Awareness of Cervical Cancer and Attitude Toward Human Papillomavirus and Its Vaccine Among Ghanaians

Drokow, Emmanuel Kwateng; Li, Zi; Han, Qian; Effah, Clement Yaw; Agboyibor, Clement; Sasu, Evans; Akpabla, Gloria Selorm; Foli, Francis; Sun, Kai

doi:10.3389/fonc.2020.01651

Cited by 16 publications

(30 citation statements)

References 43 publications

(67 reference statements)

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“…The questionnaires employed in this study is a modified version of the one used in our previous study after it was approved by experts ( 39 ). An advisory committee of two experts in research methodology, gynaecology and obstetrics, and oncology evaluated the questionnaire legitimacy and soundness prior to the pilot test.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

Drokow

Effah

Agboyibor

et al. 2021

Front. Public Health

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Background: Video-based interventions have the potential to contribute to long-lasting improvements in health-seeking behaviours. Ghana's upsurge rate of information and communication technology usage presents an opportunity to improve the awareness of HPV vaccination and screening rates of cervical cancer among women in Ghana. This research aimed to assess the impact of video-based educational intervention centred on the Health Belief and Transtheoretical Models of behavioural changes in promoting HPV vaccination, cervical carcinoma awareness and willingness to have Pap smear test (PST) among women in Ghana.Methods: To achieve the intended sample size, convenient, purposive and stratified random sampling techniques were used. SPSS v. 23.0 was used in the data analysis. Percentages and frequencies were used to represent participants' demographic characteristics, knowledge of (1) cervical carcinoma, (2) human papillomavirus vaccine, and (3) Pap smear test. The chi-square test by McNemar was employed to evaluate variations in the post- and pre-intervention responses. A p-value < 0.05 was considered statistically significant. The level of significance was adjusted owing to multiple comparisons by using the Bonferroni's correction.Results: Before the intervention, 84.2% of the participant had some knowledge or information about cervical cancer, but after the intervention, 100% of the participant became aware of cervical cancer which represents 15.8% increment at a P < .001. The willingness to have a pap smear test increased from 35.8% to 94.2% (df = 58.4%, P < .001) after the educational intervention. The willingness to be vaccinated increased from 47.5% to 81.7% (df = 34.2%, P < .001) after the educational intervention. Six months after the intervention, participants were followed-up. 253 (42.2%) participants had gone for cervical cancer screening (Pap smear test) while 347 (57.8%) participants had not been screened. In terms of HPV vaccination, 192 participants (32.0%) had begun their HPV vaccination cycle.Conclusion: The study results show that health education, using videos, may be influential in perception changing, self-efficacy improvement and the understanding of cervical carcinoma screening and HPV vaccination.

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Section: Methodsmentioning

confidence: 99%

The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

Drokow

Effah

Agboyibor

et al. 2021

Front. Public Health

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“…Before the intervention, 8.9% of students responded that high parity could be a risk factor, and it can be compared with a 12% awareness reported in a study. 41 After the intervention, 44.4% of students indicated that high parity could be a risk factor; however, this score is extremely low compared to research conducted in Ghana, 38 owing to the country’s cultural differences, and high parity is very common.…”

Section: Discussionmentioning

confidence: 85%

“…Before the intervention, only 42.6% of research participants were aware of risk factors, which is low compared to a study conducted in Ghana, which found that 63.8% of participants were aware of cervical cancer risk factors. 38 At the base level, 57.4% of study respondents did not know any risk factors. This score is lower than a study done in Eastern Ethiopia, 24.2%.…”

Section: Discussionmentioning

confidence: 94%

“… 38 The discrepancy could result from information being disseminated via various mass media and the availability of screening programs in Ghana. 38 After an intervention, despite considerable increases of 8.5% to 53% in the number of participants who believed cervical cancer was preventable, 47% still believed cervical cancer was not preventable. This observation is consistent with the research findings conducted in Jamaica.…”

