Awareness, use and main source of information on preventive health examinations: a survey of childbearing women in Uyo, Nigeria (original) (raw)
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Texila International Journal of Public Health, 2020
Introduction: Cervical cancer is a significant cause of morbidity/mortality and continues to top the rank as an important public health issue affecting women of child-bearing age (especially women in low resource countries). Therefore, this study was aimed at describing the awareness, perceptions and utilization of cervical screening services among women of child-bearing age In the Federal Capital Territory (FCT)-Nigeria. Methods: A cross sectional survey was administered to 360 women of child-bearing age attending antenatal clinics in six selected hospitals in the FCT. They were selected using a proportionate non-random sampling technique. Results: Giving the response rate of 80.3%, n= 289, α=0.05, CI = 95%, findings revealed that about 55% of respondents were aware of cervical screening services. Over 50% had negative perceptions about cervical screening services and a great majority (63.4%) had not utilized any cervical screening service. Several factors were identified as influencing the utilization of cervical screening services. There was no significant relationship between levels of education, age, marital status and the utilization of cervical screening services at α=0.05, CI = 95%, as indicated by P-values of 0.681, 0.631 and 0.535 respectively. Conclusion: Awareness of cervical screening services is good, but perceptions about the services are negative and utilization of services is very poor among women of child-bearing age in the Federal Capital Territory of Nigeria.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2024
Background: This study assessed the knowledge, perception, and uptake of cervical cancer screening among women attending the antenatal clinic in Modibbo Adama University Teaching Hospital Yola, Nigeria. Methods: This was a cross-sectional study among 141 antenatal clinic clients where data was collected using an interviewer-administered questionnaire. Data collected were analyzed using the IBM SPSS software. Multivariable logistic regression was used to determine the predictors of the uptake of cervical cancer screening. A p value of <0.05 was considered statistically significant. Results: Thirty-six (25.5%) respondents had good knowledge of cervical cancer screening, 12 (9%) had a positive perception of cervical cancer screening, and 14 (9.9%) had previously undergone screening. Health worker request was the major reason for undertaking screening while lack of awareness of the screening was the chief reason for not screening previously. Multivariable logistic regression showed knowledge to be the only predictor of the uptake of cervical cancer screening, respondents with good knowledge were about six times more likely (AOR: 5.97, 95% CI: 1.57-22.66, p=0.009) to have ever been screened. Conclusions: The predominantly poor knowledge, negative perception, and poor uptake of cervical cancer screening in this study suggest the need to improve clients' education to boost the uptake of screening services.
Mary Slessor Journal of Medicine, 2013
Screening for early detection and treatment of cervical cancer is a cornerstone of prevention. The purpose of this study was to assess the awareness in women about the utilization of cervical cancer screening services in Vhembe District, South Africa. Methods: This cross-sectional study involved a random selection of 500 women aged 20-59 years in Vhembe District, Limpopo Province, South Africa. Data was collected via a self-structured questionnaire on the demographic variables, provision, utilization and awareness of cervical cancer screening services. Results: The majority of the participants agreed to have cervical cancer screening services in their clinics (79.2%), and never had a Pap smear (58.6%). Most women would not go for cervical cancer screening, mainly because of a lack of facilities (30.0%), fear of pain (24.4%), and embarrassment (15.2%). Most participants indicated that Pap smear test meant scraping the cervix to detect abnormal cancerous cells (39.2%) and 34.2% did not know a Pap smear. Majority of the participants indicated Pap smears should be done every 10 years (65.8%); Pap smears could detect cervical cancer earlier (66.8%), and had heard about cervical cancer (71.6%). The majority of the participants considered cervical cancer as a serious problem to warrant considerable attention (59.4%); and some perceived cervical cancer as transmittable through multiple sexual partners (22.2%). The majority of the participants were aware of a vaccine against cervical cancer for girls at school (69.0%), and it was indicated that government should use health education to encourage women to attend cervical screening services (51.6%). Conclusion: Despite the free availability of cervical cancer screening services and awareness, the utilization of cervical cancer screening services is low. There is a need to intensify cervical screening health talks and campaigns, and to provide alternative accessible options for screening services for women in rural areas.
Awareness and uptake of the Pap smear among market women in Lagos, Nigeria
Journal of Public Health in Africa, 2011
Our study evaluates the effect of an educational programme on awareness and uptake of the cervical cancer screening test (Pap smear) by women in a model market in Lagos, Nigeria. This was a quasi-experimental study using a multistage sampling technique. A total of 350 women were divided into two groups. A baseline survey on awareness of the Pap test and screening practices was carried out using pre-tested, interviewer administered, structured questionnaires. Participants in the intervention group received sessions of community based health information on cervical cancer screening tests while participants in the control group received health information on hypertension. Subsequently, participants in both groups were reassessed to evaluate the effect of the educational programme on the Pap test and cervical screening uptake. Data were analysed with the Epi-info version 6.04. Awareness about the Pap test was low at baseline; only 6.9% and 12.0% of participants in the intervention and control groups, respectively, had heard of Pap smears. Furthermore, less than 10% had correct information on the use of the Pap test. Post-intervention, there was a significant and proportional increase in the knowledge of the Pap test in the intervention group (P<0.05). However, uptake of the test was quite low in the intervention and control groups both pre-and post-intervention and there was no significant change in uptake. We concluded that essential schemes are required to enhance access to screening, as knowledge alone is insufficient to promote acceptance and use of cervical cytological screening tests.
