Knowledge of Cervical Cancer and Acceptability of Prevention Strategies Among Human Papillomavirus-Vaccinated and Human Papillomavirus-Unvaccinated Adolescent Women in Eldoret, Kenya

Mburu, Anisa; Itsura, Peter; Mabeya, Hillary; Kaaria, Alice; Brown, Darron R.

doi:10.1089/biores.2019.0007

Cited by 16 publications

(19 citation statements)

References 26 publications

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“…Poor evaluations of personal risk to HIV and low self-efficacy about seeking medical help increased the odds for low awareness. However, just like in other studies in Kenya [ 19 , 20 , 35 ], health literacy determined by access to mass media, such as radio, television and newspapers, has a significant impact on knowledge levels of cervical cancer. The lower the engagement and access, the higher the odds for low awareness.…”

Section: Discussionmentioning

confidence: 72%

“…Understanding factors that affect their awareness of cervical cancer would be necessary for specific planning of prevention programs for this age-group. Currently, the majority of programs and research in Kenya target adolescents (9-14 years) [34] and women of the entire reproductive age-group [20,21,35]. The dependent variable was young women's self-reported awareness of cervical cancer.…”

Section: Data Items and Processingmentioning

confidence: 99%

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Biopsychosocial risk factors and knowledge of cervical cancer among young women: A case study from Kenya to inform HPV prevention in Sub-Saharan Africa

et al. 2020

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Background Cervical cancer is the second most common female reproductive cancer after breast cancer with 84% of the cases in developing countries. A high uptake of human papilloma virus (HPV) vaccination and screening, and early diagnosis leads to a reduction of incidence and mortality rates. Yet uptake of screening is low in Sub-Saharan Africa and there is an increasing number of women presenting for treatment with advanced disease. Nine women in their twenties die from cervical cancer in Kenya every day. This paper presents the biopsychosocial risk factors that impact on cervical cancer knowledge among Kenyan women aged 15 to 24 years. The findings will highlight opportunities for early interventions to prevent the worrying prediction of an exponential increase by 50% of cervical cancer incidences in the younger age group by 2034. Methods Data from the 2014 Kenya Demographic and Health Survey (KDHS) was analysed using complex sample logistic regression to assess biopsychosocial risk factors of knowledge of cervical cancer among young women aged 15 to 24 years (n = 5398). Findings Close to one third of the participants were unaware of cervical cancer with no difference between participants aged 15-19 years (n = 2716) and those aged 20-24 years (n = 2691) (OR = 1; CI = 0.69-1.45). Social predisposing factors, such as lack of education; poverty; living further from a health facility; or never having taken a human immunodeficiency virus (HIV) test, were significantly associated with lack of awareness of cervical cancer (p<0.001). Young women who did not know where to obtain condoms had an OR of 2.12 (CI 1.72-2.61) for being unaware of cervical cancer. Psychological risk factors, such as low

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Section: Discussionmentioning

confidence: 72%

Section: Data Items and Processingmentioning

confidence: 99%

Biopsychosocial risk factors and knowledge of cervical cancer among young women: A case study from Kenya to inform HPV prevention in Sub-Saharan Africa

et al. 2020

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“…Five studies did not fit into the above intervention categories and were grouped as ‘other’; they consisted respectively of nutritional therapy, a psychosocial - home based care intervention, a counselling support intervention to address substance abuse, cervical cancer screening and a rectal microbicide intervention for HIV prevention. It should be noted that two of the studies reviewed assessed more than one intervention (45, 52) (3 and 4 respectively), so that the total number of interventions assessed for acceptability was 60.…”

Section: Resultsmentioning

confidence: 99%

“…18 studies (33%) assessed acceptability concurrently, during the delivery of the intervention, while 14 (25%) assessed acceptability post-intervention, retrospectively. The remaining seven (13%) of the studies assessed interventions prospectively and retrospectively; among these, two studies worked with separate groups of adolescents who had received and not yet received the intervention (52, 63), while the remaining 5 interviewed adolescents at two different stages of the intervention (40, 44, 55, 64, 65). Five studies involved adolescents in the study design (43, 50, 53, 55, 65).…”

