A community-based education program about cervical cancer improves knowledge and screening behavior in Honduran women

Perkins, Rebecca B.; Langrish, Sarah; Stern, Linda Jo; Simon, Carol

doi:10.1590/s1020-49892007000800005

Cited by 31 publications

(35 citation statements)

References 18 publications

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“…Section 2 was used to assess baseline knowledge about cervical cancer prevention and awareness of HPV and HPV vaccination, with the goal of understanding the effects of preexisting ideas on vaccine acceptability. We used our previously validated, four-item survey that contained the following questions 23 : What is the purpose of the Pap smear? What causes cervical cancer?…”

Section: Survey Instrument: Content and Administrationmentioning

confidence: 99%

Maternal Support for Human Papillomavirus Vaccination in Honduras

Perkins

Langrish²,

Cotton

et al. 2011

Journal of Women's Health

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Background: Cervical cancer is a leading cause of cancer death for women in Latin America, and vaccinating against human papillomavirus (HPV) has the potential to limit this disease. We sought to determine Honduran women's awareness of HPV vaccination and interest in vaccinating their daughters against HPV. Methods: We interviewed mothers aged !17 at primary care clinics in Honduras. First, we collected demographic information and assessed knowledge related to cervical cancer prevention and awareness of HPV and HPV vaccination. Because most participants were not familiar with HPV, education about the relationships among HPV, sexual activity, and cervical cancer was provided before we asked participants if they would accept HPV vaccination for a 9-year-old daughter. We used multivariable logistic regression to determine predictors of vaccine acceptance. Results: We interviewed 632 mothers. Only 13% had heard of HPV vaccination before the interview. After education, 91% would accept HPV vaccination for a 9-year-old daughter. Mothers who intended to vaccinate knew more at baseline about cervical cancer prevention than did those who did not endorse vaccination. Demographic characteristics did not predict vaccine acceptance. Conclusions: Few Honduran mothers were aware of HPV or HPV vaccination. However, most Honduran mothers would accept HPV vaccination for their daughters after receiving education about the relationship between HPV infection and cervical cancer. Baseline cervical cancer knowledge was associated with vaccine acceptance.

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Section: Survey Instrument: Content and Administrationmentioning

confidence: 99%

Maternal Support for Human Papillomavirus Vaccination in Honduras

Perkins

Langrish²,

Cotton

et al. 2011

Journal of Women's Health

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“…3 There is very little in the literature regarding cancer screening in developing countries. 5,6 One of the most effective elements of the success of this programme was the participation of the community agents who, because they live in the poor neighborhoods, better understand the women's message. They are also members of the Family Health Programme covering 100 million individuals (or 50.9% of the Brazilian population 7 ).…”

Section: Leo Gm Van Rossummentioning

confidence: 99%

“…In the Netherlands a three-arm randomized comparison of gFOBT, immunochemical FOBT (FIT) and sigmoidoscopy, with 5,000 people invited in each arm, was performed. 6 The (for ineligibility corrected) uptake percentages with confidence intervals (95% CI) were 50% (95% CI 48-51) for gFOBT, 62% (95% CI 60-63) for FIT and 32% (95% CI 31-34) for sigmoidoscopy.…”

