Predictors of uptake of cervical cancer screening among women in Urban Tanzania: community-based cross-sectional study

Mboineki, Joanes Faustine; Wang, Panpan; Dhakal, Kamala; Getu, Mikiyas Amare; Millanzi, Walter Cleophance; Chen, Changying

doi:10.1007/s00038-020-01515-y

Cited by 8 publications

(12 citation statements)

References 25 publications

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“…The details of the cross-sectional study can be accessed. 39 The training manual of CHWs and navigation manual of COMW contained the content to be covered, participant recruitment procedures, guidance for facilitators, and how PLNav was delivered.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

et al. 2022

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Background Even though the government’s priorities in preventing cervical cancer are implemented in urban areas, the screening rate remains unsatisfactory at 6%, compared to 70% recommended by the world health organization. The ongoing public health education has not resulted in sufficient screening rates. The study aims to assess peer-led navigation (PLNav) in promoting cervical cancer screening knowledge, intention, and practices among urban women in Tanzania. Since PLNav is the form of task shifting, it involves delegating cervical-cancer-related tasks from healthcare professionals to community health workers (CHWs). Methods It is a community-based randomized controlled trial conducted in Dar es Salaam in Tanzania March-Sept 2020. The PLNav involved the CHWs delivering health education, counselling and navigation assistance to community women (COMW). The CHWs help women who have never undergone cervical cancer screening (CCS) and those who have undergone CCS but with a precancerous cervical lesion to overcome screening barriers. The data related to PLNav were analyzed by descriptive statistics, an independent-samples t-test, repeated measures ANOVA and linear regression. Results The repeated measures ANOVA across time showed that PLNav intervention on mean knowledge score changes was statistically significant in the intervention group compared with the control group’s usual care, [F (1, 43) = 56.9, P < .001]. At the six-month follow-up, 32 (72.7%) out of 44 participants from the intervention group had screened for cervical cancer, and only one participant (2.3%) from the control group screened. The PLNav intervention on CCS uptake changes was statistically significant in the intervention group compared with usual care in the control group [F (1, 43) = 100.4, P < .001]. The effect of time on CCS uptake in the intervention and control groups was statistically significant [F (1.64, 70.62) = 73.4, P < .001]. Conclusion Peer-led navigation (PLNav) was effective in promoting cervical cancer screening knowledge, intention, and uptake.

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Section: Methodsmentioning

confidence: 99%

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

et al. 2022

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“…In particular, embarrassment, shame, discomfort, and fear represent the most cited barriers to screening uptake. 39,46,47,54,[56][57][58][59][60][61][62][63][64][65][66][67] Furthermore, for colorectal cancer screening only, also disgust and worries about completing the faecal occult blood test (FOBt) incorrectly are additional barriers that should be carefully addressed. 68 Still considering the factor under the label "fears", some studies highlight those fears related to the screening in itself, namely fears related to the unknown procedure, 62,64 previous negative experiences, 66 test pain, 57,61 perceived mistrust in providers' confidentiality 63 and in the safety of the screening procedure.…”

Section: Emotionsmentioning

confidence: 99%

“…67 However, nearly all the studies emphasize those "fears for the results", since many people consider cancer as a "deadly" diagnosis. 39,47,57,[61][62][63][64][65][66][67] In particular, when asked to think/recall about barriers to screening, some people often report future fears related to cancer diagnosis (e.g., fear of suffering, changes in appearance, and death). 69 Furthermore, research suggests that unwillingness to screen is also linked to fears about the impact of a potential cancer diagnosis on relationships, that is, losing friends/job, being stigmatized and isolated by the society and even by own family.…”

Section: Emotionsmentioning

confidence: 99%

“…Conversely, people possessing fatalism are more likely to perceive greater barriers for screening and, accordingly, less likely to accomplish health recommendations. 46,82,87 In the same direction, the presence of procrastination, addressed by studies reporting "lack of time", "difficulties in planning appointment", "forgetfulness", and "other priorities" as barriers 24,29,39,58,59,62,64,65,88 is associated with notable low rates of screening participation.…”

Section: Individual Characteristicsmentioning

confidence: 99%

“…Research highlights the significant role played by trusted community members (e.g., promotoras for Latino community; Imam; health ambassadors), who received a tailored training on health promotion practices, in significantly enhancing screening adherence through language-specific group educational sessions in familiar settings. 39,65,[106][107][108][109] Nevertheless, the relational dimension may also entail potential shadows, in particular concerning cancer stigma and shame. 21,24,26,61,75 This can be expressed, for example, through the idea of personal responsibility (i.e., people with cancer are to blame for their condition), and the avoidance/expression of uncomfortable feelings when around someone with cancer.…”

Section: Vallone Et Almentioning

confidence: 99%

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Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

et al. 2022

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Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

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Predictors of intention to receive cervical cancer screening among commercial sex workers in Gondar city, northwest Ethiopia: application of the theory of planned behavior

2022

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Background Cervical cancer is a global public health problem & is the fourth leading cause of cancer morbidity and mortality. Abnormal cervical lesion is common in commercial sex workers and is at a higher risk of developing cervical cancer due to multiple sexual partners besides other factors. Intention is an important predictor of behavior and is an initiative to transform their desire into action. Therefore, this study aimed to assess the predictors of intention to receive cervical cancer screening among commercial sex workers in Gondar city, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from March 27 to May 25, 2021, in Gondar city, northwest Ethiopia. A total of 425 commercial sex workers selected using convenience sampling techniques were included in the study. Linear regression with robust standard errors was carried out to identify predictors of intention to receive cervical cancer screening. A 95% confidence interval and a p-value of less than 0.05 were used to declare statistical significance. Results A total of 393 commercial sex workers participated in the study with a response rate of 92.4%. The mean age of the participants was 27.68 ± 6.62. The median (interquartile range) of intention was 4 (3–4.25). The theory of planned behaviour variables explained 38.51% of the variance in intention to receive cervical cancer screening. Direct subjective norm (β = 0.09), 95% CI (0.05, 0.13)), direct Attitude (β = 0.09, 95% CI (0.04, 0.13)), past behaviour (β = 0.27; 95% CI (0.09, 0.46), and positive HIV status (β = 0.26; 95% CI (0.06, 0.46) were significant predictors of intention. Conclusions Commercial sex workers' intention to undergo cervical cancer screening was high. The theory of planned behavior showed adequate utility in predicting commercial sex workers’ intention to receive cervical cancer screening. Participant’s attitudes, subjective norm, past behavior, and positive HIV status were important factors affecting their intention to receive cervical cancer screening. Thus, interventions aimed at enhancing commercial sex workers’ cervical cancer screening behavior should target creating positive social pressure and attitudinal change towards cervical cancer screening.

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Predictors of uptake of cervical cancer screening among women in Urban Tanzania: community-based cross-sectional study

Cited by 8 publications

References 25 publications

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

Predictors of intention to receive cervical cancer screening among commercial sex workers in Gondar city, northwest Ethiopia: application of the theory of planned behavior

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