The Effect of Cervical Smears Performed by General Practitioners on the Cervical Cancer Screening Rate of their Female Patients: A Claim Database Analysis and Cross-Sectional Survey

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.

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Cervical cancer screening among reproductive-aged women: a crossectional survey in Tabanan Regency

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2017.v05.i01.p03 ◽

2017 ◽

pp. 18

Author(s):

Desak Gede Yenny Apriani ◽

N.L.P. Suariyani ◽

Mangku Karmaya

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Cervical Screening ◽

Breast Cancers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Screening Uptake ◽

Reproductive Aged Women

Background and purpose: Cervical and breast cancers are the most common malignancies among women in Indonesia. The prevalence of cervical cancer in Bali was 0.6% in 2013. Screening coverage for cervical cancer in Tabanan district varies from 37% to 67%. This study aims to determine factors associated to cervical cancer screening uptake among reproductive-aged women.Methods: A cross-sectional survey was conducted at Baturiti Subdistrict, Tabanan Regency, Bali Province. This study involved 188 reproductive-aged women. Samples were randomly selected from all reproductive-aged women from two villages of Baturiti and Angseri. Data were collected using home interviews by a standardised questionaire. Multivariate analysis was conducted using poisson regression model to determine factors associated to cervical cancer screening uptake.Results: This study showed that the proportion of cervical cancer screening was 38.83%. Variables associated to the uptake of cervical cancer screening were comprehensive knowledge about cervical cancer (APR=10.16; 95%CI: 4.33-24.76), insurance holder (APR=2.95; 95%CI: 1.38-6.64) and aged of ?40 years (APR=1.26; 95%CI: 1.01-1.59). Education level, employment status and perceived benefits were not associated with the screening uptake among reproductive-aged women.Conclusions: Level of knowledge about cervical cancer, insurance ownership and aged over 40 years increase the cervical screening uptake among reproductive-aged women

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Young women’s knowledge and attitudes towards cervical cancer screening at a selected higher education institution in Lesotho: a cross-sectional survey

10.21203/rs.3.rs-1032630/v1 ◽

2021 ◽

Author(s):

Isabel Nyangu ◽

Tanki Moteane

Keyword(s):

Higher Education ◽

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Young Women ◽

Education Institution ◽

Cross Sectional Survey ◽

Higher Education Institution ◽

Cross Sectional ◽

Knowledge And Attitudes

Abstract Background In Lesotho, cervical cancer is the most common female cancer and leading cause of death amongst women. In 2019, the annual number of new cancer cases was 477 and 346 women died from cancer related complications in Lesotho. The aim of this study was to assess the knowledge and attitudes of young women towards cervical cancer screening at a selected higher education institution in Lesotho. Methods A quantitative cross-sectional survey design was used to collect data using an interviewer administered semi-structured questionnaire from 80 young women. Random sampling using a fishbowl technique was used to select study respondents. Permission to conduct the study was sought and granted from relevant authorities. Informed consent was sought from the respondents who were identified using codes and participated voluntarily. Data were analysed using Microsoft excel and presented using proportions and diagrams. Results Fifty percent (n=40) of the women did not know cervical cancer screening tests, 70% (n=56) did not know about the frequency of screening, whilst 75% (n=60) knew that human papilloma virus (HPV) vaccine is used to prevent cervical cancer. Additionally, 95% (n=76) had not screened for cervical cancer, 65% (n=52) perceived cervical cancer screening as painful, 35% (n=28) said it caused discomfort, and 95% (n=76) needed more information on cervical cancer screening. Conclusions Even though some respondents had knowledge on cervical cancer and its prevention, the uptake of the screening procedure was low. Negative experiences of pain and discomfort were reported amongst those who had the procedure done. This heightens the need for health education and incorporating regular cervical cancer screening in health care services to increase reassurance, counselling, and the uptake of the procedure amongst young women.

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Methodological issues in a cross-sectional survey on cervical cancer screening using telephone interviews in Sicily (Italy): a SWOT analysis

Journal of International Medical Research ◽

10.1177/0300060519860950 ◽

2019 ◽

Vol 47 (10) ◽

pp. 5174-5184 ◽

Cited By ~ 2

Author(s):

Claudio Costantino ◽

Walter Mazzucco ◽

Claudia Marotta ◽

Laura Saporito ◽

Stefania Bono ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Family Member ◽

Cervical Cancer Screening ◽

Cultural Context ◽

Swot Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Active Involvement ◽

Telephone Interviews

Objective A cross-sectional study on knowledge, perceptions, and adherence to cervical cancer screening was conducted using telephone interviews of Sicilian women that were performed in 2016. This study aimed to identify areas that need to be addressed to improve the validity of data collection and to minimize possible biases. Methods We performed a qualitative study through SWOT analysis, which is a multidimensional method based on evaluation of Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) of the research project. The contents of the SWOT forms underwent categorical, inductive, and deductive data analysis using the long table analysis method. Results The full availability of an updated address and phone number list was the main organizational aspect to be addressed. Socio-cultural context played a major role for understanding the questions and for acceptability of the topics. In some cases, a family member was a facilitating element, while in others, the family member hindered the interviews. Active involvement of general practitioners was considered essential for success of the interviews. Conclusions When performing a cross-sectional survey, organizational aspects and active involvement of general practitioners are crucial in the enrolment phase, regardless of the socio-cultural context.

