Pathways of cervical cancer screening among Chinese women

Grace, X.; Wang, Ming Qi; Ma, Xiang S; Shive, Steven E.; Tan, Yin; Toubbeh, Jamil I.

doi:10.2147/ijwh.s45405

Cited by 17 publications

(31 citation statements)

References 36 publications

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“…These results are supported by several other studies in Africa and elsewhere [11, 28, 29]. Higher SES is related to education, employment status and residence, all of which were found to be associated with screening in our study.…”

Section: Discussionsupporting

confidence: 92%

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Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

et al. 2015

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Background 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 socio-demographic of participants, history of screening, knowledge of cervical cancer, and attitudes toward cervical screening. Scores were assigned to responses of questions and knowledge and tertites of distributions were used for comparison. A multivariate logistic regression was performed to predict cervical screening. Results Study participants were relatively young (37.5 ± 10.7 years), 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 (OR=2.2; 95% 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 healthcare worker (1.98; 95% CI: 1.06–3.69) and employment (OR=1.9; 95% CI: 1.13–3.11). Conclusion 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-resources countries in Africa.

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Section: Discussionsupporting

confidence: 92%

“…Women’s employment relationship to screening status was demonstrated in a Chinese American study as well [29]. Income level and cost of screening, which is related to a patient’s or a patient’s family’s employment, was found to be an important factor in other studies investigating cervical cancer screening barriers.…”

Section: Discussionmentioning

confidence: 94%

Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

et al. 2015

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“…Acquisition of HPV infection is strongly associated with sexual behavior. The prevalence of HPV increases with number of sexual partners and earlier sexual debut 3. Antibodies to HPV were detected more often in women who had had their first child at age older than 30 years.…”

Section: Discussionmentioning

confidence: 99%

“…Another reason could be the high sensitivity of the enzyme-linked immunosorbent assay that permits detection of the HPV antibody in samples with low HPV antibody which would probably otherwise have been scored as negative for HPV. It has been shown that detection of antibodies to HPV can evaluate the overall HPV infection rate in a population more effectively than HPV DNA 3. In view of this, and because Ahmadu Bello University Teaching Hospital is a referral center where patients from Zaria and its environs are seen, and 40% of the women attending the clinic there have been infected with HPV, this percentage represents the actual seroprevalence of HPV in the state.…”

Section: Discussionmentioning

confidence: 99%

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Seroprevalence of human papillomavirus immunoglobulin G antibodies among women presenting at the reproductive health clinic of a university teaching hospital in Nigeria

Aminu¹,

Gwafan²,

Inabo³

et al. 2014

IJWH

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BackgroundHuman papillomavirus (HPV) is the cause of 90%–95% of squamous cell cancers. Persistent infection with high-risk HPV can lead to development of precancerous lesions of the cervix in 5%–10% of infected women, and can progress to invasive cervical cancer 15–20 years later. This study was conducted to determine the seroprevalence of HPV immunoglobulin G (IgG) antibodies among women of reproductive age attending a reproductive health clinic at Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.MethodsThe study was descriptive, cross-sectional, and experimental, combining the use of a structured questionnaire and analysis of serum samples obtained from 350 consecutive consenting women. The serum samples were analyzed for IgG antibodies to HPV by enzyme-linked immunosorbent assay.ResultsWe found a seroprevalence of 42.9% (150/350) for IgG antibodies to HPV in these women. Women aged 45–49 years and those who had their sexual debut aged 20–23 years had the highest HPV seroprevalence, ie, 50% (57/114) and 51.1% (46/90), respectively. Presence of antibodies varied according to sociodemographic factors, but was significantly associated with educational status, tribe, and religion (P<0.05). Human papillomavirus infection was not significantly associated with the reproductive characteristics and sexual behavior of the women. Antibodies to HPV were detected in 50.0% (9/18) of women with a family history of cervical cancer and in 30.8% (4/13) of those with a history or signs of WHIM (warts, hypogammaglobulinemia, immunodeficiency, myelokathexis) syndrome as a genetic disorder (P>0.05).ConclusionFurther studies are needed to determine the HPV serotypes and evaluate the risk of natural development of HPV-related malignancies among women in the study area.

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Evaluation of a Culturally Tailored Education to Promote Breast and Cervical Cancer Screening Among Chinese-Australian Women

Kwok

Lim

2015

J Canc Educ

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Pathways of cervical cancer screening among Chinese women

Cited by 17 publications

References 36 publications

Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

Seroprevalence of human papillomavirus immunoglobulin G antibodies among women presenting at the reproductive health clinic of a university teaching hospital in Nigeria

Evaluation of a Culturally Tailored Education to Promote Breast and Cervical Cancer Screening Among Chinese-Australian Women

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