Introduction Cervical cancer is the fourth commonest cause of cancer and cancer-related deaths among women worldwide and commonest gynaecological cancer in Nigeria. This study sort to determine the awareness of cervical cancer, its prevention and determine the attitude and practice of these women towards screening. Materials and methods: This was a descriptive cross-sectional questionnaire-based study to assess the knowledge, attitude and utilisation of cervical cancer screening among pregnant women attending antenatal clinics in primary health centres in Uyo, South-south Nigeria. Results: The mean age of respondents was 34.7±8.9 years. The majority (76.7%) had post-secondary education, were married (69.6%), had 2 or more lifetime sexual partners (>60%) and had been pregnant twice (25%). Most (87.5%) have heard about cervical cancer, mainly from health workers, 116 (44.8%). The top 2 clinical features known were abnormal vaginal bleeding 177 (59.8%) and foul-smelling vaginal discharge 157 (53.0%) while the commonest risk factors mentioned were sex at early age 145 (49.0%) and multiple sexual partners 135 (45.6%). Preventive strategies known include quitting smoking (53.4%), avoiding early sexual intercourse (49%) and avoiding multiple sexual partners (48.3%). The majority, 186 (62.8%) knew about screening measures but less than a quarter knew that all sexually active women should be screened 46 (15.5%), while only 24.7% were aware of free services, 15.2% had ever been screened. The commonest reasons for non-screening were not feeling at risk 68 (27.1%) and being unaware of screening 57 (22.7%) while most had a positive attitude towards screening for cervical cancer. 167 (56.4%). Conclusion: The good knowledge of cervical cancer and attitude towards its screening was not matched by action as only a few had ever been screened despite their high lifetime risk for it. There is therefore the need for further awareness creation on cervical cancer prevention with the aim of increasing their uptake of available screening services in the state.
Published in | Journal of Gynecology and Obstetrics (Volume 10, Issue 2) |
DOI | 10.11648/j.jgo.20221002.24 |
Page(s) | 152-158 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Cervical Cancer, Knowledge, Awareness, Attitudes, Prevention, Primary Health Centres
[1] | Sung H, Farley J, Seigel R, et al. Global Cancer Statistics 2020_ GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries - Sung - 2021 - CA_ A Cancer Journal for Clinicians - Wiley Online Library.; 2021. doi: https://doi.org/10.3322/caac.21660. |
[2] | Arbyn M, Weiderpass E, Bruni L, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Heal. 2020; 8 (2): e191-e203. doi: 10.1016/S2214-109X(19)30482-6. |
[3] | Global HPV Vaccine Introduction.; 2021. https://path.azureedge.net/media/documents/Global_Vaccine_Intro_Overview_Slides_Final_PATHwebsite_2021AUG17_fx7PZjH.pdf |
[4] | WHO. DG WHO Cervical Cancer_ An NCD We Can Overcome. Published online 2018: 1. https://www.who.int/director-general/speeches/detail/cervical-cancer-an-ncd-we-can-overcome |
[5] | Federal Ministry of health N cancer conrol programme. 2020 INTERNATIONAL CANCER WEEK REPORT. Nigeria. Cancer in Nigeria in the Covid-18 Era and Beyond.; 2020. https://www.health.gov.ng/doc/REPORT-OF-THE-2020-INTERNATIONAL-CANCER-WEEK-IN-NIGERIA.pdf |
[6] | IARC. Nigeria: Fact Sheet on Cervical Cancer.; 2021. https://gco.iarc.fr/today/data/factsheets/populations/566-nigeria-fact-sheets.pdf |
[7] | Bosch FX, Iftner T. The aetiology of Cervical Cancer. Vol 49. NHS Cancer Screening Programme; 2005.: //citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.320.7305&rep=rep1&type=pdf |
[8] | Boardman C, Randall L. Cervical Cancer. Published online 2021. file: ///C: /Users/ATAT/Downloads/Medscape. Cervical Cancer_ Practice Essentials, Background, Pathophysiology.html |
