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Tomić SD, Ćorić A, Tomić S, Mujičić E, Malenković J, Šljivo A, Malenković G. Cervical Cancer Prevention Knowledge (Cckp-64) among Female Students in Novi Sad, Serbia during COVID-19 Pandemic. Healthcare (Basel) 2023; 11:healthcare11101400. [PMID: 37239686 DOI: 10.3390/healthcare11101400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 05/08/2023] [Accepted: 05/09/2023] [Indexed: 05/28/2023] Open
Abstract
Cervical cancer is a significant global health concern affecting young women, with over 500,000 new cases reported annually. This questionnaire-based study aimed to evaluate the knowledge of cervical cancer prevention among female students at the University of Novi Sad during the COVID-19 pandemic using the Cervical Cancer Knowledge Prevention-64 (CCKP-64) tool. The study sample consisted of 402 predominantly 20-22-year-old female students from either social or technical science faculties in urban environments. Results revealed that out of the 402 female students involved in the study, most had a good general knowledge of primary prevention of cervical cancer, with a correct answer rate ranging from 29.9 to 80.6%. On the contrary, only 63.4% of female students have heard about the vaccine against cervical cancer; 52.0% know that the vaccine exists in Serbia; and 31.8% know where to get vaccinated. Only a small proportion of students (9.7%) have encountered cervical cancer among their relatives/friends and think that the disease could affect them in the future (25.4%). Older students (>26 years) generally (p < 0.05) had better knowledge regarding distressing symptoms of cervical cancer, cytological examination and secondary prevention; however, it was also noted that a significant percentage of this age group reported not having received vaccinations (53.0%, p = 0.001). This study underscores the need for increased awareness and education about the HPV vaccine and secondary prevention among young women in Serbia. Future research should investigate knowledge and attitudes toward cervical cancer prevention in diverse populations to develop effective interventions and strategies. These findings have implications for public health policies in Serbia to promote cervical cancer prevention among young women.
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Affiliation(s)
- Sanja D Tomić
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia
| | - Andrijana Ćorić
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia
| | - Slobodan Tomić
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia
| | - Ermina Mujičić
- Clinical Center, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | | | - Armin Šljivo
- Clinical Center, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
| | - Goran Malenković
- Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia
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Factors Affecting the Cervical Cancer Screening Behaviors of Japanese Women in Their 20s and 30s Using a Health Belief Model: A Cross-Sectional Study. Curr Oncol 2022; 29:6287-6302. [PMID: 36135063 PMCID: PMC9497901 DOI: 10.3390/curroncol29090494] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 08/26/2022] [Accepted: 08/31/2022] [Indexed: 11/20/2022] Open
Abstract
In recent years, the incidence and mortality rates of cervical cancer (CC) have increased among young women. Cervical cancer screening (CCS) is crucial to reducing the incidence and mortality of CC in a country such as Japan, where it is challenging to raise HPV vaccination rates. The purpose of this study was to identify psychological and personal characteristics relating to CCS participation among young people by using the Health Belief Model (HBM). For this cross-sectional study, an internet survey was conducted between February–March 2018. Based on HBM and personal characteristics, χ2 tests and logistic analyses were used to identify factors influencing CCS. Responses obtained from 816 women in their 20s and 30s were used in the analysis. For HBM-based psychological characteristics, the odds ratios were significantly higher for “cues to participation in screening” and “barriers to participation at the time of cancer screening”, while “barriers to participation before cancer screening” showed significantly lower odds ratios. On the other hand, it was found that the presence of children and having regular health checkups affected the attributes of screening that were significant for decision-making. Therefore, it is important to create proactive measures to encourage younger women to undergo medical examinations.
