Cervical cancer screening in rural Ethiopia: a cross- sectional knowledge, attitude and practice study.
Adult
Age Factors
Alphapapillomavirus
/ pathogenicity
Cross-Sectional Studies
Early Detection of Cancer
/ psychology
Educational Status
Ethiopia
Female
Health Knowledge, Attitudes, Practice
Humans
Income
/ statistics & numerical data
Mass Screening
/ psychology
Middle Aged
Papillomavirus Infections
/ diagnosis
Risk Factors
Rural Population
/ statistics & numerical data
Surveys and Questionnaires
/ statistics & numerical data
Uterine Cervical Neoplasms
/ diagnosis
Acceptability
Cervical cancer
Ethiopia
Health intervention
Human papillomavirus
Journal
BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800
Informations de publication
Date de publication:
17 Jun 2020
17 Jun 2020
Historique:
received:
28
05
2019
accepted:
11
06
2020
entrez:
20
6
2020
pubmed:
20
6
2020
medline:
12
1
2021
Statut:
epublish
Résumé
Cervical cancer is the fourth most common cancer among women worldwide. Sub- Saharan Africa has a high incidence, prevalence and mortality due to shortage and underutilization of screening facilities. This study aims to assess knowledge and attitude towards cervical cancer and its prevention, as well as practice of cervical cancer screening. This cross-sectional community- based study was conducted in Butajira, Ethiopia in February 2018. Systematic cluster randomized sampling was used to select households from which women in the targeted age group of 30-49 years were invited to participate. Data was collected using a quantitative door to door approach. The questionnaire included socio-demographic data, obstetric history, general knowledge, risk factors, attitude and practice. Logistic regression was used to assess factors associated with knowledge, attitude and practice after dichotomizing the scores using the median as cut off point. Three hundred forty-two out of 354 women completed the interviewer administered questionnaire making the response rate 96.3%. 125 women (36%) were aware of cervical cancer and 14 (4.7%) knew symptoms. None of the women named HPV as a risk factor. 61% thought it was a deadly disease, 13.5% felt at risk of developing cervical cancer and 60.7% said cervical cancer is treatable. Eight women (2.3%) had previously been screened. 48.1% had a source of information concerning cervical cancer, of which 66.5% named nurses. Better knowledge was associated with 1-8 years of education (OR = 2.4; CI: 2.4-1.3), having a source of information (OR = 9.1, CI:4.0-20.6), use of contraceptives (OR = 2.3, CI: 1.3-4.0) and a higher income (OR = 1.009, CI: 1.00-1.01). Naming nurses (OR:5.0, CI:2.4-10.3), another source of information (OR = 3.3, CI:1.2-9.0), use of contraceptives (OR = 2.2, CI:1.2-3.8) and living in an urban area (OR = 3.3, CI:1.2-9.0) were associated with a positive attitude. Naming nurses (OR = 21,0, CI:10.4-42.3) and another source of information (OR = 5.8, CI:2.4-13.5) were associated with participating in cervical cancer screening. Most women were unaware of cervical cancer, HPV-infection as a risk factor and did not feel susceptible to cervical cancer. As Health workers were the most commonly mentioned source of information, focus should be put on their further education.
Sections du résumé
BACKGROUND
BACKGROUND
Cervical cancer is the fourth most common cancer among women worldwide. Sub- Saharan Africa has a high incidence, prevalence and mortality due to shortage and underutilization of screening facilities. This study aims to assess knowledge and attitude towards cervical cancer and its prevention, as well as practice of cervical cancer screening.
METHODS
METHODS
This cross-sectional community- based study was conducted in Butajira, Ethiopia in February 2018. Systematic cluster randomized sampling was used to select households from which women in the targeted age group of 30-49 years were invited to participate. Data was collected using a quantitative door to door approach. The questionnaire included socio-demographic data, obstetric history, general knowledge, risk factors, attitude and practice. Logistic regression was used to assess factors associated with knowledge, attitude and practice after dichotomizing the scores using the median as cut off point.