[9] | Ribeiro A, Costa C, Alves R, Villa L, Aparecida V. HPV infection and cervical neoplasia: associated risk factors. Infect Agents Cancer. 2015; 10 (16). |
[10] | Santos F, Gurgel A, Lobo C, Freitas A, Silva-Neto J, Silva L. Prevalence of human papillomavirus (HPV), distribution of HPV types, and risk factors for infection in HPV-positive women. Genet Mol Res. 2016; 15 (2): 1-9. |
[11] | Itarat Y, Kietpeerakool C, Jampathong N, et al. Sexual behaviour and infection with cervical human papillomavirus types 16 and 18. Int J Women's Health. 2019; 11: 489-494. |
[12] | Asthana S, Busa V, Labani S. Oral contraceptives use and risk of cervical cancer — A systematic review & meta-analysis. Eur J Obstet Gynecol. 2020; 247: 163-175. doi: 10.1016/j.ejogrb.2020.02.014. |
[13] | Luhn P, Walker J, Schiffman M, et al. Gynaecologic Oncology The role of co-factors in the progression from human papillomavirus infection to cervical cancer. Gynecol Oncol. 2013; 128 (2): 265-270. doi: 10.1016/j.ygyno.2012.11.003. |
[14] | Cox J, Palefsky J. Human papillomavirus vaccination. Published online 2021. https://www.uptodate.com/contents/human-papillomavirus-vaccination |
[15] | World Health Organization. Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem and Its Associated Goals and Targets for the Period 2020 – 2030.; 2020. https://www.who.int/publications/i/item/9789240014107 |
[16] | Bedell S, Goldstein L, Goldstein A, Goldstein A. Cervical cancer screening - Past, present, and future. Sex Med Rev. 2020; 8 (1): 28-37. doi: 10.1158/1055-9965.EPI-20-1628. |
[17] | Bouvard V, Wentzensen N, Mackie A, Berkhof J. The IARC Perspective on Cervical Cancer Screening. N Engl J Med. 2021; 385: 1908-1918. doi: 10.1056/NEJMsr2030640. |
[18] | WHO. WHO Guideline for Screening and Treatment of Cervical Pre-Cancer Lesions for Cervical Cancer Prevention, Second Edition. Web Annex B : Evidence to Decision Tables.; 2021. |
[19] | Catarino, R., Petignat, P., Dongui, G., & Vassilakos, P. (2015). Cervical cancer screening in developing countries at a crossroad: Emerging technologies and policy choices. World journal of clinical oncology, 6 (6), 281–290. https://doi.org/10.5306/wjco.v6.i6.281 |
[20] | Wakwoya EB, Gemechu KS, Dasa TT. Knowledge of cervical cancer and associated factors among women attending public health facilities in eastern Ethiopia. Cancer Manag Res. 2020; 12: 10103-10111. doi: 10.2147/CMAR.S262314. |
[21] | Olubodun T, Odukoya OO, Balogun MR. Knowledge, attitude and practice of cervical cancer prevention, among women residing in an urban slum in Lagos, South West, Nigeria. Pan Afr Med J. 2019; 32: 1-10. doi: 10.11604/pamj.2019.32.130.1443. |
[22] | Distribution of hospitals and Clinics in Nigeria. Nigerian Health facility Registry (HFR). 2019 Federal Ministry of Health. Available at: https://hfr.health.gov.ng/resources |
[23] | Eze JN, Umeora OU, Obuna JA, Egwuatu VE, Ejikeme BN. Cervical cancer awareness and cervical cancer screening uptake at the Mater Misericordiae Hospital Afikpo, Southeast Nigeria. Ann Afr Med 2012; 11: 238-43. |
[24] | Charan J, Biswas T. How to calculate sample size for different study designs in medical research. Indian J Psychol Med. 2013; 35 (2): 121-6. |
[25] | Getaneh A, Tegene B, Belachew T. Knowledge, attitude and practices on cervical cancer screening among undergraduate female students in University of Gondar, Northwest Ethiopia: an institution-based cross-sectional study. BMC Public Health. 2021; 21 (1): 1-9. doi: 10.1186/s12889-021-10853-2. |
[26] | Ahmed OAM, Ahmed AEE, Aram BHB, Duria AR. Knowledge, Attitude, and Practice of Women towards Cervical Cancer and its Screening Tests in a Teaching Hospital, Khartoum-Sudan. Journal of Women’s Health and Development 2021; 4: 095-109. |
[27] | Yahya A, Mande AT, Awareness and knowledge of cervical cancer and its screening methods among women attending primary healthcare centres in Zaria, Northwestern Nigeria. Trop. J. Obstet Gynaecol 2019; 36: 271-6. |
