Cervical Cancer Screening Practices and Barriers among Women in Nepal (original) (raw)
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Awareness and Practice of Cervical Cancer and it's Screening Among Married Women of Syangja, Nepal
Journal of Health and Allied Sciences, 2019
Cervical cancer is the second most common cancer in women worldwide. Close to half a million new cases are diagnosed each year and over 2.5 lakhs of women die due to cervical cancer annually. Current estimates indicate that every year 2332 women are diagnosed with cervical cancer and 1367 die from the disease. It is one of the leading causes of morbidity and mortality amongst the gynecological cancers worldwide. A cross-sectional descriptive design was used to assess the awareness and practice of cervical cancer screening among the married women of Syangja district. Proportionate stratified sampling was used to select the total 207 representative sample. Data was collected by using semi structured interview schedules and collected data were entered in Ms-Exel and analyzed using SPSS. The study result showed that majority 96% of the respondents had poor awareness and whereas none of the respondents had good awareness regarding the cervical cancer and its screening tests. The highest awareness was in the area of cervical cancer screening with mean percentage 61.11% whereas the least awareness was in the area of general aspects of cervical cancer with mean percentage 41.55%. Regarding practice of cervical cancer screening test 25.6% had performed it within 5 years, among them 50.93% of the respondents had undergone pap smear test. There was no association exists between the selected demographic variables and the level of awareness. Similarly there was no correlation exists between the level of awareness on cervical cancer and practice of cervical cancer screening. Majority of the women had poor awareness regarding the cervical cancer screening tests and significantly low practice of cervical cancer screening test.
Journal of gynecologic oncology, 2018
To find out the knowledge, attitude, practice, and barriers of cervical cancer screening in mid-western rural, Nepal. A hospital-based cross-sectional study was conducted. Women aged 20 or more were interviewed using a structured questionnaire regarding the socio-demographic information, knowledge, attitude, practice, and barriers to the cervical cancer screening. Total of 360 participants were recruited for this study, mean age was 30.13±10.4 years. More than 87% of participants had inadequate knowledge, but around 72% had a favorable attitude towards cervical cancer screening. There was a significant portion of women (86.4%) had never done any cervical cancer screening test. Despite being higher literacy rate of Brahmin and Chhetri ethnic group, they were less likely to attend the cervical cancer screening than Dalit and Janajati (p<0.001); and those who had a positive family history of cancer were more likely to attend the cervical cancer screening (p<0.001). Similarly, mar...
Cervical Cancer and its Screening: A Cross-Sectional Study among Married Women in Sankhu, Kathmandu
Birat Journal of Health Sciences, 2019
Introduction: Cervical cancer ranks as the most frequent cancer among women between 15 and 44 years of age in Nepal. It is one of the preventable cancers. The effectiveness of cervical cancer screening depends to a great extent on the level of awareness. Objective: The objective of study is to explore the knowledge regarding cervical cancer and its screening and use of Pap smear test as a screening tool amongst the married women in Sankhu, Kathmandu. Methodology: A descriptive, cross-sectional study was conducted in April 2017 using interview guided questionnaire. One hundred and ten married women aged 30-60 years were included in the study to assess knowledge regarding cervical cancer and its screening. Among 110, 85 were eligible for screening tests but only 65 consented and participated in Pap smear tests. Multiple regression analysis was used to find out the association of knowledge and practice of cervical cancer and its screening with various variables. Results: Out of 110 par...
European Journal of Medical Research
Background: Cervical cancer in Nepal ranks as the first most frequent cancer among women. Primary prevention measures, such as prophylactic vaccines against high risk HPV, are now available. Over time, vaccination will decrease the prevalence of the disease among younger women; however, screening will still be needed. The objective of the study was to assess the cervical cancer screening behavior and its associated factors among women of Nala Village Development Committee (VDC), Kavre. Methods: A descriptive cross-sectional study was done to assess the cervical cancer screening behavior among women in 2014. Systematic Random sampling was used to collect the data from a sample of 180 women residing in Nala VDC. A structured interview questionnaire and health belief model scale was used to collect data. Descriptive and inferential statistics (Chi-square test) was used for data analysis using SPSS version 16 program. Results: Minority (18.3%) of the respondents had cervical cancer screening behavior. Education level of the respondents was significantly associated with cervical cancer screening behavior (p < 0.05). Age, parity, perceived susceptibility, perceived benefits, and perceived barriers had no significant association with cervical cancer screening behavior. Conclusion: This study shows that cervical cancer screening behavior was satisfactory. The findings of the study indicate a significant association between cervical cancer screening behavior and education level of the participants. Awareness campaigns targeting illiterate groups can be conducted in community so that they become motivated towards cervical cancer screening.
