A Novel Strategy for Cervical Cancer Prevention Using Cervical-Vaginal Self-Collected Samples Shows High Acceptability in Women Living in Low-Income Conditions from Bucaramanga, Colombia

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.

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Women’s knowledge and attitude towards cervical cancer preventive measures and associated factors In South Gondar Zone, Amhara Region, North Central Ethiopia: a cross-sectional study

Archives of Public Health ◽

10.1186/s13690-021-00659-4 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Yilkal Tafere ◽

Tezera Jemere ◽

Tsion Desalegn ◽

Addisu Melak

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Formal Education ◽

Cervical Cancer Prevention ◽

Prevention Measures ◽

Cross Sectional ◽

Women's Knowledge ◽

Women’S Knowledge ◽

South Gondar

Abstract Background Cervical cancer is a leading cause of morbidity and mortality among women in Ethiopia, often due to late disease diagnosis. Early prevention of cancer has been shown to be the most effective measure against the disease. Scientific evidences indicate that lack of awareness towards cervical cancer is a barrier to prevention strategies. Therefore, the aim of the current research was to assess women’s knowledge and attitudes towards cervical cancer preventions in South Gondar zone. Methods A community-based cross-sectional study was carried out in South Gondar zone, Ethiopia. The study sample comprised 844 women ≥ 18 years of age. Participants were selected using systematic sampling technique. Binary and multivariable logistic models were used to assess predictors of women’s knowledge and attitude towards cervical cancer. Results About 66 % of the women had heard about cervical cancer. Regarding the main source of information of respondents, 75.4 % were heard from health professionals. Sixty two point 4 % of women knew at least one preventive measure and 82.6 % of participants knew at least one symptom or sign. Among study participants, 25 and 64 % had good knowledge, and favorable attitude towards cervical cancer prevention measures, respectively. Being reside in rural (AOR = 0.21, 95 %CI; 0.18, 0.34), not attending formal education (AOR = 0.50, 95 % CI: 0.3, 0.75), low income (AOR = 0.57, 95 % CI: 0.43, 0.81) and having < 4 children ((AOR = 0.8, 95 % CI: 0.60–0.86) were negatively associated with knowledge toward cervical cancer prevention measures. Conclusions This study found the majority of the respondents had poor knowledge about cervical cancer prevention measures. The majority of the study participants had favorable attitudes regarding cervical cancer prevention. Living in rural areas, not attending formal education low income and having less than four children was negatively associated with respondents’ knowledge towards cervical cancer prevention measures. There is needed to scale up cervical cancer prevention measures and services .Further studies are needed using strong study design.

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Innovative prototypes for cervical cancer prevention in low-income primary care settings

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1081 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Arrivillaga ◽

P C Bermudez ◽

J P García-Cifuentes

Keyword(s):

Public Health ◽

Primary Care ◽

Cervical Cancer ◽

Cancer Prevention ◽

Design Process ◽

Low Income ◽

Subsequent Development ◽

Cervical Cancer Prevention ◽

Public Healthcare ◽

Waiting Room

Abstract Issue In 2018, the mortality due to cervical cancer rose by 6.9 compared to the previous year, with 311.365 deaths in total. By 2030, it is estimated that there will be a 21.3% increase in incidence and 26.7% in mortality. In Colombia, cervical cancer is the second cause of death by cancer in women. Description of the Problem We present the design process of innovative prototypes for cervical cancer prevention in primary care centers located in low-income settings in Cali, Colombia, using the Human-Centered Design (HCD) approach. The practice was developed in collaboration with a public healthcare network comprised of 38 urban and rural centers with women between the ages of 25 and 65 years, healthcare providers of the cancer program, healthcare managers. We conducted five HCD stages: research, need synthesis, ideation and co-design process, prototyping and in-context usability testing. We used observations, open-ended interviews and conversations, multi-stakeholder workshops, focus groups, systematic text condensation analyses and tests in real contexts. Results We designed four prototypes: (1) 'Encanto': An educational manicure service, (2) 'No le des la espalda a la citología': A media-based strategy, (3) An educational wireless queuing device in the waiting room, and (4) Citobot: A cervical cancer early detection device, system, and method. Lessons The tests carried out with each prototype showed their value, limitations and possibilities in terms of subsequent development and validation through public health research or clinical research. We recognize that a longer-term evaluation is required in order to determine whether the prototypes will be used regularly, integrated into cervical cancer screening services and effectively improve access to cytology as a screening test. Key messages HCD is a useful methodology for design-based prevention in the field of cervical cancer. Integration of HCD with public health practice would allow the generation of evidence prior to the formulation of policies and programs as well as optimize existing interventions.