Knowledge, perception and predictors of uptake of cervical screening among rural Nigerian women
Cervical screening is effective in mitigating the morbidity and mortality of cervical cancer. However, the uptake of cervical screening is still unsatisfactory in many countries. The aim of this study was to assess the knowledge and perception of rural Nigerian women about cervical cancer and screening. The study also investigated the predictors of cervical screening. A survey with interviewer administered questionnaires was conducted on 800 Nigerian women recruited from households in Ogun State by a multi-staged sampling method. Participants were aged 25 to 64 years. Proportion of respondents with very poor knowledge and poor perception about cervical cancer were 93.9 and 94%, respectively. Hence, it is not surprising that the uptake of cervical screening is abysmally low (3.9%). Age, knowledge and perception about cervical cancer were related to uptake of cervical screening; however, only perception about cervical cancer was found to predict the uptake of cervical screening. There...
Predictors of Pap smear testing uptake among women in Lagos, Nigeria
Ecancermedicalscience, 2022
We assessed the predictors of Pap smear testing uptake within 6 months after cervical cancer prevention education among women in Lagos, Nigeria. This was a prospective follow-up study conducted as part of the 'mHealth-Cervix trial' in the two teaching hospitals in Lagos, Nigeria, between August 2020 and April 2021. Participants were followed up for 6 months after pre-enrolment cervical cancer prevention education. The potential socio-demographic and clinical predictors of Pap smear testing uptake during the 6-month follow-up were tested using the predictive model in a binary logistic regression analysis. Statistical significance was reported as p < 0.05. The rate of Pap smear testing uptake during the 6-month follow-up was 35.7%. Following the adjustments in the final multivariate analysis, participants' previous awareness of Pap smearing (RR = 6.92, 95% CI: 8.37-56.68, p = 0.001) and attendance at the general outpatient clinic during the period of follow-up (RR = 11.22, 95% CI: 1.54-81.51, p = 0.017) independently predict Pap smear testing uptake. We will, therefore, explore the impact of continuous provision of health promotion on cervical cancer prevention and its effect in the context of routine clinical care in our next implementation research agenda. We recommend, in the meantime, that regular health education of women on cervical cancer prevention by healthcare providers should be further reinforced as an integral part of health promotion in clinics to reduce the burden of cervical cancer in most low-and middle-income settings.
Africa Journal of Nursing and Midwifery, 2016
Cervical cancer is a deadly disease claiming the lives of many women in developing countries due to late presentation which might be influenced by a lack of knowledge of the disease and its prevention. This descriptive study examined the knowledge of rural women about cervical cancer and its prevention, and their utilisation of Pap smear screening, using a convenience sample of 426 women in Ife East Local Government Area of Osun State, Nigeria. Women voluntarily completed an unstructured questionnaire through trained research assistants. Results showed that women who participated in the study were aware of cervical cancer (77%; n=328) but many (62.9%; n= 268) were unaware of Pap smears as the screening tests for cervical cancer. Although 41.3% (n=176) were knowledgeable about cervical cancer, risk factors and prevention, only 9.4% (n=40) had Pap smear tests done. Health care professionals, especially community health nurses, need to intensify efforts to increase awareness about cerv...
PLoS ONE, 2012
Cervical cancer is a leading cause of cancer death in women in developing countries. A key factor linked to the relatively high levels of cervical cancer in these populations is the lack of awareness and access to preventive methods. This study aimed to determine the level of awareness of cervical cancer and Papanicolaou test (Pap smear test) and factors associated with the utilization of Pap test among female civil servants in Jos. Data was obtained from female workers (n = 388) aged 18-65 years in a Nigerian Federal establishment. Participants were randomly approached and instructed to complete validated questionnaires. Data was analyzed using Chi-square, t-tests and logistic regression analysis to determine if there was an association between variables and identify any predictors of awareness and utilization of the Pap test. Cervical cancer and Pap smear test awareness was 50.9% and 38.6% respectively, with the media as the major source of information. Pap smear test utilization rate was 10.2%, with routine antenatal care (ANC) as the major reason for getting screened. Personal barriers to screening include the lack of awareness, and belief that cervical cancer is not preventable. Opportunistic screening, mass media campaigns and ANC education were suggested as ways of improving awareness and utilization of cervical cancer screening services.
Cervical cancer is a leading cause of cancer mortality in Nigeria. A study was conducted on the knowledge and awarenessof cervical cancer screening among women of reproductive age in Ikere Local Government Area of Ekiti State. The study determined the sources of information on cervical cancer screening and how often they engaged in cervical cancer screening. The researchers generated three research questions and formulated three hypotheses to guide the study. The sample for the study was 220 respondents drawn from all the health facilities, churches, mosque and market places in Ikere Local Government area of Ekiti State. The instrument for the study was self structured questionnaire to elicit information on knowledge and awareness of the respondents on cervical cancer and cervical screening. The instrument was validated by experts and reliability coefficient using Pearson Product Moment Correlation coefficient was high enough and considered reliable for the study at 0.05 level of si...