10th U6+ Consortium of African Universities International Conference

Cervical cancer is a major cause of morbidity and mortality among women, especially in developing countries. Despite increased awareness and the availability of screening methods, the uptake of cervical cancer screening remains low in Nigeria. This study assessed the influence of risk behaviours and level of knowledge on cervical cancer screening practices among female academic and non-academic staff in two tertiary institutions in North Central Nigeria. A descriptive cross-sectional study design was adopted using structured and pretested questionnaires to obtain data on socio-demographic characteristics, awareness, knowledge of cervical cancer, associated risk behaviours, and screening. Data obtained were analysed using descriptive and inferential statistics, including chi-square tests to determine associations between variables, while risk estimates were presented with 95% confidence intervals. Of the 1,311 respondents, 1,154 (88%; 95% CI: 86–90%) reported being aware of cervical cancer, but only 352 (27%; 95% CI: 24–29%) had undergone screening. Screening uptake was significantly higher among women exposed to multiple information sources (p < .001). Higher knowledge of cervical cancer risk factors was strongly associated with increased screening uptake (OR: 4.1; 95% CI: 3.0–5.9), with significant associations observed across all knowledge domains (p < .0001). However, information exposure showed no significant relationship with risky sexual behaviours (p = .09). Knowledge level and diverse information sources positively influence cervical cancer screening uptake, though barriers remain. Despite high awareness, screening rates are still low among educated Nigerian women. Improved access to credible information increases knowledge and participation. A combined approach using education, accessible services, and innovative screening methods is needed to improve uptake and support cervical cancer prevention.