scholarly journals Awareness of Cervical Cancer Screening and Prevention among Students of a Tertiary Institution in Southern Nigeria

Author(s):  
I. L. Oboro ◽  
B. P. Athanasius

Aim: To access the level of awareness of cervical cancer screening tools and preventive measures amongst students of a tertiary institution. Methodology: This was a questionnaire-based cross-sectional study. Pre-tested self-administered Questionnaires were distributed to students who were above the age of 18 years in the University of Port Harcourt, Rivers State, Nigeria, to obtain information on their socio-demographics and awareness of cervical cancer, its prevention, risk factors and association with Human Papilloma Virus infection. Information acquired from the questionnaires were presented using descriptive statistics. Chi-Square analysis was used to compare differences between knowledge and practice among the respondents. P-value < 0.05 was considered significant. All tests were carried out with the Epi Info v7 software. Results: A total of 227 students were interviewed.82.8% were female and 22.9% indicated being sexually active. About two-thirds of respondents had some knowledge (heard) of cervical cancer and Pap smear, majority of whom indicated they did so from health care personnel followed closely by the media houses and social media. Only 12.1% were aware of sexual intercourse as a risk factor for Human Papilloma virus infection and about one-fifth knew the currently recommended age for vaccination against the virus. Conclusion: The degree of awareness of cervical cancer in a key population such as the undergraduates sampled in this study is unacceptably low. Increased efforts must therefore be put into public enlightenment as primary prevention of cervical cancer Aim: To access the level of awareness of cervical cancer screening tools and preventive measures amongst students of a tertiary institution. Methodology: This was a questionnaire-based cross-sectional study. Pre-tested self-administered Questionnaires were distributed to students who were above the age of 18 years in the University of Port Harcourt, Rivers State, Nigeria, to obtain information on their socio-demographics and awareness of cervical cancer, its prevention, risk factors and association with Human Papilloma Virus infection. Information acquired from the questionnaires were presented using descriptive statistics. Chi-Square analysis was used to compare differences between knowledge and practice among the respondents. P-value < 0.05 was considered significant. All tests were carried out with the Epi Info v7 software. Results: A total of 227 students were interviewed.82.8% were female and 22.9% indicated being sexually active. About two-thirds of respondents had some knowledge (heard) of cervical cancer and Pap smear, majority of whom indicated they did so from health care personnel followed closely by the media houses and social media. Only 12.1% were aware of sexual intercourse as a risk factor for Human Papilloma virus infection and about one-fifth knew the currently recommended age for vaccination against the virus. Conclusion: The degree of awareness of cervical cancer in a key population such as the undergraduates sampled in this study is unacceptably low. Increased efforts must therefore be put into public enlightenment as primary prevention of cervical cancer

2018 ◽  
Vol 19 (9) ◽  
pp. 798-805 ◽  
Author(s):  
Mohd Saeed ◽  
Fawaz D. Alshammari ◽  
Md. Jahoor Alam ◽  
Khan Mohd Sarim ◽  
Khurshid Ahmad ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026887 ◽  
Author(s):  
Sovannara Thay ◽  
Andrew Goldstein ◽  
Lena Sophia Goldstein ◽  
Vaishnavi Govind ◽  
Kruy Lim ◽  
...  

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+.


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