[28] | Ahmed SA, Sabitu K, Idris SH, Rukaiya A. Knowledge, attitude and practice of cervical cancer among market women in Zaria, Nigeria. Niger Med J 2013; 54. |
[29] | Balogun MR, Odukoya OO, Adeniran MA, Ijomu PI. Cervical cancer awareness and preventive practices: A challenge for Female Urban slum dwellers in Lagos Nigeria. Afr. J Rep Health 2012; 16 (1) 75-82. |
[30] | Olubodun T, Odukoya OO, Balogun MR. Knowledge, attitude and practice of cervical cancer prevention, among women residing in an urban slum in Lagos, South West, Nigeria. The Pan African Medical Journal 2019; 32: 130. doi: 10.11604/pamj.2019.32.130.14432. |
[31] | Wilson KL, Cowart CJ, Rosen BL, et al. Characteristics Associated with HPV Diagnosis and Perceived Risk for Cervical Cancer Among Unmarried, Sexually Active College Women. J Cancer Educ. 2018; 33 (2): 404-416. doi: 10.1007/s13187-016-1131-1. |
[32] | Humeriya H, Sayid D, Isame A, et al. Knowledge, Attitudes and practices Towards cervical cancer and screening amongst female healthcare Professionals: A Cross-sectional study. J Oncol. Published online 2019. |
[33] | Ezem BU Awareness and uptake of cervical cancer screening sin Owerri, South-Eastern Nigeria. Ann Afr Med. 2007 Sep; 6 (3): 94-8. |
[34] | Ayinde OA, Ogunbode OO. Determinants of cervical cancer knowledge and its utilization of screening on a Nigerian female population. Trop J Obstet Gynae. 2005; 22: 21–4. |
[35] | Ferreira de Melo E, Linhares F, Marques da Silva T. Cervical cancer: knowledge, attitude and practice on the prevention examination. Rev Bras Enferm [online]. 2019; 72 (3): 25-31. doi: https://doi.org/10.1590/0034-7167-2017-0645. |
[36] | Omotunde O, Amosu A. Knowledge, perception and cervical cancer screening praices among female nurses working in Healthcare facilities in Lagos staStateigeria. International J Public Heal Pharmacol 2016; 1 (1): 74-92. doi: 10.52589/IJPHP-VBJ0YBPJ.DOI. |
APA Style
Matthias Gabriel Abah, Bles Akpabio Atat, Emmanuel Bassey Edu, Essien Iniokpon Attah, Iniobong Abah. (2022). Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City. Journal of Gynecology and Obstetrics, 10(2), 152-158. https://doi.org/10.11648/j.jgo.20221002.24
ACS Style
Matthias Gabriel Abah; Bles Akpabio Atat; Emmanuel Bassey Edu; Essien Iniokpon Attah; Iniobong Abah. Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City. J. Gynecol. Obstet. 2022, 10(2), 152-158. doi: 10.11648/j.jgo.20221002.24
AMA Style
Matthias Gabriel Abah, Bles Akpabio Atat, Emmanuel Bassey Edu, Essien Iniokpon Attah, Iniobong Abah. Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City. J Gynecol Obstet. 2022;10(2):152-158. doi: 10.11648/j.jgo.20221002.24
@article{10.11648/j.jgo.20221002.24, author = {Matthias Gabriel Abah and Bles Akpabio Atat and Emmanuel Bassey Edu and Essien Iniokpon Attah and Iniobong Abah}, title = {Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City}, journal = {Journal of Gynecology and Obstetrics}, volume = {10}, number = {2}, pages = {152-158}, doi = {10.11648/j.jgo.20221002.24}, url = {https://doi.org/10.11648/j.jgo.20221002.24}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.24}, abstract = {Introduction Cervical cancer is the fourth commonest cause of cancer and cancer-related deaths among women worldwide and commonest gynaecological cancer in Nigeria. This study sort to determine the awareness of cervical cancer, its prevention and determine the attitude and practice of these women towards screening. Materials and methods: This was a descriptive cross-sectional questionnaire-based study to assess the knowledge, attitude and utilisation of cervical cancer screening among pregnant women attending antenatal clinics in primary health centres in Uyo, South-south Nigeria. Results: The mean age of respondents was 34.7±8.9 years. The majority (76.7%) had post-secondary education, were married (69.6%), had 2 or more lifetime sexual partners (>60%) and had been pregnant