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Cervical cancer is largely preventable through early detection, but screening uptake remains low among black women in South Africa. The purpose of this study was to determine the prevalence and factors associated with cervical cancer screening in the past 10 years among black African women in primary health care PHC clinics, in Gauteng Province, South Africa. This was a cross-sectional study involving consecutively recruited black women at cervical cancer screening programs in PHC clinics between and An interviewer-administered questionnaire covered socio-demographics, HIV status, sexual history, cervical cancer risk factors knowledge, and screening behaviours in the past 10 years.

The mean age of participants was 38 years. Only Of participants that reported receiving information on screening, Participants aged 30 years or more were more likely to report for cervical cancer screening as compared to other categories in the past 10 years. The study found low cervical cancer screening prevalence.

Such strategies must also consider socio-demographic and clinical correlates of cervical cancer screening and promote better integration into PHC services in South Africa. This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Data Availability: Our ethics agreement with participants was that the data would only be accessible to the study team due to the sensitive information contained in the data; hence, it would compromise the HREC ethical standards to allow the data to be publicly available in a public repository, within the manuscript itself or uploaded as supplementary information.