scholarly journals Faktor-Faktor Yang Mempengaruhi Sikap Pasangan Usia Subur (PUS) Melakukan Skrining Kanker Serviks Metode Iva Di Wilayah Kerja Puskesmas Kota Wilayah Utara Kota Kediri

1970 ◽  
Vol 5 (2) ◽  
pp. 72
Author(s):  
Ira Titisari ◽  
Triatmi Andri Yanuarini ◽  
Sumy Dwi Antono
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Screening Method ◽  
P Value ◽  
Screening Methods ◽  
Childbearing Age ◽  
City Area ◽  
Bivariate Correlation ◽  
Area North

The number of cases of cervical cancer in Kediri continues to increase, in 2004: 165 cases, 2005: 170 cases and 2006: 175 cases. Cumulative target achievement in 2009-2013 amounted to 12.16%. Coverage is still far below the annual target of Kediri has stepped fifth year that is equal to 80%.The purpose of this study was to analyze the factors that influence women's attitudes Couples of Childbearing Age for cervical cancer screening methods IVA in Puskesmas City area north of Kediri. Design research is analytic observational cross-sectional approach. The population is all Couples of Childbearing Age women aged 30-50 years in the region of Northern Regional Health Center in the amount of 400 samples of 50 people were taken by cluster random sampling. The analysis used bivariate correlation analysis Chi-square and multivariate analysis using multiple logistic regression.The result of this research is there is a relationship between knowledge (p-value = 0.00), resources (p-value = 0.001), family support (p-value = 0.001) and personal experiences (p-value = 0.016) with the attitude of women Couples of Childbearing Age did IVA cervical cancer screening method in Puskesmas City area north of Kediri and the factors that influence attitudes Couples of Childbearing Age woman doing IVA cervical cancer screening method in Puskesmas City area north of the town of Kediri is knowledge (p value = 0.003) with a big influence 2,176 .It can be concluded that the factors that influence women's attitudes Couples of Childbearing Age for cervical cancer screening methods IVA in Puskesmas City area north of Kediri is knowledge. Keywords: WomenCouples of Childbearing Age, Attitude, IVA

scholarly journals Cervical Cancer Screening Programs in Europe: The Transition Towards HPV Vaccination and Population-Based HPV Testing

Viruses ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 729 ◽  
Author(s):  
Andreas Chrysostomou ◽  
Dora Stylianou ◽  
Anastasia Constantinidou ◽  
Leondios Kostrikis
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Hpv Vaccination ◽  
Screening Method ◽  
Population Based ◽  
Screening Tests ◽  
Screening Methods ◽  
Hpv Testing ◽  
Screening Programs

Cervical cancer is the fourth most frequently occurring cancer in women around the world and can affect them during their reproductive years. Since the development of the Papanicolaou (Pap) test, screening has been essential in identifying cervical cancer at a treatable stage. With the identification of the human papillomavirus (HPV) as the causative agent of essentially all cervical cancer cases, HPV molecular screening tests and HPV vaccines for primary prevention against the virus have been developed. Accordingly, comparative studies were designed to assess the performance of cervical cancer screening methods in order to devise the best screening strategy possible. This review critically assesses the current cervical cancer screening methods as well as the implementation of HPV vaccination in Europe. The most recent European Guidelines and recommendations for organized population-based programs with HPV testing as the primary screening method are also presented. Lastly, the current landscape of cervical cancer screening programs is assessed for both European Union member states and some associated countries, in regard to the transition towards population-based screening programs with primary HPV testing.

scholarly journals Economic Evaluations of Cervical Cancer Screening Methods: a Systematic Review

2021 ◽  
Author(s):  
Thatohatsi Sefuthi ◽  
Lungiswa Leonora Nkonki
Keyword(s):  
Systematic Review ◽  
Cervical Cancer ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Screening Method ◽  
Health Economic Evaluation ◽  
Economic Evaluations ◽  
Screening Methods ◽  
Model Based

Abstract Background: Cervical cancer screening is an important public health priority with the potential to improve the detection of pre-cancerous lesions in high-risk females for early intervention and disease prevention. Test performance and cost-effectiveness differs based on the specific screening method used across different platforms. There is a need to appraise existing economic evaluations of cervical cancer screening. The objective of the present systematic review was to identify primary and model-based economic evaluations of cervical cancer screening methods, and to provide a contextual summary of associated outcomes associated with screening modalities. Methods: The review considered primary-based and model-based full economic evaluations of cervical cancer screening methods. Such evaluations methods include cost-effectiveness analysis, cost-utility analysis, cost-minimization analysis, cost-benefit analysis, and cost-consequence analysis. We searched the following databases for full economic evaluations of cancer screening methods globally: SCOPUS, Pubmed, National Health Economic Evaluation Database (NH EED), Cochrane, and Health Economic Evaluation Database (HEED). No date restrictions were applied. Model-based and primary-based full economic evaluations were included. A critical appraisal of included studies was performed by the main investigator, while a second independent reviewer assessed critical appraisal findings for any inconsistencies. Data were extracted using a standardized data extraction tool for economic evaluations. Data extracted from included studies were analysed and summarised to answer the study objective using the Joanna Briggs Institute (JBI) Dominance Ranking Matrix (DRM).Results: Out of 671 screened studies, 44 met the study inclusion criteria. Forty-three studies were cost-effectiveness analyses while two studies reported cost-utilities of cervical cancer screening methods.HPV DNA testing was reported as a dominant standalone screening test by 14 studies, while 5 studies reported VIA as a dominant standalone screening test. Primary HPV screening strategies were dominant in 21 studies, while three studies reported Cytology-based screening strategies as the dominant screening method. Conclusions: Evidence indicates that HPV-based and VIA testing strategies are cost-effective, but this is influenced by setting. Our review suggests the limited cost-effectiveness of cytology-based testing, which may be due in part to the need for specific infrastructures and human resources. Systematic Review Prospero Registration: CRD42020212454. The review protocol may also be found on Prospero.