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Stojanovic MM, Rancic NK, Andjelković Apostolović MR, Ignjatović AM, Stojanovic DR, Mitic Lakusic VR, Ilic MV. Temporal Changes in Incidence Rates of the Most Common Gynecological Cancers in the Female Population in Central Serbia. Medicina (B Aires) 2022; 58:medicina58020306. [PMID: 35208629 PMCID: PMC8880439 DOI: 10.3390/medicina58020306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 02/04/2022] [Accepted: 02/07/2022] [Indexed: 12/24/2022] Open
Abstract
Background and Objectives: There were 1,335,503 newly diagnosed cases of the most common gynecological cancers in women (cervical, uterine and ovarian cancer) worldwide in 2020. The main objective of this paper was to assess temporal changes in incidence rates of the most common gynecological cancers and to determine the age group with the greatest increase in incidence in the Serbian female population in the period 2003–2018. Material and Methods: Trends and annual percentage change (APC) of the incidence rate with corresponding 95% confidence intervals (CI) were calculated by Joinpoint regression analysis. The trend was considered to be significantly increasing (positive change) or decreasing (negative change) when the p-value was below 0.05 (p < 0.05). Results: The total number of newly registered cancer cases from 2003 to 2018 was 35,799. There was a significant increase of age standardized rate (ASR) for all cancer incidences in women from 2012 to 2018 with APC 6.9% (95% CI from 0.9 to 13.3, p = 0.028) and for uterine cancer during the 2014–2018 period with APC of 16.8% (95% CI: from 4.0 to 31.1, p = 0.014), as well as for ovarian cancer incidence in the 2012–2018 period with APC of 12.1% (95% CI: from 6.7 to 17.8, p < 0.001). A non-significant decrease of ASRs of incidence for cervical cancer was determined from 2003 to 2015 with APC of −0.22% (95% CI: from −3.4 to 3.1, p = 0.887) and a non-significant increase of ASRs incidence from 2015 to 2018 with APC of 14.21% (95% CI: from −13.3 to 50.5, p = 0.311). The most common gynecological cancers were present in all age groups and only ovarian cancer was registered in the youngest age group (0–4 years). Cervical cancer showed a typical increase after the age of 30, with peak incidence in women aged 40–44 and 65–69 years. The increased incidence trend regarding age for cervical cancer (y = 1.3966x + 0.3765, R2 = 0.3395), uterine cancer (y = 1.7963x − 5.4688, R2 = 0.5063) and ovarian cancer (y = 1.0791x − 0.8245, R2 = 0.5317) is statistically significant. Conclusion: Based on our presented results, a significant increase of incidence trend for the most common gynecological cancers in the Serbian female population from 2012 to 2018 was determined. There has been a significant increase in the incidence of uterine cancer from 2014 up to 2018, as well as for ovarian cancer from 2012 up to 2018, while cervical cancer showed a non-significant decrease of incidence trend from 2003 until 2015 and then a non-significant increase. In women below 20 years of age, ovarian cancer was significantly more prevalent, while cervical cancer was significantly more prevalent in the age groups 20–39 and 40–59 years. In the age group of 60–79, uterine cancer had a significantly higher incidence than the other two cancers. Measures of primary prevention, such as vaccination of children against Human Papilloma Virus and screening measures of secondary prevention, for the female population aged 25 to 64 years of age are needed, as well as educating females about healthy lifestyles via media and social networks to help prevent the most common gynecological cancers.
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Affiliation(s)
- Miodrag M. Stojanovic
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
- Institute for Public Health Nis, 18000 Nis, Serbia
| | - Natasa K. Rancic
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
- Institute for Public Health Nis, 18000 Nis, Serbia
- Correspondence:
| | - Marija R. Andjelković Apostolović
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
- Institute for Public Health Nis, 18000 Nis, Serbia
| | - Aleksandra M. Ignjatović
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
- Institute for Public Health Nis, 18000 Nis, Serbia
| | - Dijana R. Stojanovic
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
| | | | - Mirko V. Ilic
- Faculty of Medicine Nis, University of Nis, 18000 Nis, Serbia; (M.M.S.); (M.R.A.A.); (A.M.I.); (D.R.S.); (M.V.I.)
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Markovic-Denic L, Milicevic S, Todorovic J, Nikolic V, Djuric O, Marusic V, Dugalic S, Vasiljevic B, Gojnic-Dugalic M. Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes. Viruses 2021; 13:v13050727. [PMID: 33919452 PMCID: PMC8143577 DOI: 10.3390/v13050727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 03/31/2021] [Accepted: 04/05/2021] [Indexed: 11/16/2022] Open
Abstract
We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50-11.29) and male (OR = 3.71, 95% CI 1.52-9.01) child. The number of children (OR = 1.32, 95% CI 1.04-1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13-2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.
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Affiliation(s)
- Ljiljana Markovic-Denic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Dr Subotica Starijeg 8, 11000 Belgrade, Serbia; (V.N.); (V.M.)
