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

Saleem, Atif; Bekele, Alemayehu; Fitzpatrick, Megan B.; Mahmoud, Eiman; Lin, Athena W.; Velasco, H. Eduardo; Rashed, Mona M.

doi:10.1371/journal.pone.0215117

Cited by 12 publications

(15 citation statements)

References 23 publications

(27 reference statements)

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“…Two articles [22,23] from Addis Ababa and one article [24] was from Sidama regional state. The number of participants in each included article varied from 154 [25] to 1186 [26]. Overall, this review contains reports of 14,549 study participants.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Low level of knowledge about cervical cancer among Ethiopian women: a systematic review and meta-analysis

Derbie

Mekonnen

Misgan

et al. 2021

Infect Agents Cancer

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Introduction Cervical cancer is one of the leading causes of malignancies among women in Ethiopia. Knowing the disease could empower women to make an informed decision regarding participation with cervical cancer prevention strategies. There is scarcity of compiled data in the field. Therefore, this systematic review aimed to provide an overview of knowledge about cervical cancer among Ethiopian women. Methods We conducted a systematic review of peer-reviewed articles on the knowledge of cervical cancer. Articles were systematically searched using comprehensive search strings from PubMed/Medline, SCOPUS, and grey literature from Google Scholar. Two reviewers assessed study eligibility, extracted data, and the risk of bias independently. Meta-analysis was performed using STATA v 14 to pool the overall knowledge of the women about cervical cancer. Results We included 26 articles published between 2013 and 2020 covering a total of 14,549 participants. All the included articles had good methodological quality. The proportion of participants who had heard of cervical cancer varied from 4.6 to 87.7% with the pooled estimate at 56% (95% CI: 47–66). Similarly, the proportion of participants who knew that HPV is the main cause of cervical cancer lied between 0 and 49.7% with the pooled result at 21% (95% CI: 13–30). Likewise, the pooled prevalence to identify at least one risk factor, one symptom of cervical cancer and ever heard of cervical cancer screening was gauged at 52% (95% CI: 39–64), 43% (95% CI: 26–60), and 39% (95% CI: 24–55), respectively. The overall pooled prevalence of good knowledge about cervical cancer was at 43% (95% CI: 33–53). On top of this, the prevalence of previous screening practice among the participants was at 14% (95% CI: 9–20). Conclusions Knowledge about cervical cancer among Ethiopian women is quite poor. Therefore, health education to provide sufficient and unbiased information about HPV and cervical cancer in general is required to the public.

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…With regard to the HIV status of the study participants, two of the included studies employed all HIV-positive women [27,28]. The other three studies, [24][25][26] reported the proportion of HIV positive women at 5.5%. 8.7 and 22%, respectively.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Low level of knowledge about cervical cancer among Ethiopian women: a systematic review and meta-analysis

Derbie

Mekonnen

Misgan

et al. 2021

Infect Agents Cancer

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“…10,11 Different studies also revealed that knowledge of women about cervical cancer is very low in Ethiopia. [12][13][14][15][16] The majority of respondents in previous studies have heard about cervical cancer, but not more than half of respondents know what causes cervical cancer and the risk factors associated with the disease. 17,18 Women's age, marital status, occupation, educational status, source of information, knowing someone with cervical cancer and health-seeking behavior were found to be associated with cervical cancer knowledge in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

<p>Knowledge of Cervical Cancer and Associated Factors Among Women Attending Public Health Facilities in Eastern Ethiopia</p>