scholarly journals Evaluation of papsmear in pregnancy

2021 ◽  
Vol 10 (6) ◽  
pp. 2374
Author(s):  
Samar Rudra ◽  
Ajita Mishra ◽  
Akanksha Verma
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Pregnant Women ◽  
Cervical Cancer Screening ◽  
Pap Smear ◽  
Screening Method ◽  
Health Care Facilities ◽  
Cervical Cytology ◽  
Screening Methods ◽  
Care Clinic

Background: Cervical cancer is common worldwide and ranks fourth among all malignancies for women. Cervical cytology (PAP smear) as a cancer screening method is most commonly used worldwide. Cervical cancer can be detected at an early stage by PAP smear which is a cost effective and easy to perform test which is also very safe in pregnant women, hence this study is taken up as an opportunistic time for cervical cancer screening to this accessible group of women during their antenatal period and to find detection rate of infectious diseases, precancerous and cancerous pathology of the cervix.Methods: 500 pregnant women of age 21 years and above and between 16-24 weeks of gestation attending the antenatal OPD were included in the study. Scrapings were obtained from the ectocervix and sent for cytological evaluation. Findings were tabulated and statistically analysed.Results: 7.2% of the patients in our study had cervical infection which included candidiasis and trichomonial infections. 0.4% of the patients had abnormal PAP report, and 88.2% had inflammatory smear implying higher risk of STD’s and pregnancy related complications.Conclusions: The cervical cytology is highly recommended for the routine screening in the antenatal care clinic specially for women who had no prior cervical cancer screening. Awareness on cervical cancer, preventive measures and screening methods need to be strengthened among pregnant women when they visit health care facilities and also in the community settings.

scholarly journals Awareness of cervical cancer and its screening methods in Indian women

2021 ◽  
Vol 10 (8) ◽  
pp. 3123
Author(s):  
Khushboo Singh ◽  
Alka Goel ◽  
Manisha Attri
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Health Care Professionals ◽  
Pap Smear ◽  
Screening Method ◽  
Screening Methods ◽  
Major Public Health Problem ◽  
Regular Screening

Background: In spite of effective screening methods, cervical cancer continues to be a major public health problem in India. Therefore, the present study was carried out to assess the knowledge of cervical cancer and its screening among women, it also focuses on the reasons for not undergoing regular screening and the effect of counseling for the same.Method: 400 women were randomly enrolled from the women attending/visiting/working at a tertiary hospital. They were asked questions related to cervical cancer. All answers were obtained verbally and recorded in the questionnaire by the same investigator.Results: Out of 400 women, only 103 were aware of cervical cancer as well as its screening, and only 10 of them were undergoing regular screening. Among those who were aware of cervical cancer, majority (95.14%) were health care workers and most of them got this knowledge form their textbooks. After counseling, all except 6 women were willing for regular screening. The reason for refusal for the same was either they believed they were not at risk or they found pelvic examination uncomfortable.Conclusions: The study found that women had poor knowledge about cervical cancer and its screening. Awareness was higher among the women who had received higher education or were healthcare workers. However, cervical cancer screening rate was low even in these women. Government and health care professionals need to actively promote awareness of the risk factors of cervical cancer and encourage women to undergo regular Pap smear as a cervical cancer screening method.

Cervical Cancer: Assessment of Its Knowledge, Utilization of Services and Its Determinant Among Female Undergraduate Students in a Low Resource Setting

2021 ◽  
pp. 0272684X2110066
Author(s):  
Chidebe Christian Anikwe ◽  
Philip Chidubem Osuagwu ◽  
Cyril Chijioke Ikeoha ◽  
Okechukwu B Ikechukwu Dimejesi ◽  
Bartholomew Chukwunonye Okorochukwu
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Pap Smear ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Resource Setting ◽  
Study Population

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.

scholarly journals Awareness of carcinoma cervix in nursing personnel of a tertiary care institute, Mumbai, India

