PONE-D-24-16417PLOSE ONE

Screening Attendance of Breast or Cervical Cancers and Its Associated Factors among 30-49 Year Old Women in Gedeo Zone, South Ethiopia: cross-sectional StudyPLOS ONE

Dear Dr. Demeke,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please consider all reviewers' comments. Particularly, those regarding typos and English improvements. For example, in tables with missing information, you can describe these frequencies as "No Available-NA" instead of "Don't know". The article includes relevant information to characterize the early-onset population in South Ethiopia, but it is important to represent this data in a language that ensures their spread.

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Kind regards,

Alexis G. Murillo Carrasco

Academic Editor

PLOS ONE

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5. Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: N/A

Reviewer #2: N/A

Reviewer #3: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: No

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: No

Reviewer #2: Yes

Reviewer #3: No

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Dear Authors,

Thank you for your efforts. This is my review:

- Title: Please, remove "PLOSE ONE".

- Abstract-Conclusion: the main factors and relations should be enhaced in the conclusions.

- Methods: the questionnaire is not clear for the reader, you only mention the number of items. To have an idea of the main questions, please add the questionnaire as Supplementary File.

Did you use validated scales? Cite them with original authors.

It is specially interesting to show the questions for protection motivation theory sub constructs.

Please mention the possible bias that derived from a face-to-face interview.

The Operational Definitions should be ordered in bullet points.

- Results: Correct the typo in line174, 186, 196, 207, 230.

Subsection: line211 Screening attendance and associated factors. I recommend to increase the narrative description of the factors which decreased screening attendance: "Screening attendance decreased by 81% among women who had a higher response cost ([AOR] 0.19; [95% CI 0.08 to 0.50]) continue this exposition....

- Discussion: There are much paragraphs which start with "In this study..." "the findings" or similar. Please, vary these introductions to ideas.

Ideas for improving the screening rates. I recommend to introduce a final paragraph with ideas, suggestions or examples of screening programs to try to solve the aforementioned problematic factors (national screening program, health education and knowledge, response costs, self-efficacy in intervention programs,

- References:

REf.18 is incorrectly cited in the list.

Reviewer #2: This study was conducted on breast or cervical cancer screening and its predictors among Ethiopian women, the results of which can be useful for similar communities. The study has a good writing quality, I congratulate the authors for conducting the study, it is hoped that a similar studies will be conducted by screening other related factors.

Some references are missing, they should be corrected.

Reviewer #3: Dear authors thank you for your effort. This is my review for the manuscript " Screening Attendance of Breast or Cervical Cancers and Its Associated Factors among 30-49 Year Old Women in Gedeo Zone, South Ethiopia: cross-sectional Study"

- line 94 in method section: please mention the number of the women of 30-49 years age living in Gedeo zone.

- please include the formula used for calculating sample size.

- the sampling technique isn't clear for me; did you include the attendee of the selected health centers in your study? or the household in catchment Keeble ? or from both?. Also' you mention that "from each health center

30% of catchment Keeble was selected", why you specify 30%?

- Add future clear parctical implication of the study's results as recoomendations at the conclusion section.

- gramatical revision and paraphrasing is required

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6. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

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Screening attendance of breast or cervical cancers and its associated factors among 30-49 year old women in Gedeo Zone, South Ethiopia: Cross-sectional study

PONE-D-24-16417R1

Dear Dr. Demeke,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Alexis G. Murillo Carrasco

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: (No Response)

Reviewer #3: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

Reviewer #3: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: (No Response)

Reviewer #2: Yes

Reviewer #3: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: (No Response)

Reviewer #2: Yes

Reviewer #3: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: (No Response)

Reviewer #2: Dear authors

Congratulations on your study. I hope you will continue to research and contribute to the working community.

All comments is corrected.

Reviewer #3: Dear authors, thank you for responding and addressing all the comments and making the required changes

It's a valuable research and I hope it will add a great value to the scientific field

Good luck

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

Reviewer #3: No

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