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Role of Race/Ethnicity, Language, and Insurance in Use of Cervical Cancer Prevention Services Among Low-Income Hispanic Women, 2009–2013

Preventing Chronic Disease ◽

10.5888/pcd15.170267 ◽

2018 ◽

Vol 15 ◽

Cited By ~ 5

Author(s):

John Heintzman ◽

Brigit Hatch ◽

Gloria Coronado ◽

David Ezekiel ◽

Stuart Cowburn ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Hispanic Women ◽

Cervical Cancer Prevention ◽

Prevention Services ◽

Race Ethnicity

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Knowledge and perceptions regarding triage among human papillomavirus–tested women: A qualitative study of perspectives of low-income women in Argentina

Women s Health ◽

10.1177/1745506520976011 ◽

2020 ◽

Vol 16 ◽

pp. 174550652097601

Author(s):

Sánchez Antelo Victoria ◽

Kohler Racquel E ◽

Szwarc Lucila ◽

Paolino Melisa ◽

Kasisomayajula Viswanath ◽

...

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Cancer Prevention ◽

Low Income ◽

Economic Cost ◽

Cervical Cancer Prevention ◽

Attitudes And Beliefs ◽

Health Providers ◽

Pap Screening

Objectives: Among cancer prevention studies, little is known about knowledge, attitudes, and beliefs toward triage adherence in the context of the human papillomavirus self-collection test. This formative research aims to identify knowledge, attitudes, and beliefs related to human papillomavirus and cervical cancer prevention specifically about adherence to Pap triage among women residing in a low-income province in Argentina. Methods: We conducted six focus groups, stratified by residence and age. All participants were aged 30 or older and had performed human papillomavirus self-collection. Data collection and thematic analysis were carried out using constructs from the Health Belief Model. Results: Misinformation regarding human papillomavirus and cervical cancer was common and was a source of distress. Women could not distinguish Pap screening from triage; human papillomavirus risk perception was limited but cervical cancer was perceived as a threatening disease. Women were willing to follow-up after receiving an abnormal screening result. Negative views about clinician-collected screening/triage were common, defined as painful and shameful, and comes with an economic cost (transport/time). Lack of help from family/friends was an obstacle to adhering to triage. Health issues in the family’s records and a physician’s recommendation were a cue to adhere to triage. Conclusion: Lack of knowledge or misinformation of the causes of cervical cancer, human papillomavirus, and the multi-step screening and triage process are barriers to follow-up adherence. Interventions to improve communication between women and health providers about screening results and follow-up are needed. Also, health services should be organized to respond to women’s needs and reduce access barriers to follow-up.

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New Program Expanding Low-Income Benefits for Breast & Cervical Cancer Prevention & Treatment

Oncology Times ◽

10.1097/01.cot.0000315744.22990.28 ◽

2001 ◽

Vol 23 (6) ◽

pp. 25

Author(s):

Jane Erikson

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Cervical Cancer Prevention

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Knowledge, attitudes, and practices of cervical cancer prevention and pap smears in two low-income communities in Lima, Peru

BMC Women s Health ◽

10.1186/s12905-021-01291-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Thomas T. Miles ◽

Amy R. Riley-Powell ◽

Gwenyth O. Lee ◽

Esther E. Gotlieb ◽

Gabriela C. Barth ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Pap Smear ◽

Hpv Infection ◽

Cervical Cancer Prevention ◽

Infection Prevalence ◽

Pap Smears ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

Abstract Background Cervical cancer is a leading cause of death among Peruvian women. Barriers at multiple levels impact effective screening and treatment, including a lack of knowledge about cervical cancer and how regular screening can reduce morbidity and mortality through earlier detection. The aim of this study is to assess knowledge, attitudes, and practices regarding cervical cancer and its prevention in the peri-urban communities of Oasis and Pampas in southern Lima, Peru that can be used to inform future campaigns about cervical cancer prevention. Methods A cross-sectional survey that included several open-ended questions was administered to women in Pampas and Oasis between 2015 and 2016 to evaluate the knowledge, attitudes, and practices regarding cervical cancer and Pap smears. Results In total, 224 women were interviewed. Knowledge about cervical cancer and Pap smears was high, and attitudes were predominantly positive among most participants. Most participants knew how often they should get Pap smears (89.7%), when to begin seeking screening (74.6%), knew the price of a Pap smear (61.9%), and felt Pap smears were important for their health (70.1%). About one third (29.5%) of premenopausal women reported receiving a Pap smear in the last year. However, open ended questions revealed some knowledge gaps around Pap smears, as well as some stigma associated to Human Papilloma Virus (HPV) infection. Conclusion Although knowledge of cervical cancer prevention was generally high and perceptions were positive among women in peri-urban Peruvian communities, our findings revealed there is a need for education on HPV infection prevalence among sexually active individuals to reduce stigma. Future research should focus on exploring experiences with follow-up and treatment associated with abnormal Pap smears, as well as perspectives from health authorities and professionals about barriers in the early detection and treatment process for cervical cancer.

