KNOWLEDGE ABOUT CERVICAL CANCER AMONG MARRIED WOMEN ATTENDING PRIMARY HEALTH CARE CENTERS IN DUHOK CITY
Abstract
https://doi.org/10.31386/dmj.2020.4.1.9
Background: Despite the consideration that cervical cancer is a preventable cancer, it still known as one of the most common cancers among women worldwide. It kills about 270,000 women every year, and 85% of these deaths occur in less-developed regions. Cervical cancer is an important public health problem in developing countries due to lack of knowledge about the disease and its risk factors with poor access to preventive services. Early detection of it is performed by a medical screening procedure Pap smear.
Objectives: The present study aimed to assess the knowledge about cervical cancer and its association with the socio-demographic characteristics among married women attending primary health care centers (PHCCs) in Duhok city.
Materials and Methods: A cross sectional descriptive study was conducted among 400 women in the PHCCs from 7th of April- 30thof May 2015, through direct interview with them by using a structured questionnaire to gather the data related to the knowledge concerning cervical cancer.
Results: Among all women who were interviewed, 57.2% heard about cervical cancer and only (25%) of them had good knowledge about it, while 35.9% heard of Pap smear and the good knowledge in 7.3%, the main reason for doing this test was health provider's advice. The majority of women 71.6% received information about cervical cancer from their friends, or family members among those who had a family history, but only 6.5% of them reported that the internet or T.V as a source of information. Most of them 96.5% did not have a family history of this cancer and less than half of them 48.8% were of medium socioeconomic status. The impact of smoking as a cause was 87.3%, while 43.2% considered the early age of marriage was the risk factor. There was a statistically significant association between the women's knowledge about cervical cancer and their occupations (P= 0.03).
Conclusions: The majority of women had low knowledge about cervical cancer and Pap smear. Effective media and providing health education are required to improve the level of awareness toward them.
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References
2. Elfström KM, Herweijer E, Sundström K, Arnheim-Dahlström L. Current cervical cancer prevention strategies including cervical screening and prophylactic human papillomavirus vaccination: a review CurrOpinOncol 2014; 26 (1): 120–129.
3. Bradford L, Goodman A. Cervical cancer screening and prevention in low-resource settings. ClinObstet Gynecol. 2013; 56(1): 76–87.
4. WHO. Sexual and reproductive health, 2012. www.who.int/reproductive health/topics/cancers/en/ (accessed 16 April 2012).
5. Guidelines for cervical cancer screening. Government of India and WHO Collaborative Program. [Last accessed on 2012 Jan 23]. Available from:http://www.whoindia.org/ Link Files/ Cancer_ resource_ Guidelines_ for_ CCSP.pdf .
6. Urasa M, DarjE. Knowledge of cervical cancer and screening practices of nurses at a regional hospital in Tanzania. Afr Health Sci. 2011; 11(1):48– 57.
7. CDC (HPV Vaccines). Centers for Disease Control and Prevention (CDC). Available from: http://www.cdc.gov/vaccines. (Accessed: 26 July 2015).
8. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015; 136: E359–E386. doi: 10.1002/ ijc.29210. [PubMed] [Cross Ref]
9. Iraqi Cancer Board (2012). Results of the Iraqi Cancer Registry 2011. Baghdad, Iraqi Cancer Registry Center, Ministry of Health.
10. Saadoon OZ, Amin RM, Jadoo SA. Factors influencing pap smear practice among primary school teachers in Diyala City, Iraq. MJPHM.2014; 14 (1):19-28.
11. Alwan N, Al-Attar W, Al Mallah N, Abdulla K. Assessing of Knowledge, Attitude and Practices towards Cervical Cancer Screening among a sample of Iraqi Female population. Iraqi Journal of biotechnology. 2017; 16 (2): 38-47.
12. Al Shimmary I. and Al-Alwan N. (2007). Significance of Cervical Cytology (Pap smears) in the Detection of Precancerous Cervical Lesions. J. Fac. Med. Baghdad Univ., 49 (3): 315-322.
13. WHO/ ICO Information Centre on HPV and Cervical Cancer. HPV Information Centre. Human Papillomavirus and Related Cancers in Iraq. [2014 November 29]; http//:www.who.int/hpvcentre. 2014 [Google Scholar].
14. Nahida A. Knowledge, Attitude and Practice on Dengue Fever. Thesis for Master Public Health. College of Public Health Sciences: Chulalongkorn University.