- Correspondence:
| | - Srboljub Milicevic
- Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Koste Todorovica 26, 11000 Belgrade, Serbia; (S.M.); (S.D.); (M.G.-D.)
| | - Jovana Todorovic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Dr Subotica Starijeg 15, 11000 Belgrade, Serbia;
| | - Vladimir Nikolic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Dr Subotica Starijeg 8, 11000 Belgrade, Serbia; (V.N.); (V.M.)
| | - Olivera Djuric
- Epidemiology Unit, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy;
- Section of Public Health, Center for Environmental, Nutritional and Genetic Epidemiology (CREAGEN), Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Università, 4, 41121 Modena, Italy
| | - Vuk Marusic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Dr Subotica Starijeg 8, 11000 Belgrade, Serbia; (V.N.); (V.M.)
| | - Stefan Dugalic
- Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Koste Todorovica 26, 11000 Belgrade, Serbia; (S.M.); (S.D.); (M.G.-D.)
| | - Brankica Vasiljevic
- Maternity and Child Health Service, NMC Royal Hospital DIP, Dubai Investments Park 1, 00000 Dubai, Saudi Arabia;
| | - Miroslava Gojnic-Dugalic
- Clinic for Obstetrics and Gynecology, Clinical Centre of Serbia, Koste Todorovica 26, 11000 Belgrade, Serbia; (S.M.); (S.D.); (M.G.-D.)
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Rančić NK, Golubović MB, Ilić MV, Ignjatović AS, Živadinović RM, Đenić SN, Momčilović SD, Kocić BN, Milošević ZG, Otašević SA. Knowledge about Cervical Cancer and Awareness of Human Papillomavirus (HPV) and HPV Vaccine among Female Students from Serbia. MEDICINA-LITHUANIA 2020; 56:medicina56080406. [PMID: 32823648 PMCID: PMC7466248 DOI: 10.3390/medicina56080406] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/02/2020] [Accepted: 08/05/2020] [Indexed: 12/24/2022]
Abstract
Background and objectives: Persistent infection with carcinogenic human papillomavirus (HPV) is the leading cause of cervical cancer. The study explored students’ knowledge about cervical cancer and awareness of human papillomavirus and the HPV vaccine. Materials and Methods: A questionnaire-based survey was carried out among 1616 first-year female college students at the University of Niš. It examined socio-demographic characteristics, measured the score of knowledge about cervical cancer, assessed awareness regarding HPV and the HPV vaccine and inquired about the source of information about cervical cancer and HPV. Results: The average cervical cancer knowledge score was 16.35 ± 7.92 (min 0, max 30), with medical professional education, parents’ education level, place of residence and relationship status having significant effects on the score. The awareness about HPV and the HPV vaccine was low, with only 14.2% of students having heard about both HPV and its vaccine. The most commonly reported sources of information were the media, while the most competent one was organized health education. Conclusions: Health promotion campaigns and educational programs are necessary in order to reduce cervical cancer burden and should be directed particularly towards those who have demonstrated low cervical cancer knowledge and low awareness regarding HPV and its vaccine.
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Affiliation(s)
- Nataša K. Rančić
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
- Correspondence:
| | | | - Mirko V. Ilić
- Center for Control and Prevention of Diseases, Institute for Public Health Niš, 18 000 Niš, Serbia;
| | - Aleksanda S. Ignjatović
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
| | - Radomir M. Živadinović
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
| | - Saša N. Đenić
- Center for Radiology, Clinical Center Niš, 18 000 Niš, Serbia;
| | - Stefan D. Momčilović
- Clinic for Reconstructive and Plastic Surgery, Clinical Center Niš, 18 000 Niš, Serbia;
| | - Biljana N. Kocić
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
| | - Zoran G. Milošević
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
| | - Suzana A. Otašević
- Faculty of Medicine Niš, University of Niš, 18 000 Niš, Serbia; (A.S.I.); (R.M.Ž.); (B.N.K.); (Z.G.M.); (S.A.O.)
