Cervical cancer screening: Women's knowledge, attitudes, and practices in the region of Monastir (Tunisia)

Mhamdi, Sana El; Bouanène, Inès; Mhirsi, Amel; Bouden, W.; Soltani, M.S.

doi:10.1016/j.respe.2012.03.009

Cited by 9 publications

(10 citation statements)

References 19 publications

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“…In general, the women who participated in this study showed poor knowledge of the major symptoms and risk factors of cervical cancer. This result is similar to that reported by many other studies conducted in Arabic countries (El Mhamdi, Bouanene, Mhirsi, Bouden & Soltani, ; El‐Hammasi et al., ; Maaita & Barakat, ; Shaltout et al., ).…”

Section: Discussionsupporting

confidence: 91%

Awareness of cervical cancer and socio-demographic variations among women in Libya: An exploratory study in Az-Zawiya city

Hweissa

2017

Eur J Cancer Care

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Cervical cancer is still a public health problem worldwide, and almost 80% of cervical cancer cases occur in developing countries. In Libya, cervical cancer ranks as the third most frequent cancer among women. This paper presents the results of a study conducted to assess women's awareness of the symptoms and risk factors of cervical cancer and to identify socio-demographic variations in their level of awareness. A population-based cross-sectional survey was carried out in the city of Az-Zawiya, Libya from 1 January 2014 to 31 August 2014. A total of 412 adult women of the reproductive age (18-50 years) were selected randomly from the population registry. A face-to-face interview was conducted, using a validated Arabic version of the Cervical Cancer Awareness Measure (CAM) questionnaire. More than 63% of respondents were unable to recall any warning signs and 66.7% were unable to recall any risk factors. Respondents scored considerably higher on recognition rather than on recall for both the warning signs and the risk factors of cervical cancer. Recall and recognition of cervical cancer symptoms and risk factors were higher in women who had a higher level of education and who earned a higher income. However, overall awareness of cervical cancer symptoms and risk factors among women in the city Az-Zawiya in Libya was low. The findings underline the need to improve public awareness of cervical cancer and its prevention by using several health promotion strategies. K E Y W O R D Sawareness, cervical CAM, cervical cancer, Libya, socio-demographic variations

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Section: Discussionsupporting

confidence: 91%

Awareness of cervical cancer and socio-demographic variations among women in Libya: An exploratory study in Az-Zawiya city

Hweissa

2017

Eur J Cancer Care

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“…Among these barriers, lack of knowledge and awareness is only one factor, but this one can be addressed by effective educational interventions [ 11 , 41 ]. Low levels of knowledge of CC warning signs were also found by previous studies from the area of the Middle Eastern and North Africa, such as in Tunisia, Kuwait, Jordan, Qatar and Libya [ 27 , 28 , 42 – 44 ]. This may reflect poor health education about CC warning signs in Arab countries and underline the need for establishing continuous educational programs.…”

Section: Discussionmentioning

confidence: 52%

Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study

Elshami

Al‐Slaibi²,

Abukmail

et al. 2021

BMC Public Health

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Background Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. Methods This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women’s knowledge of 12 CC warning signs. Results Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was ‘vaginal bleeding after menopause’ (n = 5028, 71.2%) followed by ‘extreme generalized fatigue’ (n = 4601, 65.2%) and ‘unexplained weight loss’ (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. Conclusion The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women’s awareness of CC warning signs.

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“…A study among HIV-positive Nigerian women showed that cost of the test and religious denial were the most common reasons given for refusal to take the test [11]. Women aged forty-five and greater, having above 12-grade educational level, awareness of cervical cancer and screening services, believed that cervical cancer could be prevented, and believed screening could improve survival were more likely to access cervical screening [15,[20][21][22].…”

Section: Factors Associated With Cervical Cancer Screeningmentioning

confidence: 99%

“…Females who had prior knowledge of cervical cancer screening, the source of information from health professionals, perceived the threat from cervical cancer or seriousness of the disease, and monthly income were associated with cervical cancer screening acceptance [15,16,[20][21][22].…”

Section: Factors Associated With Cervical Cancer Screeningmentioning

confidence: 99%

Cervical Cancer Screening Acceptance among Women in Dabat District, Northwest Ethiopia, 2017: An Institution-Based Cross-Sectional Study

Eshete¹,

Atta

Yeshita

2020

Obstetrics and Gynecology International

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Background. Cervical cancer is a global health problem. It is the second most common cancer in women worldwide, and it is the most frequent form and the leading cause of cancer mortality among Ethiopian women. Cervical cancer screening can reduce at least 50% of cervical cancer deaths. In Ethiopia, practice of cervical cancer screening is below 1%. Hence, this study aimed at assessing cervical cancer screening acceptance and determinant factors among women in Dabat district of Northwest Ethiopia. Methods. A community-based cross-sectional study design was conducted in Dabat district in Northwest Ethiopia, 2016. The multistage sampling method was used to recruit 790 women from the selected rural and urban kebeles. Data were collected using a structured questionnaire. Multivariate logistic regression analysis method was employed to determine factors significantly associated with the acceptance of cervical cancer screening with a 95% CI at p value <0.05. Results. The overall awareness of cervical cancer screening was 12.1% (95% CI: 9.6, 14.5), and 17.1% (95% CI 14.4, 19.8) of them accepted the screening. In multivariate logistic regression analysis, having knowledge about cervical cancer (AOR = 2.6, 95% CI: 1.7, 3.8), parity women who had more children (AOR = 3.1, 95% CI: 1.7, 5.5) and those who perceived the severity of the disease (AOR = 1.9, 95% CI (1.3–3.1)) were statistically significant factors for acceptance of cervical cancer screening. Conclusions. Most of the women had poor awareness and acceptance of cervical cancer screening. The findings also revealed that women of multiparous, knowledge about cervical cancer, and perceived the disease as severe were shown to be significant factors of acceptance for cervical cancer screening. Hence, continuous health education and appropriate counseling to women should be performed.

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Cervical cancer screening: Women's knowledge, attitudes, and practices in the region of Monastir (Tunisia)

Cited by 9 publications

References 19 publications

Awareness of cervical cancer and socio-demographic variations among women in Libya: An exploratory study in Az-Zawiya city

Awareness of cervical cancer and socio-demographic variations among women in Libya: An exploratory study in Az-Zawiya city

Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study

Cervical Cancer Screening Acceptance among Women in Dabat District, Northwest Ethiopia, 2017: An Institution-Based Cross-Sectional Study

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