RESULTS
RESULTS
Three hundred forty-two out of 354 women completed the interviewer administered questionnaire making the response rate 96.3%. 125 women (36%) were aware of cervical cancer and 14 (4.7%) knew symptoms. None of the women named HPV as a risk factor. 61% thought it was a deadly disease, 13.5% felt at risk of developing cervical cancer and 60.7% said cervical cancer is treatable. Eight women (2.3%) had previously been screened. 48.1% had a source of information concerning cervical cancer, of which 66.5% named nurses. Better knowledge was associated with 1-8 years of education (OR = 2.4; CI: 2.4-1.3), having a source of information (OR = 9.1, CI:4.0-20.6), use of contraceptives (OR = 2.3, CI: 1.3-4.0) and a higher income (OR = 1.009, CI: 1.00-1.01). Naming nurses (OR:5.0, CI:2.4-10.3), another source of information (OR = 3.3, CI:1.2-9.0), use of contraceptives (OR = 2.2, CI:1.2-3.8) and living in an urban area (OR = 3.3, CI:1.2-9.0) were associated with a positive attitude. Naming nurses (OR = 21,0, CI:10.4-42.3) and another source of information (OR = 5.8, CI:2.4-13.5) were associated with participating in cervical cancer screening.
CONCLUSION
CONCLUSIONS
Most women were unaware of cervical cancer, HPV-infection as a risk factor and did not feel susceptible to cervical cancer. As Health workers were the most commonly mentioned source of information, focus should be put on their further education.
Identifiants
pubmed: 32552740
doi: 10.1186/s12885-020-07060-4
pii: 10.1186/s12885-020-07060-4
pmc: PMC7298871
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
563Subventions
Organisme : Else Kroener-Fresenius-Stiftung
ID : 2017_HA03
Organisme : Bundesministerium fuer Wirtschaftliche Zusammenarbeit und Entwicklung
ID : Klinikpartnerschaften 1702093
Organisme : Open Access Publication Fund of the Martin-Luther-University Halle-Wittenberg
ID : 05_2019
Références
J Natl Cancer Inst. 2011 Mar 2;103(5):368-83
pubmed: 21282563
BMC Cancer. 2018 Jul 18;18(1):745
pubmed: 30021564
Int J Womens Health. 2017 May 22;9:365-372
pubmed: 28579837
PLoS One. 2016 Mar 10;11(3):e0149908
pubmed: 26963098
BMC Public Health. 2012 Jan 10;12:22
pubmed: 22233530
BMC Cancer. 2013 Jan 02;13:2
pubmed: 23282173
Am J Public Health. 2008 Jan;98(1):9-10
pubmed: 18048772
BMC Public Health. 2020 Mar 2;20(1):189
pubmed: 32114986
Gynecol Oncol Res Pract. 2015 Sep 18;2:6
pubmed: 27231566
Oncologist. 2017 Feb;22(2):173-181
pubmed: 28167567
PLoS One. 2019 Mar 14;14(3):e0213546
pubmed: 30870497
Niger J Med. 2005 Jul-Sep;14(3):283-6
pubmed: 16350698
BMC Womens Health. 2018 Jul 3;18(1):116
pubmed: 29970063
Int J Med Educ. 2011 Jun 27;2:53-55
pubmed: 28029643
Cancer Prev Res (Phila). 2019 Sep;12(9):609-616
pubmed: 31337647
BMC Womens Health. 2017 Jan 31;17(1):9
pubmed: 28137260
Oncologist. 2014 Jul;19(7):727-34
pubmed: 24951611
Pan Afr Med J. 2015 Jul 30;21:231
pubmed: 26523173
Cancer Med. 2018 Mar;7(3):903-912
pubmed: 29441700
BMJ Open. 2016 Jan 11;6(1):e008533
pubmed: 26754174
Health Educ Q. 1988 Summer;15(2):175-83
pubmed: 3378902
J Cancer Educ. 2016 Dec;31(4):760-766
pubmed: 26336956
BMC Womens Health. 2014 Feb 18;14(1):30
pubmed: 24548698
PLoS One. 2017 Jul 25;12(7):e0181415
pubmed: 28742851
J Clin Diagn Res. 2017 May;11(5):JE06-JE09
pubmed: 28658806
Int J Womens Health. 2015 Jul 31;7:765-72
pubmed: 26261427
BMC Public Health. 2019 Apr 25;19(1):434
pubmed: 31023306
Infect Agent Cancer. 2017 Nov 29;12:61
pubmed: 29213299
Reprod Health. 2018 Feb 14;15(1):29
pubmed: 29444689
PLoS One. 2016 Sep 30;11(9):e0163136
pubmed: 27690311
Int J Equity Health. 2012 Dec 29;11:83
pubmed: 23273140
Reprod Health. 2007 Jun 26;4:4
pubmed: 17594474
PLoS One. 2017 Dec 13;12(12):e0188968
pubmed: 29236741
Int J Gynaecol Obstet. 2015 Mar;128(3):211-5
pubmed: 25467908
Tidsskr Nor Laegeforen. 1993 Jan 10;113(1):51-5
pubmed: 8424252