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Barriers and facilitators of adherence for cervical cancer prevention in low-income women in Colombia

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1117 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

Jaramillo PC Bermúdez ◽

M Arrivillaga Quintero ◽

K J Torres Poveda ◽

D M Castrillón Libreros ◽

D Neira Acevedo ◽

...

Keyword(s):

Health Care ◽

Cervical Cancer ◽

Primary Health Care ◽

Cancer Prevention ◽

Low Income ◽

Qualitative Case Study ◽

Cervical Cancer Prevention ◽

Public Network ◽

Primary Health

Abstract Introduction In Colombian women, cervical cancer screening coverage in 2017, 48.2 % of women were able to pay and 34.3% were not able to. Objective To determine the barriers and facilitators of screening adherence to preventive program for cervical cancer prevention, in women were not able to pay affiliated to a public network of primary health care in Cali, Colombia, during the years 2014-2018. Methods Sequential mixed study, quantitative initial phase and second qualitative phase. We analyzed information from 32,001 insured women and 7,691 users of the program. The quantitative design was cross-cutting, observational and analytical; we also incorporate a qualitative case study; we conduct focus groups, in-depth interviews with users, health care services and administrative staff. Results 47.5% of women were adherents to the program; women over 50 (OR = 0,82; 95% CI = 0,73-0,92), who lived further away from the health care site, (OR = 0,78; 95% CI = 0,62-0,97), had worse adherence to the program; women most often from medical consultations had increased adherence (OR = 3; 95% CI = 2,66-3,42). The qualitative case study showed similar barriers to other populations, living conditions, shame and fears of the procedure itself. We found as facilitators, agile attention, the ease of consulting services, and having some social support. Conclusions Despite the efforts of the public network of primary health care, the personnel staff consider a great barrier, the lack of updated information of women, which prevents recruitment and monitoring. Key messages In low-income women, it is necessary to generate interventions in groups of poor non-adherent women, as well as women with low adherence. Adherence depends on women’s beliefs and knowledge. Lack of interaction with a healthcare provider, increasing age and living far away from the health care site continue to be barriers.

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Women's Knowledge and Attitude Towards Cervical Cancer Preventive Measures and Associated Factors in South Gondar Zone, Amhara Region, North Central Ethiopia: a Cross-sectional Study

10.21203/rs.3.rs-199361/v1 ◽

2021 ◽

Author(s):

Yilkal Tafere ◽

Tezera Jemere ◽

Tsion Desalegn ◽

Addisu Melak

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Low Income ◽

Formal Education ◽

Cervical Cancer Prevention ◽

Prevention Measures ◽

Cross Sectional ◽

Women's Knowledge ◽

Women’S Knowledge ◽

South Gondar

Abstract Background: The aim of the current research was to assess women's knowledge and attitudes towards cervical cancer preventions in South Gondar zone. Methods: A community-based cross-sectional study was carried out in South Gondar zone, Ethiopia. A total of 844 women aged 18 and above have participated in the current study. Binary and multivariable logistic models were used to assess predictors of women’s knowledge and attitude towards cervical cancer.Results: About 66% of the women had heard about cervical cancer. The percentage of women who heard about cervical cancer was 66%. Regarding the main source of information of respondents, 75.4% were heard from health professionals. Sixty two point four percent of women knew at least one preventive measure and 82.6% of participants knew at least one symptom or sign. Among study participants, 25% and 64% had good knowledge, and favorable attitude towards cervical cancer prevention measures, respectively. Being reside in rural (AOR= .21, 95%CI; .18, .34), not attending formal education (AOR = 0.50, 95% CI: 0.3, 0.75), low income (AOR = .57, 95% CI: .43, .81) and having <4 children ((AOR = .8, 95% CI: .60–.86) were negatively associated with knowledge toward cervical cancer prevention measures Conclusion: This study found the majority of the respondents had poor knowledge about cervical cancer prevention measures. The majority of the study participants had favorable attitudes regarding cervical cancer prevention. Living in rural areas, not attending any formal education low income and having less than four children was negatively associated with respondents' knowledge towards cervical cancer prevention measures. There is needed to scale up cervical cancer prevention measures and services

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