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Compaore S, Ouedraogo CMR, Koanda S, Haynatzki G, Chamberlain RM, Soliman AS. Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2016; 31:760-766. [PMID: 26336956 PMCID: PMC4779069 DOI: 10.1007/s13187-015-0898-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Cervical cancer is among the leading causes of cancer deaths for women in low-income African countries, such as Burkina Faso. Given that cervical cancer is a preventable disease through early detection and vaccination, this study aimed at understanding the barriers to cervical cancer early detection in Ouagadougou, the capital city of Burkina Faso. Women seeking screening and treatment for cervical cancer (n = 351) during the period of May-August 2014, at the Yalgado Ouedraogo University Hospital, were interviewed about their knowledge, attitudes, and practices toward cervical cancer. Interview questions elicited information about sociodemographic of participants, history of screening, knowledge of cervical cancer, and attitudes toward cervical screening. Scores were assigned to responses of questions and knowledge, and tertitles of distributions were used for comparison. A multivariate logistic regression was performed to predict cervical screening. Study participants were relatively young (37.5 ± 10.7 years) and predominately resident of urban areas (83.8 %), and over half had no or less than high school education. Over 90 % of participants had heard about cervical cancer, and about 55 % of them had intermediate-level knowledge of the disease, its screening, and/or risk factors. Knowledge level was lower among rural than urban residents. Predictors of screening included higher level of education (odds ratio (OR) = 2.2; 95 % confidence interval (CI) 1.48-3.23), older age (OR = 1.1; 95 % CI 1.06-1.12), higher socioeconomic standard (SES) (OR = 1.5; 95 % CI 1-2.37), urban residence (OR = 2.0; 95 % CI 1.19-3.25), encouragement for screening by a health care worker (1.98; 95 % CI 1.06-3.69), and employment (OR = 1.9; 95 % CI 1.13-3.11). Low awareness and socioeconomic barriers lead to underutilization of screening services of women. Motivation and education by healthcare workers are important factors for increasing screening rates. Organized patient and professional education programs in gynecologic services are warranted for improving screening in Burkina Faso and other low-resource countries in Africa.
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Affiliation(s)
- Salomon Compaore
- Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, USA
| | - Charlemagne M R Ouedraogo
- Centre Hospitalier Universitaire Yalgado Ouedraogo de Ouagadougou (CHU/YO), Ouagadougou, Burkina Faso
| | - Seni Koanda
- Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso
- Institut Africain de Sante Publique, Ouagadougou, Burkina Faso
| | - Gleb Haynatzki
- Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
| | - Robert M Chamberlain
- Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, USA
- Department of Epidemiology, MD Anderson Cancer Center, University of Texas, Houston, TX, USA
| | - Amr S Soliman
- Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
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Assoumou SZ, Mabika BM, Mbiguino AN, Mouallif M, Khattabi A, Ennaji MM. Awareness and knowledge regarding of cervical cancer, Pap smear screening and human papillomavirus infection in Gabonese women. BMC WOMENS HEALTH 2015; 15:37. [PMID: 25924940 PMCID: PMC4415219 DOI: 10.1186/s12905-015-0193-2] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Accepted: 04/01/2015] [Indexed: 11/10/2022]
Abstract
BACKGROUND Cervical cancer is the commonest cancer and the leading cause of cancer mortality in women in Gabon. The age-standardized incidence of cervical cancer is 19.9 per 100 000 women and the mortality rate is 8.4 per 100 000. Various international studies have identified the lack of awareness and knowledge about cervical cancer as barriers to use preventive methods. This article assesses the awareness and knowledge about cervical cancer, Pap smear testing and its use and HPV among women living in Libreville, Gabon. METHODS This study was conducted in October 2014 in Libreville. A total of 452 women aged 16 years and above were recruited from different town locations. Logistic regression analysis was used to identify the effect of demographic characteristics on the level of knowledge about cervical cancer, Pap smear testing and HPV. Odds ratio and 95% confidence intervals were used to identify the strength of association. Associations were considered statistically significant at p < 0.05. RESULTS Of all the women interviewed, 91.6% (414/452) had heard about cervical cancer and only 27.9% (126/452) had heard of Pap smear test. Of these 126 women, only 65.1% (82/126) had done cervical cancer screening and 68.3% (56/82) on the suggestion of a doctor. The most common reason for not undergoing Pap smear testing was neglect (50%, 22/44) followed by lack of financial resources (13.6%, 6/44), fear of discovering a serious disease (13.6%, 6/44) and deeming it unimportant (13.6%, 6/44). Only 8% (40/452) of the participants had heard about HPV and their knowledge of HPV was fair. There is a very poor level of knowledge about cervical cancer among Gabonese women. CONCLUSION This study demonstrates a very low level of knowledge about cervical cancer, Pap smear testing and HPV in a sample of Gabonese women. There is a critical need for Gabonese women to be informed about cervical cancer and the Pap smear test to improve the use of this preventive method. The implication of health staff and Gabonese media should be included as a centerpiece in the effort to inform the population in order to reduce the burden of cervical cancer in Gabon and save women lives.
