Knowledge, attitudes, practices, and perceived risk of cervical cancer among Kenyan women: brief report.
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TLDR
Understanding factors associated with women’s perceived risk of cervical cancer could guide future educational and clinical interventions to increase cervical cancer screening in sub-Saharan Africa.Abstract:
Objectives Eastern Africa has the highest incidence and mortality rates from cervical cancer worldwide. It is important to describe the differences among women and their perceived risk of cervical cancer to determine target groups to increase cervical cancer screening. Methods In this cross-sectional study, we surveyed women seeking reproductive health services in Kisumu, Kenya to assess their perceived risk of cervical cancer and risk factors influencing cervical cancer screening uptake. χ2 statistics and t tests were used to determine significant factors, which were incorporated into a logistic model to determine factors independently associated with cervical cancer risk perception. Results Whereas 91% of the surveyed women had heard of cancer, only 29% of the 388 surveyed women had previously heard of cervical cancer. Most had received their information from health care workers. Few women (6%) had ever been screened for cervical cancer and cited barriers such as fear, time, and lack of knowledge about cervical cancer. Nearly all previously screened women (22/24 [92%]) believed that cervical cancer was curable if detected early and that screening should be conducted annually (86%). Most women (254/388 [65%]) felt they were at risk for cervical cancer. Women with perceived risk of cervical cancer were older (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.02–1.10), reported a history of marriage (OR, 2.08; CI, 1.00–4.30), were less likely to feel adequately informed about cervical cancer by health care providers (OR, 0.76; CI, 0.18–0.83), and more likely to intend to have cervical cancer screening in the future (OR, 10.59; CI, 3.96–28.30). Only 5% of the women reported that they would not be willing to undergo screening regardless of cost. Conclusions Cervical cancer is a major health burden for women in sub-Saharan Africa, yet only one third of the women had ever heard of cervical cancer in Kisumu, Kenya. Understanding factors associated with women’s perceived risk of cervical cancer could guide future educational and clinical interventions to increase cervical cancer screening.read more
Citations
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Human Papillomavirus Infection and Cervical Cancer: Epidemiology, Screening, and Vaccination—Review of Current Perspectives
TL;DR: In spite of the successful implementation of the HPV vaccination program in many countries all over the world, problems related to HPV prevention and treatment of the related diseases will continue to persist in developing and underdeveloped countries.
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Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana.
TL;DR: Comprehensive education on cervical cancer screening and removal of access barriers are critical in reducing risk associated with the disease and promoting women’s health.
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Uptake of Cervical Cancer Screening and Associated Factors among Women in Rural Uganda: A Cross Sectional Study
TL;DR: The prevalence of cervical cancer screening is very low in rural Uganda and interventions to increase uptake should be implemented so as to improve access to the service in rural areas.
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Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis.
Jonah Musa,Chad J. Achenbach,Linda C. O’Dwyer,Charlesnika T. Evans,Megan McHugh,Lifang Hou,Melissa A. Simon,Robert L. Murphy,Neil Jordan +8 more
TL;DR: The use of theory-based educational interventions significantly increased CCS rates and it was found that invitation letters alone, making an appointment, and sending reminders to patients who are due or overdue for screening had a significant effect on improving participation and C CS rates in populations at risk.
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Women’s knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda
TL;DR: Although general knowledge about cervical cancer prevention was relatively high among women, and attitudes mostly encouraging, specific knowledge about screening was low and there is need for more education campaigns to bridge identified knowledge gaps, and scale up of cervical cancer screening services to all women to increase service uptake.
References
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Journal ArticleDOI
Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda
TL;DR: Despite knowledge of the gravity of cervical cancer and prevention by screening using a Pap smear, attitudes and practices towards screening were negative and the medical workers who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves.
Journal ArticleDOI
Perceptions of risk and barriers to cervical cancer screening at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya
Edwin Were,Z Nyaberi,N Buziba +2 more
TL;DR: Perception of being at risk of the cervical cancer was significantly associated with a felt need for screening, an association that persisted only for women reporting multiple lifetime sex partners.
Journal ArticleDOI
Knowledge of cervical cancer screening and use of cervical screening facilities among women from various socioeconomic backgrounds in Durban, Kwazulu Natal, South Africa.
TL;DR: The mere provision of a cervical cancer screening service is not sufficient to ensure successful uptake since screening is a multifaceted entity and improvement of socioeconomic and educational circumstances should improve the uptake of a screening program.
Journal ArticleDOI
Knowledge and Acceptability of Pap Smears, Self-Sampling and HPV Vaccination among Adult Women in Kenya
Anne F. Rositch,Ann Gatuguta,Robert Y. Choi,Brandon L. Guthrie,Romel D. Mackelprang,Rose Bosire,Lucy Manyara,James Kiarie,Jennifer S. Smith,Carey Farquhar +9 more
TL;DR: The need to educate women on routine use of Pap smears in the prevention of cervical cancer is highlighted and it is demonstrated that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.
Journal ArticleDOI
Evaluation Of Cervical Cancer Screening Program At A Rural Community Of South Africa
TL;DR: This study showed low uptake of Pap smear test and low level of knowledge on prevention of cervical cancer and risk factors thus warrants urgent extensive health education program for this rural communities of South Africa.
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