Impact of per capita income on the effectiveness of school-based health education programs to promote cervical cancer screening uptake in southern mozambique

Abstract Background Previous studies suggest that health intervention designed to increase cervical cancer screening has been effective to reduce cervical cancer incidence and mortality. The aim of this study is to determine the effect of a home-based health education intervention for increasing cervical cancer screening uptake delivered by trained female community health volunteers (FCHVs), a category of community health worker in Nepal. Methods A community-based, open-label, two-armed, cluster-randomized trial [seven clusters (geographical wards) randomized for the intervention, and seven for the control arm]. The participants are recruited from a population-based survey with a sample size of 884. Based on population proportion size, 277 women will be recruited for the intervention group and 413 women recruited for the control group. A 12-month community-based health education intervention will be administered mobilizing the FCHVs, based on the Health Belief Model. The primary outcome measure of the study will be the difference in percentage of cervical cancer screening uptake between the two study arms. The primary outcomes will be modeled by using mixed-effect logistic regression analysis. Discussion COBIN-C is the first study investigating the effect of a community-based health education intervention by FCHVs on increasing cervical cancer screening uptake among women in Nepal. The purpose of this study is to develop and implement a home-based, culturally sensitive program to increase cervical cancer screening coverage at the community level. Trial registration ClinicalTrials.gov NCT03808064. Registered on January 14, 2019.

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Community-based intervention for cervical cancer screening uptake in a semi-urban area of Pokhara Metropolitan, Nepal (COBIN-C): Study protocol for a cluster-randomized controlled trial

10.21203/rs.3.rs-28952/v2 ◽

2021 ◽

Author(s):

Aamod Dhoj Shrestha ◽

Dinesh Neupane ◽

Sarita Ghimire ◽

Christine Campbell ◽

Per Kallestrup

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Health Education ◽

Cervical Cancer Screening ◽

Education Intervention ◽

Community Based ◽

Screening Uptake ◽

Home Based ◽

Health Education Intervention ◽

Cluster Randomized

Abstract Background: Previous studies suggest that health intervention designed to increase cervical cancer screening has been effective to reduce cervical cancer incidence and mortality. The aim of this study is to determine the effect of a home-based health education intervention for increasing cervical cancer screening uptake delivered by trained Female Community Health Volunteers (FCHVs), a category of community health worker in Nepal. Methods: A community-based, open-label, two-armed, cluster-randomized trial [seven clusters (geographical wards) randomized for the intervention, and seven for the control arm]. The participants are recruited from a population-based survey with a sample size of 884. Based on population proportion size, 277 women will be recruited for the intervention group and 413 women recruited for the control group. A 12-month community-based health education intervention will be administered mobilizing the FCHVs, based on the Health Belief Model. The primary outcome measure of the study will be the difference in percentage of cervical cancer screening uptake between the two study arms. The primary outcomes will be modelled by using mixed-effect logistic regression analysis.Discussion: COBIN-C is the first study investigating the effect of a community-based health education intervention by FCHVs on increasing cervical cancer screening uptake among women in Nepal. The purpose of this study is to develop and implement a home-based, culturally sensitive program to increase cervical cancer screening coverage at the community level. Trial registration: ClinicalTrials.gov NCT03808064. Registered on January 14, 2019. (https://clinicaltrials.gov/ct2/show/NCT03808064).

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Community-based Intervention for Cervical Cancer Screening Uptake in a Semi-urban Area of Pokhara Metropolitan, Nepal (Cobin-c): Study Protocol for a Cluster-randomized Controlled Trial

10.21203/rs.3.rs-28952/v1 ◽

2020 ◽

Author(s):