twice (25%). Most (87.5%) have heard about cervical cancer, mainly from health workers, 116 (44.8%). The top 2 clinical features known were abnormal vaginal bleeding 177 (59.8%) and foul-smelling vaginal discharge 157 (53.0%) while the commonest risk factors mentioned were sex at early age 145 (49.0%) and multiple sexual partners 135 (45.6%). Preventive strategies known include quitting smoking (53.4%), avoiding early sexual intercourse (49%) and avoiding multiple sexual partners (48.3%). The majority, 186 (62.8%) knew about screening measures but less than a quarter knew that all sexually active women should be screened 46 (15.5%), while only 24.7% were aware of free services, 15.2% had ever been screened. The commonest reasons for non-screening were not feeling at risk 68 (27.1%) and being unaware of screening 57 (22.7%) while most had a positive attitude towards screening for cervical cancer. 167 (56.4%). Conclusion: The good knowledge of cervical cancer and attitude towards its screening was not matched by action as only a few had ever been screened despite their high lifetime risk for it. There is therefore the need for further awareness creation on cervical cancer prevention with the aim of increasing their uptake of available screening services in the state.}, year = {2022} }
TY - JOUR T1 - Knowledge of Cervical Cancer and Attitudes Towards Its Prevention Among Women Attending Antenatal Clinics in Primary Health Centres in a Niger Delta Capital City AU - Matthias Gabriel Abah AU - Bles Akpabio Atat AU - Emmanuel Bassey Edu AU - Essien Iniokpon Attah AU - Iniobong Abah Y1 - 2022/04/26 PY - 2022 N1 - https://doi.org/10.11648/j.jgo.20221002.24 DO - 10.11648/j.jgo.20221002.24 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 152 EP - 158 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20221002.24 AB - Introduction Cervical cancer is the fourth commonest cause of cancer and cancer-related deaths among women worldwide and commonest gynaecological cancer in Nigeria. This study sort to determine the awareness of cervical cancer, its prevention and determine the attitude and practice of these women towards screening. Materials and methods: This was a descriptive cross-sectional questionnaire-based study to assess the knowledge, attitude and utilisation of cervical cancer screening among pregnant women attending antenatal clinics in primary health centres in Uyo, South-south Nigeria. Results: The mean age of respondents was 34.7±8.9 years. The majority (76.7%) had post-secondary education, were married (69.6%), had 2 or more lifetime sexual partners (>60%) and had been pregnant twice (25%). Most (87.5%) have heard about cervical cancer, mainly from health workers, 116 (44.8%). The top 2 clinical features known were abnormal vaginal bleeding 177 (59.8%) and foul-smelling vaginal discharge 157 (53.0%) while the commonest risk factors mentioned were sex at early age 145 (49.0%) and multiple sexual partners 135 (45.6%). Preventive strategies known include quitting smoking (53.4%), avoiding early sexual intercourse (49%) and avoiding multiple sexual partners (48.3%). The majority, 186 (62.8%) knew about screening measures but less than a quarter knew that all sexually active women should be screened 46 (15.5%), while only 24.7% were aware of free services, 15.2% had ever been screened. The commonest reasons for non-screening were not feeling at risk 68 (27.1%) and being unaware of screening 57 (22.7%) while most had a positive attitude towards screening for cervical cancer. 167 (56.4%). Conclusion: The good knowledge of cervical cancer and attitude towards its screening was not matched by action as only a few had ever been screened despite their high lifetime risk for it. There is therefore the need for further awareness creation on cervical cancer prevention with the aim of increasing their uptake of available screening services in the state. VL - 10 IS - 2 ER -