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 7 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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Knowledge, attitude, and practice on screening toward cervical cancer among health professionals in India—A review

Chawla

Taneja

Awasthi

et al. 2021

Womens Health (Lond Engl)

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Background: Globally, 570,000 cases of cervical cancer and 311,000 deaths from the disease occurred in 2018. Cervical cancer is the fourth most common cancer in women. About 96,922 new cervical cancer cases are diagnosed annually in India. Objective: To summarize the knowledge, attitude, and practice toward screening of cervical cancer among health professionals in India. Materials and methods: Health sciences electronic databases PubMed and Google Scholar were searched for studies published between 2012 and March 2020. Keywords used for the search were (“CERVICAL CANCER”), (“SCREENING”), (“KNOWLEDGE”), (“ATTITUDE”), (“PRACTICE”), (“HEALTH PROFESSIONALS”), AND (“INDIA”). A total of 22 articles were included in the review based on the eligibility criteria. Statistical software SPSS-V.23 was used for the statistical application. Results: A total of 22 studies met the inclusion criteria with total of 6811 health professionals. The age of the study participants ranged from 18 to 60 years. The overall knowledge of cervical cancer among health professionals was 75.15%. The knowledge toward signs and symptoms and risk factors was adequate among health professionals. The knowledge, attitude, and practice toward screening was 86.20%, 85.47%, and 12.70%, respectively. Conclusion: The health professionals have optimum level of knowledge of cervical cancer and knowledge of screening of cervical cancer with appropriate attitude toward screening with low uptake of practice toward screening.

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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 7 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

Knowledge, attitude, and practice on screening toward cervical cancer among health professionals in India—A review

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