Aamod Dhoj Shrestha ◽

Dinesh Neupane ◽

Sarita Ghimire ◽

Christine Campbell ◽

Per Kallestrup

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Health Education ◽

Cervical Cancer Screening ◽

Education Intervention ◽

Community Based ◽

Screening Uptake ◽

Home Based ◽

Health Education Intervention ◽

Cluster Randomized

Abstract Background:Previous studies suggest that health intervention designed to increase cervical cancer screening has been effective to reduce cervical cancer incidence and mortality.The aim of this study is to determine the effect of a home-based health education intervention for increasing cervical cancer screening uptake delivered by trained Female Community Health Volunteers (FCHVs), a category of community health worker in Nepal. Methods:A community-based, open-label, two-armed, cluster-randomized trial [seven clusters (geographical wards) randomized for the intervention, and seven for the control arm]. The participants are recruited from a population-basedsurvey with a sample size of 884. Based on population proportionsize, 277women will be recruited for the intervention group and 413 women recruited for the control group.A 12-month community-based health education intervention will be administered mobilizing the FCHVs, based on the Health Belief Model. The primary outcomemeasure of the study will be the difference in percentage of cervical cancer screening uptake between the two study arms.The primary outcomes will be modelled by using mixed-effect logistic regression analysis.Discussion: COBIN-C is the first study investigating the effect of a community-based health education intervention by FCHVs on increasing cervical cancer screening uptake among women in Nepal. The purposeof this study is to develop and implement a home-based, culturally sensitive program to increase cervical cancer screening coverage at the community level.Trial registration: ClinicalTrials.govNCT03808064. Registered on January 14, 2019. (https://clinicaltrials.gov/ct2/show/NCT03808064).

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The role of health education on cervical cancer screening uptake at selected health centers in Addis Ababa

PLoS ONE ◽

10.1371/journal.pone.0239580 ◽

2020 ◽

Vol 15 (10) ◽

pp. e0239580

Author(s):

Selamawit Hirpa Abu ◽

Berhan Tassew Woldehanna ◽

Etsehiwot Tilahun Nida ◽

Abigiya Wondimagegnehu Tilahun ◽

Mahlet Yigeremu Gebremariam ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Health Education ◽

Cervical Cancer Screening ◽

Addis Ababa ◽

Health Centers ◽

Screening Uptake

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The application of health behavior theories to promote cervical cancer screening uptake

Public Health Nursing ◽

10.1111/phn.12944 ◽

2021 ◽

Author(s):

Jyoshma Preema Dsouza ◽

Stephan Van den Broucke ◽

Sanjay Pattanshetty ◽

William Dhoore

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Health Behavior ◽

Cervical Cancer Screening ◽

Screening Uptake ◽

Behavior Theories

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Determinants of Cervical Cancer Screening Uptake among Women in Ilorin, North Central Nigeria: A Community-Based Study

Journal of Cancer Epidemiology ◽

10.1155/2016/6469240 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Ajibola Idowu ◽

Samuel Anu Olowookere ◽

Aderonke Tolulope Fagbemi ◽

Olumuyiwa Ayotunde Ogunlaja

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Statistical Significance ◽

Effective Control ◽

Bivariate Analysis ◽

North Central ◽

Nigerian Women ◽

Screening Uptake ◽

Cancer Of The Cervix

Introduction. Cancer of the cervix is the leading cause of cancer deaths among women in developing countries. Screening is one of the most cost effective control strategies for the disease. This study assessed the determinants of cervical cancer screening uptake among Nigerian women.Methodology. This cross-sectional study was conducted using multistage sampling technique among 338 participants in Ilorin, North Central Nigeria. A pretested questionnaire was used for data collection and data analysis was done using SPSS version 21. Chi-square test was used for bivariate analysis while binary logistic regression was used for multivariate analysis. Statistical significance was set atp<0.05.Results. Only 8.0% of the respondents had ever been screened for cancer of the cervix. The proportion of women who had ever been screened was significantly higher among those who demonstrated positive attitude to screening (81.5%,p=0.001), respondents who were aware of the disease (100.0%,p=0.001), and those who were aware of cervical cancer screening (88.9%,p=0.001). Respondents who had negative attitude had 63% lesser odds of being screened compared to those who had positive attitudes towards screening (AOR; 0.37, 95% CI; 0.01–0.28).Conclusion. There is urgent need to improve the knowledge base and attitude of Nigerian women to enhance cervical cancer screening uptake among them.

