Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria

Abiodun, Olumide; Olu-Abiodun, Oluwatosin; Sotunsa, John; Oluwole, F A

doi:10.1186/1471-2458-14-814

Cited by 157 publications

(211 citation statements)

References 19 publications

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“…Dehdari, Pirzadeh and Karimi also reported an increase in Pap test use in the intervention groups (Karimi et al, 2012;Pirzadeh et al, 2012;Dehdari et al, 2014). Similarly, Abiodun conducted a study in Nigeria and reported that the rate of Pap test use increased among women after training courses using media, such as video tapes (Abiodun et al, 2014). In our study, 12 cases (5.71%) in the control group also performed Pap test after the intervention, which might have resulted from their sensitivity after completing the study questionnaire.…”

Section: Discussionmentioning

confidence: 60%

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Ghahremani¹,

Harami²,

Kaveh³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 60%

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Ghahremani¹,

Harami²,

Kaveh³

et al. 2016

Asian Pacific Journal of Cancer Prevention

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“…The systematic search returned 3704 unique entries, after duplicates were removed. Screening and application of eligibility criteria produced 19 studies for inclusion in the review [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. Figure 2 shows the results of the study selection process.…”

Section: Study Characteristicsmentioning

confidence: 99%

Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

et al. 2020

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Background: Sub-Saharan Africa (SSA) experiences disproportionate burden of cervical cancer incidence and mortality due in part to low uptake of cervical screening, a strategy for prevention and down-staging of cervical cancer. This scoping review identifies studies of interventions to increase uptake of cervical screening among women in the region and uses the Integrated Behavioral Model (IBM) to describe how interventions might work. Methods: A systematic search of literature was conducted in PubMed, Web of Science, Embase, and CINAHL databases through May 2019. Screening and data charting were performed by two independent reviewers. Intervention studies measuring changes to uptake in screening among women in SSA were included, with no restriction to intervention type, study setting or date, or participant characteristics. Intervention type and implementation strategies were described using behavioral constructs from the IBM.Results: Of the 3704 citations the search produced, 19 studies were selected for inclusion. Most studies were published between 2014 and 2019 (78.9%) and were set in Nigeria (47.4%) and South Africa (26.3%). Studies most often assessed screening with Pap smears (31.6%) and measured uptake as ever screened (42.1%) or screened during the study period (36.8%). Education-based interventions were most common (57.9%) and the IBM construct of knowledge/skills to perform screening was targeted most frequently (68.4%). Willingness to screen was high, before and after intervention. Screening coverage ranged from 1.7 to 99.2% post-intervention, with six studies (31.6%) reporting a significant improvement in screening that achieved ≥60% coverage. (Continued on next page)Conclusions: Educational interventions were largely ineffective, except those that utilized peer or community health educators and mHealth implementation strategies. Two economic incentivization interventions were moderately effective, by acting on participants' instrumental attitudes, but resulted in screening coverage less than 20%. Innovative service delivery, including community-based self-sampling, acted on environmental constraints, striving to make services more available, accessible, and appropriate to women, and were the most effective. This review demonstrates that intent to perform screening may not be the major determinant of screening behavior, suggesting other theoretical frameworks may be needed to more fully understand uptake of cervical screening in sub-Saharan Africa, particularly for health systems change interventions.

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“…Cervical cancer educational strategies have been shown to improve screening in studies which targeted rural populations of sub-Saharan Africa [12-14]. Erku et al describe that the odds of undergoing cervical cancer screening among women who had a comprehensive knowledge on cervical cancer and screening were 2.02 times higher than those who did not in a northwest Ethiopian population [8].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and awareness of cervical cancer in Southwestern Ethiopia is lacking: a descriptive analysis

Saleem

Bekele

Fitzpatrick

et al. 2019

Preprint

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25Purpose 26 Cervical cancer remains the second most common cancer and cancer-related death among 27 women in Ethiopia. This is the first study, to our knowledge, describing the demographic, and 28 clinicopathologic characteristics of cervical cancer cases in a mainly rural, Southwestern 29 Ethiopian population with a low literacy rate to provide data on the cervical cancer burden and 30 help guide future prevention and intervention efforts. 31 32 Methods 33 A descriptive analysis of 154 cervical cancer cases at the Jimma University Teaching Hospital in 34 Southwestern Ethiopia from January 2008 -December 2010 was performed. Demographic and 35 clinical characteristics were obtained from patient questionnaires and cervical punch biopsies 36 were histologically examined. 37 38 Results 39Of the 154 participants with a histopathologic diagnosis of cervical cancer, 95.36% had not heard 40 of cervical cancer and 89.6% were locally advanced at the time of diagnosis. Moreover, 86.4% 41 of participants were illiterate, and 62% lived in a rural area. 42 43 Conclusion 44 A majority of the 154 women with cervical cancer studied at the Jimma University Teaching 45 Hospital in Southwestern Ethiopia were illiterate, had not heard of cervical cancer and had 46 advanced disease at the time of diagnosis. Given the low rates of literacy and knowledge 3 47 regarding cervical cancer in this population which has been shown to correlate with a decreased 48 odds of undergoing screening, future interventions to address the cervical cancer burden here 49 must include an effective educational component. 50 51 Introduction: 52 Cervical cancer pathology and demographic data is lacking from Southwestern Ethiopia. 53 The Jimma University Teaching Hospital (JUTH) is located in the city of Jimma which is 352 54 km southwest of Ethiopia's capital city Addis Ababa and is unique in that it acts as the only 55 teaching and referral hospital in the region, serving a population of 15 million people [1]. 56 Moreover, Jimma is part of the Oromia state which has one of the highest poverty rates (74.9% 57 of the population) and lowest literacy rates in the country (36% of all residents, with 17% of the 58 female residents living in rural settings) [2-3]. Contributory data from this hospital is vital since 59 every year, an estimated 7,095 women are diagnosed with cervical cancer and 4,732 deaths are 60 due to the disease in Ethiopia -it is currently the second most common cause of female cancer 61 deaths in Ethiopia, after breast cancer. 62 Infection with high-risk human papillomavirus (HPV) is the necessary cause of >99% of 63 cervical cancer [4]. Other contributing factors include smoking, total fertility rate, and human 64 immunodeficiency virus (HIV) infection [5]. The knowledge about cervical cancer in Ethiopia 65has been reported to range from 21.2% to 53.7%, with screening rates that ranged from 9.9% to 66 23.5%. Three of these four studies, however, took place in Northern Ethiopia [6][7][8][9]. Though there 67is not yet an organized cervical cance...

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Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria

Cited by 157 publications

References 19 publications

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory

Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model

Knowledge and awareness of cervical cancer in Southwestern Ethiopia is lacking: a descriptive analysis

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