South Asian research journal of nursing and healthcare, 2020
Cervical cancer is the fourth most frequent cancer in women with an estimated 570,000 new cases in 2018 representing 6.6% of all female cancers. Cervical cancer is the leading cause of cancer death in women in low-HDI countries. Cervical cancer ranks first among the female cancer in Nepal with age-adjusted incidence rate 21.5, 2,942 new cases and 1,928 deaths. The high mortality rate from cervical cancer globally could be reduced through prevention, early diagnosis, effective screening and treatment. The study aim to identify the knowledge and practice of cervical cancer screening among women attending gynecology OPD. A descriptive cross-sectional study design was used in this study. Hundred and fifty women were selected through purposive sampling technique. A pretested semi structured interview schedule was used to measure research variables. Frequency, percentage, mean and chi-squired test were used to analyze the data. Out of 150 women, mean age was 39.41 ± 10.26 and 78.7% respondents were Hindu. More than three fourth (84.7%) were literate. Slightly more than one third (34.7%) of the respondents herd about cervical cancer screening. Among them, less than half (46.2%) had adequate knowledge and only 8.7% of women had practice of cervical screening. There were no association between knowledge and socio-demographic variables but the practice were associated with residence (p=<0.05) and family income (p=<0.05. A majority of women have inadequate knowledge and low practice of cervical cancer screening. Therefore cervical cancer screening and awareness program should be emphasized.
Journal of Kathmandu Medical College
Background: Cervical cancer is the leading female cancer in Nepal. Fortunately, it is preventable by detectingprecancerous lesions and by various screening tools for early invasive cancers. Screening can be possible if women are aware of the problem. Despite the existence of effective screening using Pap smear, the uptake of screening is poor.Objectives: The objective of this study was to assess the awareness and practice regarding cervical cancer screening among women visiting tertiary hospital.Methodology: A descriptive cross – sectional study was conducted to assess the awareness and practice regarding cervical cancer screening among women attending in gynaecological outpatient department of Kathmandu Medical College Teaching Hospital. A total of one hundred and fifty two women were selected purposively for the study. Structured questionnaire was designed and data collection was done through face to face interview technique during the period of September to November 2018. The col...
Nepal Medical Journal
Introduction: Cervical cancer is one of the most common cancers among women worldwide. It is preventable by early detection of precancerous lesions by various screening techniques. Considering the importance of the perceptions and practices of the women about the disease and its screening, this study was conducted with an aim to determine the knowledge, attitude and practice of women towards cervical cancer and its screening among Nepalese women visiting a tertiary care institute in Kathmandu. Methods: A cross-sectional descriptive study was conducted among 390 outpatients in the gynaecological outpatient department of Tribhuwan University Teaching Hospital for a span of six months. Data were collected after obtaining ethical clearance from the institutional review board. A structured questionnaire covering the socio-demographic characteristics and knowledge, attitude and practice on cervical cancer and its screening was used. Results: Among the 390 women who were interviewed, the m...
Introduction: Cervical cancer is the first most common cancer and the leading cause of mortality among women in Nepal. The annual age standardized incidence rate of cervical cancer is 19.0 and the mortality rate is 12.0 per 100,000 women. Awareness and knowledge about cervical cancer among females is essential in the prevention of cancer. The objective of this study was to assess the level of knowledge and awareness about cervical cancer and to identify the screening practices among the women in Rukum district of Nepal. Methodology: This cross sectional study was conducted in Jan to Feb 2016 in Rukum, Nepal. Multistage sampling technique was used and 600 Female aged between 15-49 years were recruited. A semi structured interview questionnaire was used to collect the information. The inferential statistics, chi square test was used to summarize the data. For bivariate analysis, odds ratio and its 95% CI were obtained and binary logistic regression technique was used as a multivariate analysis. Results: Among the 600 women, 77.5% had heard about cervical cancer. Of these only 16% (72) were aware about cervical cancer screening and 7% were aware about the Pap smear test. Among these only 13.6 % (8/72) had ever undergone for cervical cancer screening. Only 5% had heard about HPV, among of them 30% knew that it can cause cervical cancer. Only 47% had adequate knowledge about cervical cancer, HPV and its screening. Education, occupation and monthly household income of the participants were significantly associated with knowledge of cervical cancer. Conclusion: This study identified that, there have been a low level of knowledge about cervical cancer among women. It indicates that there is a need to implement some strategies to enhance the knowledge of cervical cancer for these women.
Journal of Cancer Epidemiology
Background. Despite being one of the most preventable forms of cancer, cervical cancer remains an important public health problem, especially in developing countries. However, there is limited evidence regarding awareness and practice of screening for cervical cancer among women in resource-poor settings like Nepal. This study is aimed at assessing the awareness of cervical cancer, risk perception, and practice of Pap smear tests among adult women of Dhulikhel municipality of Kavreplanchowk district in Nepal. Methodology. A community-based cross-sectional study was conducted among 422 women (aged 18-45 years) residing across the Dhulikhel municipality of Nepal. Systematic random sampling method with face-to-face interviews was conducted to collect data. A descriptive analysis was performed to assess the sociodemographic characteristics of the participants. The chi-square test was used to determine the factors associated with risk perception and participants’ demographic characterist...