Wakwoya

Gemechu

Dasa

2020

CMAR

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This study was done to assess women's knowledge of cervical cancer and associated factors. Materials and Methods: We conducted a facility-based cross-sectional study in eastern Ethiopia from January 1 to May 30, 2019. A convenient sampling technique was used to include 1181 women in this study. Information on socio-demographic characteristics, sexual history, knowledge and awareness of women was collected using face-to-face interview. The data were cleaned, coded and entered into EPI-info version 3.5.4 and then exported to Statistical Package for Social Science version 23.0 software for analysis. The associations between independent variables and outcome variables were assessed using bivariate and multivariable logistic regressions. The results of these analyses were reported as odds ratios with 95% confidence intervals. We declared statistically significant variables at a p-value less than 0.05. Results: Nearly half (574, 48.6%) of the participants have ever heard about cervical cancer. One hundred and thirty-nine (24.2%) of them did not know any of the risk factors. The majority of them mentioned bleeding after intercourse (329, 57.4%) as a symptom of the disease. Overall knowledge assessment revealed that 288 (55.7%) participants had adequate knowledge about cervical cancer. Participants' age in the range of 40-49 years (AOR: 2.58, 95% CI 1.99-5.57), having educational level above 12th grade (AOR: 12.11, 95% CI 4.57-32.09) and receiving information about the disease from healthcare professionals (AOR: 2.72, 95% CI 1.69-4.37) were independently associated with adequate knowledge of cervical cancer. Conclusion: The knowledge of women towards cervical cancer in our study area was inadequate. The respondents' age, educational status and source of information were independently associated with study participants' knowledge of cervical cancer. Young women with no formal education should get special focus in prevention strategies and we also recommend regular and effective counselling, and education about cervical cancer at health institutions.

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“…Previous research in Ethiopia demonstrated that whilst knowledge and education were low, majority had never attended school neither ever heard of cervical cancer before. 7 The results of analysis on the relationship between several variables showed a significantly increased risk of cervical cancer with a p value under 0.05 (as shown in Table 2). Among those variables were: age at menarche, age at first sexual intercourse, number of sexual partners and parity.…”

Section: Methodsmentioning

confidence: 94%

“…4,5 In poor and developing countries, cervical cancer dominates as the cause of death in women, for example cervical cancer is the second most common cancer and cause of death in Ethiopia. 6,7 In developing countries, cervical cancer ranks seventh as the most commoncancer and accounts up to 3.2% of mortality due to cancer. 8,9 In Indonesia, cervical cancer is the most common cancer in women after breast cancer.…”

Section: Introductionmentioning

confidence: 99%

First sexual intercourse and high parity are the most influential factors of precancerous cervical lesion

Ashar¹,

Kusrini²,

Musoddaq³

et al. 2020

MOG

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Objectives: to analyze the relationship between characteristics, parity and maternal reproductive history with the risk of cervical pre-cancerous lesions.Materials and Methods: Cross Sectional Survey, in 2016 Non-Communicable Disease study, with a population of women aged 25-64 years, living in urban areas. A total of 1,547 samples were selected from the census blocks that were prepared to IVA examination. The variables in this article are maternal characteristics, menarche, age of first sexual intercourse, number of partners, parity and contraceptive use, as independent variables and cervical pre-cancerous lesions as dependent variables.Results: Factors influencing cervical pre-cancerous lesions were: Menarche with a value of P = 0.018; Age of first sexual intercourse with a value of P = 0,000; Number of sexual partners with a value of P = 0.023; and parity with a value of P = 0.049. Multivariate test results show that the age of first time having sex less than 20 years has a 2.3 risk; Mothers with high parity (> 4 children) and having more than one sexual partner have a 16.5 risk.Conclusion: Menarche, age of first sexual intercourse, number of sexual partners and parity affect the incidence of cervical cancerous lesions. The most influential Factors are: the age of first sexual intercourse less than 20 years, and mothers with high parity who have more than one sexual partner.

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

Cited by 12 publications

References 23 publications

Low level of knowledge about cervical cancer among Ethiopian women: a systematic review and meta-analysis

Low level of knowledge about cervical cancer among Ethiopian women: a systematic review and meta-analysis

<p>Knowledge of Cervical Cancer and Associated Factors Among Women Attending Public Health Facilities in Eastern Ethiopia</p>

First sexual intercourse and high parity are the most influential factors of precancerous cervical lesion

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