Cervical Cancer Screening and Prevention: An Analysis of Beliefs and Predictors of Knowledge, Attitude and Practice in Northern India

Zutshi, Vijay; Dankher, Supriya; Malik, Aarzoo

doi:10.1007/s40944-017-0160-y

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…We observed that a majority of workers were aware that uterine cervix may develop cancer (277, 95.5%). Prevalence of knowledge for risk factors, symptoms, and screening was higher compared with previous Indian studies done in general population[181920] but comparable to studies done on community health workers in Haiti[21] and Ethiopia. [22] In our study, nearly one-third had poor knowledge especially for screening.…”

Section: Discussionsupporting

confidence: 74%

“…[22] In our study, nearly one-third had poor knowledge especially for screening. Awareness for screening was higher when compared with the Indian community and facility-based studies done on general population[181920] but much lower compared with Indian studies done on healthcare providers with higher qualifications such as staff nurses[23] and community health workers of other South-East Asian country. [24]…”

Section: Discussionmentioning

confidence: 99%

“…Our finding was comparable to many Indian-based studies on general female population and to other community health worker–based studies in other countries. [182021222324] Despite two-third of the participants having moderate to good knowledge and a majority having positive attitude for screening, still just 8% had undergone screening reflecting a gap between perception and practice. This could be partly due to poor knowledge on screening and other reasons which are barriers to screening.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India

Khanna

Khargekar

Budukh

2019

J Family Med Prim Care

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Context: Cervical cancer is most common type of cancer in women of rural India. More than 60-70% of cancers are diagnosed in later stages with poor survival rate. Screening helps in early detection of cervical cancer and better survival. Awareness and attitude of women towards cervical cancer screening may determine health-seeking behavior. As per operational framework of cancer screening in India, community health workers will be key mobilizers for encouraging women to undergo cervical cancer screening. Aim: This study aims to assess the knowledge, attitude and practice (KAP) of cervical cancer and its screening amongst community health workers of Varanasi district, Uttar Pradesh. Settings and Design: Descriptive, cross-sectional study was done to assess the socio demographic profile and KAP for cervical cancer and its screening of community health workers. Scoring for awareness and attitude for cervical cancer screening was done. Statistical Analysis Used: Descriptive statistics such as mean±SD, frequency and proportion were used for socio-demographic data and KAP of study population. Determinants of knowledge and practice for screening was determined using Chi-square test. P value < 0.05 was considered statistically significant. Results: We observed that despite of good knowledge and perception less than 10 percent of workers have undergone screening. Significant association was seen between level of knowledge and practice of screening. Conclusion: It is of utmost importance that narrowing of existing gap between the perception and practice of cervical cancer screening should be initiated through introducing more educational programs for workers and encouraging them to participate in screening campaigns.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India

Khanna

Khargekar

Budukh

2019

J Family Med Prim Care

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“…Similarly, Ismail H et al reported that only 9% women were attending gynecology clinics for their annual gynecological examination and only 13.7% of women had Pap smear done in their life [ 11 ]. Findings of a study from India were no different where although 58.6% knew about the availability of screening tests, only 3% had opted for a Pap smear [ 12 ]. These are alarmingly low rates of screening statistics among women of a region in which cervical cancer prevalence appears to be clearly dominant.…”

Section: Discussionmentioning

confidence: 99%

“…This is an expected result since access to health care is depleted in low socioeconomic countries like Pakistan. Likewise, almost all the women in an Indian study showed willingness to get vaccination against HPV, if it was provided free of cost [ 12 ]. This goes on to show how important a role easy access to health-care can play to help prevent deadly disease like cervical cancer.…”

Section: Discussionmentioning

confidence: 99%

Awareness Regarding Pap Smear Among Female University Students of Karachi: A Cross-sectional Survey

Khan

Zafar

Muneer

et al. 2018

Cureus

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Objective: To determine the knowledge and practices regarding Papanicolaou (Pap) smear test among female university students of Karachi.Method: This cross-sectional study was carried out among 491 female university students of Karachi. Participants were selected by random sampling between the ages of 18 to 30 years; from different universities namely Dow University of Health Sciences (DUHS), Jinnah Sindh Medical University (JSMU), and Institute of Business administration (IBA). Pearson chi-square test and Mann-Whitney U tests were applied as the primary statistical methods.Results: Out of 491 participants, three-quarters of the participants knew about the Pap smear test. However, only 1.6% had undergone the procedure. Age, socioeconomic status (SES), and medical background all had a significant relationship with the awareness of Pap smear test. One-third of the females in the study blamed lack of knowledge as the major reason for not getting a Pap smear while another third blamed the lack of recommendation by health care professionals.Conclusion: According to our study, female undergraduate students of Karachi have insufficient knowledge and exposure to Pap smear, a screening test that could decrease the burden of cervical cancer among the female population of our country. Further research is required to assess the severity of the problem and consequently strategize to control it.

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A scoping review of evidence on routine cervical cancer screening in South Asia: investigating factors affecting adoption and implementation

Rajkhowa,

Mathew,

Fadra

et al. 2024

Cancer Causes Control

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Need Cervical cancer is a major global public health issue, particularly affecting low and middle-income countries, distinctly in the South Asian region. This geographical region lacks a well-organized routine cervical screening program. Consequently, this scoping review aimed to investigate the evidence on factors influencing the adoption and implementation of routine cervical cancer screening in South Asia. Methods Adopting the “Arksey and O’Malley and Levac et al.” methodology, databases such as PubMed, CINAHL, Web of Science, and Scopus were scrutinized in the pursuit of relevant studies. Subsequently, the collected data were synthesized by adopting the Consolidated Framework for Implementation Research (CFIR) model. Results A total of 837 records were initially identified and screened for eligibility, including 55 studies. The successful adoption and implementation of cervical cancer screening in South Asia encounter numerous obstacles within the health system, including the absence of a comprehensive program protocol for screening, inadequate health infrastructure, and the presence of multiple sociocultural factors, such as social stigma, low levels of education, and concerns related to modesty. Conclusion To optimize adoption and implementation, it is imperative to construct a customized policy framework that incorporates a risk communication strategy tailored to the specific contexts of these nations. Drawing insights from the experiences of South Asian countries in executing cervical cancer screening programs can inform the formulation of policies for similar healthcare initiatives aimed at facilitating the expansion of HPV vaccination efforts.

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Cervical Cancer Screening and Prevention: An Analysis of Beliefs and Predictors of Knowledge, Attitude and Practice in Northern India

Cited by 8 publications

References 9 publications

Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India

Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India

Awareness Regarding Pap Smear Among Female University Students of Karachi: A Cross-sectional Survey

A scoping review of evidence on routine cervical cancer screening in South Asia: investigating factors affecting adoption and implementation

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