Section: Discussionmentioning

confidence: 99%

“… 46 Awareness and sufficient knowledge on screening and vaccination coupled with effective participation in screening and HPV vaccination, and such observation was reported in multiple studies, including a study conducted in Ghana. 38 …”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Pre- and Post-Educational Intervention Knowledge Levels of HPV and Cervical Cancer Among the Male and Female University Students, Northwest Ethiopia

Indracanti¹,

Berhane²,

Minyamer³

2021

CMAR

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Background Human papillomavirus (HPV) infections are sexually transmitted and most frequently associated with cervical cancer in women, but they are also a public health concern in men. There is rising evidence that HPV’s role in other cancers, such as anal, vulva, vaginal, penis, head, and neck cancers. The present study aimed to understand the factors associated with HPV and cervical cancer knowledge levels of university students before and after an educational intervention. Methods An Institutional-based cross-sectional study was conducted from October to November 2018. A total of 638 study participants were selected using a simple random multistage sampling technique. A pretested questionnaire was used, consolidated the data, and analyzed with SPSS version 23. Bivariate and multivariate logistic regression analyses were performed to identify which variables were associated with the knowledge levels. Results Six hundred thirty-eight study participants with a 100% response rate, and the mean age was 21.07 years (±SD, 1.96). Initial awareness of various broad categories was 4.09, and after the intervention, it increased to 23.4, with an average increase of 19.31 at 99% CI, p≤0.001 significance level. Before the educational intervention, students with <21 years of age [6.16, 95% CI: (2.21–17.18)] and ≤2.5 CGPA [3.44, 95% CI: (1.51–7.81)] were less knowledgeable over other counterparts. After educational intervention, the year of study was significantly associated with increased knowledge of overall and different broad categories of cervical cancer and HPV. Year of study, 1st-year students [AOR: 0.27, 95% CI: (0.14–0.51)] over third years and above are less knowledgeable. First-year students and CGPA ≤2.5 were less improved awareness over others. Conclusion The educational intervention improved more than fourfold increase knowledge on cervical cancer and HPV, and the year of study was a key factor associated with overall improvement. This study suggests that educational intervention effectively strengthens our understanding of the spread of HPV and cervical cancer disease burden.

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Attitudes and knowledge about HPV vaccination among Ghanaian women with cervical cancer

Zurales

Appiah‐Kubi

Bell

et al. 2023

Repro Female Child Health

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Objective To explore knowledge about the human papillomavirus (HPV), HPV vaccination, barriers to vaccination and acceptance of the HPV vaccine in the highest‐risk and most‐impacted population in Ghana. Methods A survey was administered to 100 women with histologically confirmed cervical cancer at a teaching hospital in Ghana. Results Participants had a mean age of 59 (±14.3) years, 65.0% had a parity of five or higher and 89.0% had a monthly income less than 500 Ghana cedis ($63 USD). Seventy‐nine percent of participants had a diagnosis of stage III or greater cervical cancer. Only 8.0% had heard of HPV and 4.0% knew that HPV caused cervical cancer. Fifty‐five percent had not heard of vaccines, in general; of the remainder, the majority endorsed that vaccines, in general, were effective (89.0%) and safe (95.0%). No participants had received the HPV vaccine. After a brief education session, 94% believed the HPV vaccine was effective and 65.0% were categorised as having ‘high vaccine acceptance’ after responding ‘definitely yes’ to recommending the HPV vaccine to female relatives, male relatives and the community. There were no significant differences in demographic variables or cervical cancer disease characteristics between the ‘high vaccine acceptance’ and ‘some vaccine hesitancy’ groups. Conclusion Although women with cervical cancer in Ghana have low awareness of HPV and HPV vaccination, they demonstrate high vaccine acceptability and low hesitancy.

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Awareness of Cervical Cancer and Attitude Toward Human Papillomavirus and Its Vaccine Among Ghanaians

Cited by 16 publications

References 43 publications

The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

The Impact of Video-Based Educational Interventions on Cervical Cancer, Pap Smear and HPV Vaccines

Factors Associated with Pre- and Post-Educational Intervention Knowledge Levels of HPV and Cervical Cancer Among the Male and Female University Students, Northwest Ethiopia

Attitudes and knowledge about HPV vaccination among Ghanaian women with cervical cancer

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