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confidence: 95%

Response to Van Rossum

Wardle

Atkin

2011

J Med Screen

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Colorectal cancer screening: uptake of sigmoidoscopy Atkin et al. recently showed that a once-only sigmoidoscopy screening strategy can -in time -result in a colorectal cancer mortality reduction. 1 However, the design of this study did not allow a full interpretation of the actual uptake of sigmoidoscopy. Therefore, in the Journal of Medical Screening, a manuscript and, linked to that, an editorial were published about the uptake of sigmoidoscopy in colorectal cancer screening.2,3 The authors show an uptake of 45%, which might not seem very high, but actually is relatively high for screening with sigmoidoscopy. 4 -6 In the editorial the authors try to relate this uptake of sigmoidoscopy to the uptake of faecal occult blood testing (FOBT) with a guaiac base (gFOBT) in the United Kingdom and come to the conclusion that the uptake is at best only a little lower. However, some remarks should be made in reference to that comparison.First, some method of bias analysis should always be performed in comparative studies -and preferably the best available analysis. A limited bias analysis can be performed qualitatively by comparing both populations separately in their composition and presence of confounders (e.g. gender, age, deprivation). However, the level of scientific certainty of such a qualitative analysis is speculative at best. The best way to compare the uptake of two alternative tests is in a randomized controlled trial.Second, it is usual, and most informative, to compare with the best available other alternative, which in the case of colorectal cancer screening is an immunochemical FOBT. In the Netherlands a three-arm randomized comparison of gFOBT, immunochemical FOBT (FIT) and sigmoidoscopy, with 5,000 people invited in each arm, was performed.6 The (for ineligibility corrected) uptake percentages with confidence intervals (95% CI) were 50% (95% CI 48-51) for gFOBT, 62% (95% CI 60-63) for FIT and 32% (95% CI 31-34) for sigmoidoscopy.There is some debate about the performance of the sigmoidoscopy compared with the FIT where detection rates for colorectal cancer (and precancerous lesions) are concerned (at least in the subjects that do participate). However, the sigmoidoscopy screening is performed as a once-only strategy, where the FIT, similar to the UK gFOBT strategy, is usually repeated biennially, resulting in a cumulative sensitivity and the ability to detect incident cases as well as prevalent cases. Leo GM van Rossum Response to van RossumWe recently published results of a community-based study in which unselected men and women aged 58 or 59 years, living in the ethnically mixed London boroughs of Brent and Harrow, were invited to have flexible sigmoidoscopy (FS) screening performed by a nurse. 1 Uptake rates were around 45%, which we noted was similar to uptake of the guaiac faecal occult blood test (gFOBT) used in the English Bowel Cancer Screening Programme (BCSP) in the same areas of London. Van Rossum 2 questions the validity of our comparison of uptake rates since the data were not acquire...

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“…Ressaltam, também, a favorável penetrabilidade desse veículo nas populações, sobretudo nas camadas mais pobres, permitindo melhorias significativas no processo ensino-aprendizagem (RODRIGUES et al, 2012;PRADO et al, 2011;PRADO, 2007;JURBERG;MACCHIUTE, 2007;PERKINS et al, 2007;CABRERA-PIVARAL et al, 2002;ALBUQUERQUE;STOTZ, 2004;MATOS;MENEGUETTI;GOMES, 2009;MERHY, 2011).…”

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"Alô, Doutor!": estudo-piloto de intervenção radiofônica de Educação em Saúde desenvolvida em uma área rural de Minas Gerais

Gazzinelli

Colares²,

Bernardino

et al. 2013

Physis

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Resumo: O objetivo do estudo foi analisar os efeitos de um Programa de Educação em Saúde desenvolvido por graduandos de medicina, com o emprego do rádio sobre a construção de conhecimentos por parte dos ouvintes residentes em um município do interior de Minas Gerais. Tratase de estudo intervencional, com delineamento longitudinal e abordagem quantitativa, realizado na cidade de Gouveia, situada na região centrosul do Vale do Jequitinhonha, Minas Gerais, Brasil. Verificou-se que os participantes do estudo conhecem vários aspectos sobre dengue, parasitoses, DST/HIV/Aids, bem como sobre os efeitos do uso do álcool e do tabaco. Denotou-se, igualmente, que o programa de rádio desempenhou papel importante nas aprendizagens relacionadas aos agravos abordados, expandindo significativamente o percentual de acertos das questões expostas. As considerações elucidadas apontam que a utilização de estratégias educativas legitimadas no cenário vivencial da população e pautadas em uma relação dialógica é essencial para a reconstrução de saberes fundamentada nos conhecimentos prévios dos educandos. Palavras-chave: educação em saúde; rádio; dengue; doenças parasitárias; doenças sexualmente transmissíveis.

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A community-based education program about cervical cancer improves knowledge and screening behavior in Honduran women

Abstract: In developing countries, inexpensive, community-based educational programs using radio broadcasts and lecture presentations can increase cervical cancer knowledge and improve screening behavior.

Cited by 31 publications

References 18 publications

Maternal Support for Human Papillomavirus Vaccination in Honduras

Maternal Support for Human Papillomavirus Vaccination in Honduras

Response to Van Rossum

"Alô, Doutor!": estudo-piloto de intervenção radiofônica de Educação em Saúde desenvolvida em uma área rural de Minas Gerais

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