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Affiliation(s)
- Samira Zoa Assoumou
- Laboratoire de Virologie, Microbiologie et Qualité/Eco toxicologie et Biodiversité, Faculté des Sciences et Techniques de Mohammedia, Université Hassan II- Casablanca, Casablanca, Maroc. .,Laboratoire d'Agroalimentaire et Santé, Département de biologie, Faculté des Sciences et Techniques, Université Hassan I, Settat, Maroc.
| | - Barthelemy Mabika Mabika
- Département d'Anatomie et de Cytologie pathologiques, Faculté de Médecine et des Sciences de la Santé, Université des Sciences de la Santé, Libreville, Gabon.
| | - Angelique Ndjoyi Mbiguino
- Laboratoire de référence MST/Sida, Laboratoire de référence rougeole, rubéole et fièvre jaune, Département de Bactériologie et Virologie, Faculté de Médecine et des Sciences de la Santé, Université des Sciences de la Santé, Libreville, Gabon.
| | - Mustapha Mouallif
- Laboratoire de Virologie, Microbiologie et Qualité/Eco toxicologie et Biodiversité, Faculté des Sciences et Techniques de Mohammedia, Université Hassan II- Casablanca, Casablanca, Maroc. .,Laboratory of Experimental Pathology, University of Liege, Liege, Belgium.
| | - Abdelkim Khattabi
- Laboratoire d'Agroalimentaire et Santé, Département de biologie, Faculté des Sciences et Techniques, Université Hassan I, Settat, Maroc.
| | - My Mustapha Ennaji
- Laboratoire de Virologie, Microbiologie et Qualité/Eco toxicologie et Biodiversité, Faculté des Sciences et Techniques de Mohammedia, Université Hassan II- Casablanca, Casablanca, Maroc.
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Williams-Brennan L, Gastaldo D, Cole DC, Paszat L. Social determinants of health associated with cervical cancer screening among women living in developing countries: a scoping review. Arch Gynecol Obstet 2012; 286:1487-505. [DOI: 10.1007/s00404-012-2575-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Accepted: 09/13/2012] [Indexed: 12/01/2022]
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Kesic V, Poljak M, Rogovskaya S. Cervical Cancer Burden and Prevention Activities in Europe. Cancer Epidemiol Biomarkers Prev 2012; 21:1423-33. [DOI: 10.1158/1055-9965.epi-12-0181] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Esin MN, Bulduk S, Ardic A. Beliefs about cervical cancer screening among Turkish married women. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2011; 26:510-515. [PMID: 21336699 DOI: 10.1007/s13187-011-0198-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Cervical cancer can be prevented by having a Pap test aiming for early screening. This study was planned to determine the beliefs of women about cervical cancer and the influencing factors. The cross-sectional study was conducted in Sarıyer, one of the most densely populated districts of Istanbul, which is the most crowded city in Turkey. This study sample included 300 women receiving training at public education centers. The data for the study were collected with "HBM-based scale" developed by Bryd et al. upon the basis of health belief model. The mean of the women's ages was determined as 33.9 ± 10.6. Considering the beliefs of the women who haven't had a Pap test about cervical cancer, it was determined that 75.7% of the women participating in the survey thought "I am not at risk for cervical cancer". Logistic regression analysis was carried out in order to find out the most decisive variable among the reasons for not having a Pap test, and it was determined that the factors stated as "I don't know where I could go if I wanted a Pap test" was a four times factor. This study demonstrated that the main determinant factor affecting CCS behaviors of married women is beliefs. It is considered that the results from this study could be basic data for cervical cancer early screening and educational programs.
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Affiliation(s)
- Melek Nihal Esin
- Department of Community Health Nursing, Florence Nightingale School of Nursing, Istanbul University, Istanbul, Turkey.