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Cervical cancer screening uptake in Sub-Saharan Africa: a systematic review and meta-analysis

10.1101/2020.12.26.20248864 ◽

2021 ◽

Author(s):

Nigus Bililign Yimer ◽

Mohammed Akibu Mohammed ◽

Kalkidan Solomon ◽

Mesfin Tadese ◽

Stephanie Grutzmacher ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Meta Analysis ◽

Cervical Screening ◽

Sub Saharan Africa ◽

African Countries ◽

Screening Uptake ◽

Analytic Review ◽

Sub Saharan

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

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Factors Affecting Cervical Cancer Screening Uptake by Hmong Hilltribe Women in Thailand

Asian Pacific Journal of Cancer Prevention ◽

10.7314/apjcp.2014.15.8.3753 ◽

2014 ◽

Vol 15 (8) ◽

pp. 3753-3756 ◽

Cited By ~ 16

Author(s):

Laead Wongwatcharanukul ◽

Supannee Promthet ◽

Peter Bradshaw ◽

Chananya Jirapornkul ◽

Naowarat Tungsrithong

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Factors Affecting ◽

Screening Uptake

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Temporal trend in socioeconomic inequalities in the uptake of cancer screening programmes in France between 2005 and 2010: results from the Cancer Barometer surveys

BMJ Open ◽

10.1136/bmjopen-2017-016941 ◽

2017 ◽

Vol 7 (12) ◽

pp. e016941 ◽

Cited By ~ 12

Author(s):

David Mark Kelly ◽

Carla Estaquio ◽

Christophe Léon ◽

Pierre Arwidson ◽

Hermann Nabi

Keyword(s):

Colorectal Cancer ◽

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Colorectal Cancer Screening ◽

Socioeconomic Inequalities ◽

Secondary Outcome ◽

Participation Rates ◽

Cervical Smear ◽

Screening Uptake

ObjectivesCancer screening is a form of secondary prevention for a disease which is now the leading cause of death in France. Various socioeconomic indicators have been identified as potential factors for disparities in breast, cervical and colorectal cancer screening uptake. We aimed to identify the socioeconomic inequalities, which persisted in screening uptake for these cancers, and to quantify these disparities over a 5-year period.SettingThe Cancer Barometer was a population-based-survey carried out in 2005 and 2010 in France.ParticipantsA randomly selected sample of participants aged 15–85 years (n=3820 in 2005 and n=3727 in 2010) were interviewed on their participation in breast, cervical and colorectal cancer screening-programmes and their socioeconomic profile.Primary and secondary outcome measuresFor each type of screening programme, we calculated participation rates, OR and relative inequality indices (RII) for participation, derived from logistic regression of the following socioeconomic variables: income, education, occupation, employment and health insurance. Changes in participation between 2005 and 2010 were then analysed.ResultsParticipation rates for breast and colorectal screening increased significantly among the majority of socioeconomic categories, whereas for cervical cancer screening there were no significant changes between 2005 and 2010. RIIs for income remained significant for cervical smear in 2005 (RII=0.25, 95% CI 0.13 to 0.48) and in 2010 (RII=0.31, 95% CI 0.15 to 0.64). RIIs for education in mammography (RII=0.43, 95% CI 0.19 to 0.98) and cervical smear (RII=0.36, 95% CI 0.21 to 0.64) were significant in 2005 and remained significant for cervical smear (RII=0.40, 95% CI 0.22 to 0.74) in 2010.ConclusionsThere was a persistence of socioeconomic inequalities in the uptake of opportunistic cervical cancer screening. Conversely, organised screening programmes for breast and colorectal cancer saw a reduction in relative socioeconomic inequalities, even though the results were not statistically significant. The findings suggest that organised cancer screening programmes may have the potential to reduce socioeconomic disparities in participation.

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