Results: Only 93(39.4%) were aware of cervical cancer screening while only 9.7% had ever had any form of cervical cancer screening. Awareness of cervical cancer screening was significantly lower among those with primary (OR 0.10, 95% CI 0.02 to 0.46) and secondary (OR 0.25, 95%CI: 0.12 to 0.54) education compared to those with tertiary education. Middle-class women had higher odds of awareness than those in the lower class (OR 2.38, 95% CI: 0.86-6.58), while upper-class women were ten times more likely to be aware (OR 10.41, 95%CI: 2.72 to 39.78). Participants in the upper social class were about 7.5 times more likely to have undergone cervical cancer screening compared to those from the lower social class (OR 7.53, 95% CI: 1.82-3.49). Lack of awareness (58.7%) and not knowing where to access screening (21.1%) were the primary barriers to screening.

Conclusion: Both the awareness and uptake of cervical cancer screening were low among women in Enugu metropolis. Education and social class significantly influenced cervical cancer screening awareness.