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Matejic B, Vukovic D, Pekmezovic T, Kesic V, Markovic M. Determinants of preventive health behavior in relation to cervical cancer screening among the female population of Belgrade. HEALTH EDUCATION RESEARCH 2011; 26:201-211. [PMID: 21273186 DOI: 10.1093/her/cyq081] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Identifying the factors that deter or stimulate the women to participate in screening activities is very important in order to design effective education and motivation strategies, particularly in the countries without an organized system. The study employed a case-control design. The participants were recruited in four primary health care institutions in Belgrade over a month. The study group comprised all women aged 18-70 years, who demonstrated an initiative for a PAP- smear. The controls were women with no Pap smears within the last 4 years, matched by age (±2 years), education and marital status with the study group participants. The study instrument was the 62-item self-administered questionnaire. According to multivariate analysis, adherence to cervical cancer screening practices is significantly related to better financial status [odds ratio (OR) = 10.8, P = 0.001], no gender preference for a gynecologist (OR = 3.1, P = 0.015), consultations with a gynecologist (OR = 4.7, P = 0.029), conversation with the women with cervical cancer about that disease (OR = 2.8, P = 0.029) and higher media exposure to information about cervical cancer prevention (OR = 5.0, P = 0.004). Open communication, social networks and improving social-economic status of women in our society are the most prominent factors, most of which are mainly outside the health services' domain and require multisectoral collaboration to improve women's reproductive health.
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Affiliation(s)
- Bojana Matejic
- Institute of social medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
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Paçarada M, Lulaj S, Kongjeli G, Kongjeli N, Qavdarbasha H. Factors associated with pathologic colposcopic and cytologic changes in 500 clinically asymptomatic women. Int J Gynaecol Obstet 2009; 108:7-11. [DOI: 10.1016/j.ijgo.2009.08.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2009] [Revised: 07/04/2009] [Accepted: 08/20/2009] [Indexed: 10/20/2022]
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Kietpeerakool C, Phianmongkhol Y, Jitvatcharanun K, Siriratwatakul U, Srisomboon J. Knowledge, awareness, and attitudes of female sex workers toward HPV infection, cervical cancer, and cervical smears in Thailand. Int J Gynaecol Obstet 2009; 107:216-9. [PMID: 19716556 DOI: 10.1016/j.ijgo.2009.07.023] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2009] [Revised: 06/29/2009] [Accepted: 07/20/2009] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To determine the knowledge, attitudes, and awareness of female sex workers (FSWs) regarding cervical cancer and its prevention in Thailand. METHOD From August through November 2008, 402 consecutive FSWs were recruited for interviews. RESULTS The mean knowledge score was 4.9 (maximum possible, 15; range, 0-14). Approximately 60% of the FSWs had knowledge scores less than 5. Low education and a lack of health insurance were significant independent predictors of low knowledge scores (adjusted odds ratios, 3.17 and 1.97, respectively). More than half of the FSWs were unaware of being at higher risk for HPV infection or of the possible consequences of HPV infection. The negative attitude regarding cervical screening was caused by the fear of abnormal results (27.9%), experiencing pain (18.4%), and embarrassment (14.7%). CONCLUSION The knowledge and awareness of HPV infection, cervical cancer, and utility of cervical smears is low among FSWs in Thailand. Designing and implementing effective interventions is crucial and merits attention in future research.
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Affiliation(s)
- Chumnan Kietpeerakool
- Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
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Novaes HMD, Braga PE, Schout D. Fatores associados à realização de exames preventivos para câncer nas mulheres brasileiras, PNAD 2003. CIENCIA & SAUDE COLETIVA 2006. [DOI: 10.1590/s1413-81232006000400023] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Estudar fatores associados à realização dos exames Papanicolaou e mamografia por mulheres brasileiras. Foram analisadas informações sobre mulheres com 25 anos ou mais, no suplemento Saúde da Pesquisa Nacional de Amostras Domiciliares (PNAD) do IBGE 2003, de realização de Papanicolaou nos últimos 5 anos e mamografia nos últimos 2 anos, sua prevalência por variáveis demográficas, socioeconômicas e saúde, acesso e utilização de serviços de saúde. Foram realizadas análise estatística bivariada e regressão logística para os dois procedimentos. A prevalência para Papanicolaou foi 75,5% e mamografia 36,1%. A regressão logística mostrou como principais fatores preditivos para Papanicolaou: ter filhos, consulta médica no último ano, renda elevada, médio a alto grau de escolaridade, ter plano de saúde e morar em zona urbana. Para mamografia mostraram-se fatores preditivos importantes: distribuição etária (40-59 anos), consulta médica no último ano, morar em zona urbana, renda elevada e ter plano de saúde. No Papanicolaou há maior incorporação na assistência, e o acesso à consulta médica fator essencial para a realização do exame. Na mamografia, a prevalência é mais elevada nas faixas etárias recomendadas, perfil diferenciado por acesso à consulta médica e condição socioeconômica, e muitos exames em mulheres em faixas etárias não recomendadas.
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