15. Osman MT, Red Hwan A. Al-Naggar and Balsam I. Taha. Knowledge and Awareness of Cervical Cancer Screening among Iraqi Immigrant Women Living in Malaysia. World Journal of MedicalSciences.2013; 8(2): 123-129.
16. Akujobi CN, Ikechebelu JI, Onunkwo I, Onyiaorah IV. Knowledge, attitude and practice of screening for cervical cancer among female students of a tertiary institution in South Eastern Nigeria. Niger J Clin Pract.2008; 11: 216-9
17. Al-Sairafi M, Mohamed FA. Knowledge, attitudes, and practices related to cervical cancer screening among Kuwaiti women. Med Princ Pract.2009; 18: (1) 35-42.
18. Shrestha J, Saha R, Tripathi N. Knowledge, Attitude and Practice regarding Cervical Cancer Screening Amongst Women visiting Tertiary Centre in Kathmandu, Nepal. Nepal J of Med Sci.2013; 2(2):85-90.
19. Roy B, Tang TS. Cervical cancer screening in Kolkata, India: beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. J Cancer Educ.2008; 23:253-9.
20. Sothy Touchand Jin-Kyoung Oh. Knowledge, attitudes, and practices toward cervical cancer prevention among women in Kampong Speu Province, Cambodia, BMC Cancer. 2018; 18: 294.
21. Alwan, N.; Al-Attar, W.; Eliessa, R.; AlMidfaei, Z. and Nidhal, F. (2012). Knowledge, Attitude and Practice regarding Breast Cancer and Breast Self-Examination among a Sample of the Educated Population in Iraq. Eastern Mediterranean Health Journal, WHO, EMRO, 18 (4): 337-345.
22. Harsha H N, Tanya S. A Study on Knowledge and Screening for Cervical Cancer among Women in Mangalore City. Ann Med HealthSci Res.2014;4(5):751-756.
23. Tchounga BK, Jaquet A, Coffee PA, Horo A,Sauvaget C, Adoubi I, et al. Cervical cancer prevention in reproductive health services: knowledge, attitudes and practices of midwives in Côte d’Ivoire, West Africa. BMC Health Services Research. 2014; 14:165.
24. Onsuz MF, Hidiroglu S, Sarioz A, Metintas S, Karavus M. Knowledge, Attitudes and Behaviors of Women Over 20 Years Old on Cervix Cancer in Istanbul, Turkey. Asian Pac J Cancer Prev.2014; 15(20): 8801-7.
25. Al-Meer FM, Aseel MT, Al-Khalaf J, Al-Kuwari MG, Ismail MFS. Knowledge, attitude and practices regarding cervical cancer and screening among women visiting primary health care in Qatar. EMHJ.2011; 17(11): 855-61.
26. Hwaid AH. Knowledge and Awareness of Papillomavirus and Cervical Cancer among College Students and Health Care Workers Women in Diyala, Iraq. AHPHR. 2013; 8: 221-225.
27. Ali SF, Ayub S, Manzoor NF, Azim S, Afif M, Akhtar Net al. Knowledge and awareness about cervical cancer and its prevention amongst interns and nursing staff in Tertiary Care Hospitals in Karachi, Pakistan. 2010; 5(6): e11059
28. Adams EK, Breen N. Joski P J, Impact of the National Breast and Cervical Cancer Early Detection Program on mammography and pap test utilization among white, Hispanic, and African American women: 1996–2000. Cancer.2007; 109: 348–358.
29. Hoque M, Hoque E, Kader SB. Evaluation of cervical cancer screening program at a rural community of South Africa. East Afr J Public Health. 2008; 5(2):111-6.
30. Goyal A, Vaishnav G, Shrivastava A, Verma R, Modi A. Knowledge, Attitude and practices about cervical cancer and screening among nursing staff in a teaching hospital. Int J Med Sci Public Health. 2013; 2: 249–53.
31. Moreira ED Jr, Oliveira BG, Ferraz FM, Costa S, Costa Filho JO, Karic G. Knowledge and Attitudes about human papillomavirus, Pap smears, and cervical cancer among young women in Brazil: implications for health education and prevention. Int J Gynecol Cancer. 2006 ;16:599–603.
32. Al-Naggar RA, Chen R. Practice and Barriers towards Cervical Cancer Screening Among University Staff at a Malaysian University. J Community Med Health Edu.2012; 2(1):1-7.
33. Gamaarra CJ, Valente JG, Silva GA . Correction for reported cervical cancer mortality data in Brazil 1996-2005. Rev Saude Publica.2010; 44:629-38.
