Abstract C62: Sub-Saharan African immigrant men's knowledge and support related to cervical cancer screening: A qualitative descriptive study

Author(s):  
Adebola Adegboyega ◽  
Jennifer Hatcher
2018 ◽  
Vol 1 (1) ◽  
pp. 32-36
Author(s):  
Eleazar Ndabarora ◽  
Dariya Mukamusoni ◽  
Clarte Ndikumasabo ◽  
Védaste Ngirinshuti

Cervical cancer is one of the leading causes of morbidity and mortality globally and in Sub-Saharan Africa in particular. There is evidence that early detection and early management of cases are the best strategies to prevent and control this health threat, since treatment of the later stages of the diseases are very expensive. The objectives of the review were: (1) to identify and review studies on the prevalence of cervical cancer and determinants of early detection in Sub-Saharan Africa, and (2) to recommend further studies and interventions based on the findings of this review. Extensive literature search was conducted using the MeSH terms. Articles on cervical cancer and/or determinants of early detection which fulfilled inclusion criteria were reviewed independently by three reviewers. The prevalence of cervical cancer in Sub-Saharan Africa is increasing. Although there are evidences that cervical cancer screening programs are practical and feasible even in resource-limited settings in Sub-Saharan Africa, there is a very low uptake of cervical cancer screening and there are key factors that need to be addressed in order to make these programs established and effective.


2021 ◽  
Author(s):  
Nigus Bililign Yimer ◽  
Mohammed Akibu Mohammed ◽  
Kalkidan Solomon ◽  
Mesfin Tadese ◽  
Stephanie Grutzmacher ◽  
...  

AbstractBackgroundCervical cancer screening and prevention programs have been given considerable attention in high-income countries, while only receiving minimal effort in many African countries. This meta-analytic review aimed to estimate the pooled uptake of cervical cancer screening uptake and identify its predictors in Sub-Saharan Africa.MethodsPubMed, EMBASE, CINAHL, African Journals Online, Web of Science and SCOPUS electronic databases were searched. All observational studies conducted in Sub-Saharan Africa and published in English language from January 2000 to 2019 were included. The Newcastle-Ottawa Scale was applied to examine methodological quality of the studies. Inverse variance-weighted random-effects model meta-analysis was done to estimate the pooled uptake and odds ratio of predictors with 95% confidence interval. I2 test statistic was used to check between-study heterogeneity, and funnel plot and Egger’s regression statistical test were used to check publication bias. To examine the source of heterogeneity, subgroup analysis based on sample size, publication year and geographic distribution of the studies was carried out.ResultsOf 3,537 studies identified, 29 studies were included with 36,374 women. The uptake of cervical cancer screening in Sub-Saharan Africa was 12.87% (95% CI: 10.20, 15.54; I2= 98.5%). Meta-analysis of seven studies showed that knowledge about cervical cancer increased screening uptake by nearly 5-folds (OR: 4.81; 95% CI: 3.06, 7.54). Other predictors include educational status, age, HIV status, contraceptive use, perceived susceptibility, and awareness about screening locations.ConclusionCervical screening uptake is low in Sub-Saharan Africa and influenced by several factors. Health outreach and promotion targeting identified predictors are needed to increase uptake of screening service in the region.sProtocol registrationCRD42017079375


2019 ◽  
Author(s):  
Zita Aleyo Nodjikouambaye ◽  
Damtheou Sadjoli ◽  
Ralph Sydney Mboumba Bouassa ◽  
Hélène Péré ◽  
David Veyer ◽  
...  

2014 ◽  
Vol 137 (1) ◽  
pp. 127-134 ◽  
Author(s):  
Jérôme Bigoni ◽  
Mélissa Gundar ◽  
Pierre-Marie Tebeu ◽  
Adamo Bongoe ◽  
Sonja Schäfer ◽  
...  

2019 ◽  
Author(s):  
Charles Nkurunziza ◽  
Diomede Ntasumbumuyange ◽  
Lisa Bazzett-Matabele

Abstract Objectives To assess the healthcare system related factors that cause delayed cervical cancer diagnosis at the primary healthcare level. Methods This was a descriptive study of healthcare providers in outpatient clinics at 10 health centers in Kigali city and the Eastern province of Rwanda. Care providers completed a survey questionnaire. Results Eighty-seven (87) health care providers participated. Of respondents, 85 (97.7%) were nurses and midwives, 81.6% being nurses. Only 15 (17.2%) reported to have received training on visual inspection with acetic acid (VIA) cervical cancer screening; and were distributed in 6/10 of the health centers surveyed. However, 75.9% of respondents reported that there was at least one person trained in VIA at their health center. Necessary basic equipment for cervical cancer evaluation was reported to be generally available. Overall, 49 (56.3%) participants were found to have adequate basic knowledge on cervical cancer symptoms and appropriate next step in the case of symptoms. We found no association between respondents’ knowledge of cervical cancer screening and profession or education level, work experience or reported prior training on VIA (p= 0.592, 0.384, 0.174 and 0.404, respectively). Conclusion There is a large gap in number of care providers with enough skills to perform cervical cancer VIA screening at health centers in Rwanda. As health centers are patients’ first point of contact with the healthcare system, there is a need to empower them in human resources and infrastructure if effective cervical cancer screening and prevention program is to be established.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Megan Swanson ◽  
Saduma Ibrahim ◽  
Cinthia Blat ◽  
Sandra Oketch ◽  
Easter Olwanda ◽  
...  

Author(s):  
Adebola Adegboyega ◽  
Jia-Rong Wu ◽  
Gia Mudd-Martin

Although regular cervical cancer screening can prevent cervical cancer, screening utilization remains low among immigrant population including sub-Saharan African immigrants (SAIs). Acculturation is a complex process, which can lead to adoption of positive or negative health behaviors from the dominant culture. Acculturation strategies are the varying ways in which individuals seek to go about their acculturation by either maintaining or rejecting their own cultural values ip or accepting or rejecting the host culture’s cultural values. Cervical cancer screening behaviors among SAI women may be influenced by their acculturation strategies. We conducted a secondary analysis of data to examine the relationship between acculturation strategies and Pap screening among 99 SAI women recruited from community settings. Data were collected on Pap screening behavior and acculturation strategy. Traditionalists and Integrationists were the dominant acculturation strategies; 32.3% women were Traditionalists and 67.7% Integrationists. From the logistic regression models, Integrationists had seven times the odds of having ever been screened compared to Traditionalists (OR = 7.08, 95% CI = 1.54–28.91). Cervical cancer screening interventions should prioritize Traditionalists for cancer screening. Acculturation strategies may be used to tailor cancer prevention and control for SAIs. More research among a larger SAI women sample is warranted to further our understanding of Pap screening patterns and acculturation strategies.


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