–4.77)

0.879

Convenient hours for CCS

No

47(38.5)

54(30.9)

1.00

Yes

56(45.9)

110(62.9)

1.24(0.89–1.72)

0.196*

I don’t know

19(15.6)

11(6.2)

0.69(0.36–1.31)

0.254

Availability of CCS services

No

15(12.3)

15(8.6)

1.00

Yes

80(65.6)

144(82.3)

1.29(0.76–2.19)

0.133*

I don’t know

27(22.1)

16(9.1)

0.74(0.75–2.18)

0.278