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Cervical cancer screening uptake and correlates among HIV-infected women: a cross-sectional survey in Côte d’Ivoire, West Africa

BMJ Open ◽

10.1136/bmjopen-2019-029882 ◽

2019 ◽

Vol 9 (8) ◽

pp. e029882 ◽

Cited By ~ 2

Author(s):

Boris Tchounga ◽

Simon Pierre Boni ◽

Jean Jacques Koffi ◽

Apollinaire G Horo ◽

Aristophane Tanon ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Screening Uptake ◽

Côte D'ivoire

ObjectivesDespite the increasing number of interventions aiming to integrate cervical cancer screening into HIV clinics in sub-Saharan Africa, Women living with HIV (WLHIV) still have a high risk of developing cervical cancer. The aim of this study was to estimate the coverage of cervical cancer screening and associated factors among WLHIV in Abidjan, Côte d’Ivoire.DesignCross-sectional survey conducted from May to August 2017.SettingsOutpatient setting in the four highest volume urban HIV clinics of government’s or non-governmental organisation’s sector in Côte d’Ivoire.ParticipantsAll WLHIV, aged 25–55 years, followed since at least 1 year, selected through a systematic sampling procedure.InterventionA standardised questionnaire administered to each participant by trained healthcare workers.OutcomeCervical cancer screening uptake.ResultsA total of 1991 WLHIV were included in the study, aged in median 42 years (IQR 37–47), and a median CD4 count (last known) of 563 (378-773) cells/mm3. Among the participants, 1913 (96.1%) had ever heard about cervical cancer, 1444 (72.5%) had been offered cervical cancer screening, mainly in the HIV clinic for 1284 (88.9%), and 1188 reported a personal history of cervical cancer screening for an overall coverage of 59.7% (95% CI 57.6 to 62.0). In multivariable analysis, university level (adjusted OR (aOR) 2.1; 95% CI 1.4 to 3.1, p<0.001), being informed on cervical cancer at the HIV clinic (aOR 1.5; 95% CI 1.1 to 2.0, p=0.017), receiving information self-perceived as ‘clear and understood’ on cervical cancer (aOR 1.7; 95% CI 1.4 to 2.2, p<0.001), identifying HIV as a risk factor for cervical cancer (aOR 1.4; 95% CI 1.1 to 1.8, p=0.002) and being proposed cervical cancer screening in the HIV clinic (aOR 10.1; 95% CI 7.6 to 13.5, p<0.001), were associated with cervical cancer screening uptake.ConclusionInitiatives to support cervical cancer screening in HIV care programmes resulted in effective access to more than half of the WLHIV in Abidjan. Efforts are still needed to provide universal access to cervical cancer screening, especially among socioeconomically disadvantaged WLHIV.

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Cervical Cancer Screening Knowledge and Behavior Among Female Undergraduate Students in a Nigerian University

Journal of Global Oncology ◽

10.1200/jgo.18.69200 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 3s-3s

Author(s):

J. Agboeze ◽

M. Nwali ◽

N. Ezeani

Keyword(s):

Risk Factors ◽

Cervical Cancer ◽

Developing Countries ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Undergraduate Students ◽

Cervical Screening ◽

Papanicolaou Test ◽

Cross Sectional Survey ◽

Cross Sectional

Background: Cervical cancer is a highly preventable disease that affects women especially in developing countries. Over the years awareness and uptake of cervical cancer screening services have remained poor in developing countries. Lack of knowledge and poor attitude toward the disease and risk factors can affect screening practice and development of preventive behavior for cervical cancer. Aim: This study assessed the level of knowledge and barriers toward cervical cancer screening among female university students. Methods: We conducted a cross-sectional survey of 234 female students selected by stratified random sampling techniques at Ebonyi State University Abakaliki Nigeria. A pretested questionnaire was administered to assess knowledge, attitude and screening history. Data were analyzed with Epi info version 7.1.4. Results: Participants' mean age was 22 years (SD=3). Majority of the respondents 79.5% have not heard of screening, 58.9% knew that it can be prevented, 78.5% have not heard about HPV vaccine and only 4.0% have had Papanicolaou test. Common barriers include lack of centers where such services are obtainable (88%) and fear of cancer being discovered (9%). Reported risk factors were multiple sexual partners (24.2%) and early onset of sexual intercourse (19.8%). A significant association was found between institutional and personal barriers and having a Papanicolaou test. Conclusion: Comprehensive education on cervical cancer screening in universities is critical in reducing the morbidity and mortality associated with cervical cancer. Few screening centers have also contributed to poor cervical screening uptake.

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