Section: Resultsmentioning

confidence: 99%

A decade of Acceptability Research with Adolescents in Africa: Systematic review and evidence map

Somefun

Casale

Hauptronnie

et al. 2021

Preprint

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Interventions aimed at improving adolescent developmental outcomes are more likely to be successful if the young people they target find them acceptable. However, no standard definitions or indicators exist to assess acceptability, acceptability research with adolescents in LMICs is still limited, and no known reviews synthesise the evidence from Africa.We conducted a systematic review of peer-reviewed studies assessing intervention acceptability with young adults (aged 10-24) in Africa, published between January 2010 and June 2020. This paper maps and qualitatively synthesizes the scope, characteristics, and findings of these studies, including definitions of acceptability, methods used, the type and objectives of interventions assessed, and overall findings on adolescent acceptability.The review was carried out in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Key word searches generated 4692 unique records and 55 final eligible studies, assessing 60 interventions. Most studies were conducted in Southern Africa, of which 32 jointly in South Africa and Uganda. The majority of interventions assessed for acceptability could be classified as HIV or HPV vaccine interventions (10), E-health (10), HIV testing interventions (8), support group interventions (7) and contraceptive interventions (6). The objectives of most interventions were linked to SDG3, specifically to HIV and sexual and reproductive health. Acceptability was overall high among these published studies. 22 studies provided reasons for acceptability or lack thereof, some specific to particular types of interventions and others common across intervention types.Our review exposes considerable scope for future acceptability research and review work. This should include: extending acceptability research beyond the health (and particularly HIV) sector and to regions in Africa where this type of research is still scarce; including adolescents earlier, and potentially throughout the intervention process; further conceptualising the construct of acceptability among adolescents and beyond, and examining the relationship between acceptability and uptake.Key QuestionsWhat is already known?Addressing the developmental needs of adolescents in African countries is critical if the continent is to achieve its sustainable development goals (SDGs).Many interventions aimed at strengthening adolescent developmental outcomes have not achieved desired impact, and adolescent involvement is often poorly envisaged and implemented.Uptake and effectiveness of interventions is likely to be higher if these interventions are acceptable to adolescent end-users.What are the new findings?Acceptability of interventions assessed in Africa was generally high among adolescents.Understanding of the intervention, ease of use, adequate emotional support, autonomy, confidentiality and protection from stigma were key overarching themes explaining why young people found interventions acceptableWhat do the new findings imply?Intervention developers and implementers across the continent should pay attention to these key aspects of interventions and their delivery.It is important to strengthen adolescents’ understanding of interventions, involve adolescents early on in intervention development, and engage with the broader context within which adolescent acceptability is shaped.There is a need for more acceptability research in important areas for adolescent development beyond (physical) health and, within the health sector, beyond HIV.

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“…They showed that schools and MM were predominant sources of information about cervical cancer. 30 MM play a key role in the publics' understanding of health issues, including cancer risks. However, it is important to consider the proportion of the general population of LICs who has access to MM.…”

Section: Discussionmentioning

confidence: 99%

<p>A Descriptive Cross-Sectional Study on Awareness and Belief of People About Cancer in Southern Ethiopia: Special Focus on Breast and Cervical Cancers</p>

Labisso¹,

Leka²,

Leka³

et al. 2020

RMHP

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Knowledge of Cervical Cancer and Acceptability of Prevention Strategies Among Human Papillomavirus-Vaccinated and Human Papillomavirus-Unvaccinated Adolescent Women in Eldoret, Kenya

Cited by 16 publications

References 26 publications

Biopsychosocial risk factors and knowledge of cervical cancer among young women: A case study from Kenya to inform HPV prevention in Sub-Saharan Africa

Biopsychosocial risk factors and knowledge of cervical cancer among young women: A case study from Kenya to inform HPV prevention in Sub-Saharan Africa

A decade of Acceptability Research with Adolescents in Africa: Systematic review and evidence map

<p>A Descriptive Cross-Sectional Study on Awareness and Belief of People About Cancer in Southern Ethiopia: Special Focus on Breast and Cervical Cancers</p>

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