2017 ◽  
Vol 7 (1) ◽  
pp. 128
Author(s):  
Pooja K. Bandekar ◽  
Prashant B. Kale
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cervical Carcinoma ◽  
Nursing Staff ◽  
Tertiary Care ◽  
Screening Methods ◽  
Carcinoma Cervix ◽  
Indian Women ◽  
Screening Programs

Background: Carcinoma cervix is the second most common cancer of women all over the world and commonest cancer among Indian women. Awareness about cervical cancer and its prevention low amongst Indian women. The Pap test is a simple cost-effective technique for screening to help early diagnosis of cervical cancer. Nursing staff should be made aware of cervical cancer, so that they can spread the knowledge to the general public. Objectives of present study were to assess the knowledge level regarding symptoms, risk factors, prevention and screening of cervical carcinoma among nursing staff and to find out the behaviour of respondents regarding prevention and screening of cervical carcinomaMethods: A cross-sectional interview-based survey regarding knowledge of cervical carcinoma was conducted among the nursing staff of a tertiary care institutes of Mumbai.A structured questionnaire with multiple choices was used as a tool for data collection. Provision for open-ended responses was also made in the questionnaire. 100 nurses participated in the current study. Data was entered in Microsoft Excel. SPSS statistical software was used to generate statistical parameters like proportion, mean, standard deviation, etc. The test of significance used was the Z test and a P value of <0.05 was considered as the level of significance.Results: We lack an organized opportunistic screening program for cervical cancer in India. Data indicates a slow, but steady, decline in the incidence of cervical cancer. However, the rates are still too high, particularly in the rural areas. It is extremely essential to screen eligible women when they come to health units for other services. Studies have shown it is possible to train nurses to screen for cervical cancer. Attitudes that screening is to be done by doctors or gynaecologists only needs to change. The survey revealed that the hospital played a limited role as a source of information on Pap smear. This calls for a re-orientation of nurses, paramedicals and health workers and a need for introduction of simpler cervical cancer screening methods such as visual inspections that are more sustainableConclusions: Awareness about cervical cancer has to be improved. Education of the nursing personel will strongly contribute to strengthen cervical cancer screening programs. Nursing staff can and should educate the masses to help increase health awareness in women.

scholarly journals Prospective cohort study examining cervical cancer screening methods in HIV-positive and HIV-negative Cambodian Women: a comparison of human papilloma virus testing, visualization with acetic acid and digital colposcopy

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026887 ◽  
Author(s):  
Sovannara Thay ◽  
Andrew Goldstein ◽  
Lena Sophia Goldstein ◽  
Vaishnavi Govind ◽  
Kruy Lim ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Cohort Study ◽  
Cancer Screening ◽  
Human Papilloma Virus ◽  
Cervical Cancer Screening ◽  
Screening Methods ◽  
Hpv Testing ◽  
Papilloma Virus ◽  
Hiv Women

ObjectivesLogistical and economic issues make traditional cytology-based cervical cancer screening challenging in developing countries. Alternative, cost-effective, screening strategies must be developed to screen millions of women in resource-poor countries such as Cambodia.DesignA prospective cohort study during which all women underwent four cervical cancer screening methods: (1) self-sampled human papilloma virus (HPV) testing (careHPV system), (2) clinician-collected HPV testing, (3) visualization with acetic acid (VIA) and (4) digital colposcopy (DC) with the Enhanced Visual Assessment System (EVA).SettingA referral hospital in Phnom Penh, Cambodia.ParticipantsTwo hundred and fifty Cambodian women (129 HIV+, 121 HIV-). Subjects were recruited from the National Center for HIV/AIDS Dermatology and sexually transmitted disease (STD) cohort, the Sihanouk Hospital Center of Hope’s Rural Outreach Teams and the Pochentong Medical Center.ResultsFifty six of the 250 (22.4%) patients tested positive for high-risk HPV (hrHPV+). Thirty seven of the 129 HIV+ women were hrHPV+ (28.6%) whereas 19/121 HIV- women were hrHPV+ (15.7%) p=0.0154. Self-sampling HPV specimens identified 50/56 (89%) whereas physician-collected specimens identified 45/56 (80%) p=0.174. 95.2% of the patients felt comfortable obtaining HPV self-samples. Thirty seven of 250 women were VIA+. Thirty of 37 VIA+ women underwent confirmatory biopsies for cervical intraepithelial neoplasia (CIN) (26 CIN1, 4 CIN2+). The rate of confirmed dysplasia in the HIV+ group was 20/129 (15.5%) compared with 10/121 (8.26%) in HIV- women p=0.0291. The contemporaneous physician impressions of the DC images accurately differentiated between CIN1 and CIN2+ lesions in all 30 women having confirmatory biopsies.ConclusionsThe results of this study suggest potential modifications of the current cervical screening strategy that is currently being employed in Cambodia. The first step in this new strategy would be self-swabbing for hrHPV. Subsequently, hrHPV+ patients would have DC and immediate treatment based on colposcopic findings: cryotherapy for suspected CIN1 and loop electrosurgical excision procedure (LEEP) for suspected CIN2+.

Sign in / Sign up

Export Citation Format

Share Document