Lack of Understanding of Cervical Cancer and Screening Is the Leading Barrier to Screening Uptake in Women at Midlife in Bangladesh: Population-Based Cross-Sectional Survey

Islam, Rezwan; Bell, Robin Jean; Billah, Baki; Hossain, Mohammad Bellal; Davis, Susan Ruth

doi:10.1634/theoncologist.2015-0235

Cited by 26 publications

(19 citation statements)

References 19 publications

(19 reference statements)

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“…To our knowledge, only one other study, the Bangladesh Midlife Women’s Health Study (BMWHS) has been previously conducted in Bangladesh to assess women’s knowledge of cervical cancer [ 21 ]. However, the focus of the BMWHS’s research question was on cervical cancer screening and there was no assessment of awareness or acceptability of HPV vaccination presented.…”

Section: Discussionmentioning

confidence: 99%

“…Among Bangladeshi women, one previous report has documented high (81%) awareness of cervical cancer, however, the majority (74%) of these data were collected from women residing in rural areas and limited to women above the age of 30 years [ 21 ]. Additionally, in-depth knowledge on cervical cancer, such as risk factors or symptoms, was not assessed.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population based, cross-sectional study

et al. 2018

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BackgroundThe objective of this study was to assess the level of knowledge of cervical cancer among Bangladeshi women and to assess their willingness to receive the human papillomavirus (HPV) vaccine.MethodsA population-based, cross-sectional survey was conducted from July to December 2011 in one urban and one rural area of Bangladesh. A total of 2037 ever-married women, aged 14 to 64 years, were interviewed using a structured questionnaire. Data on socio-demographic characteristics and knowledge of cervical cancer were collected. Willingness to receive the HPV vaccine was assessed. Univariate analyses were completed using quantitative data collected. Multivariable logistic regression models were developed to identify factors associated with having heard of cervical cancer and the HPV vaccine.ResultsThe majority of study participants reported to have heard of cervical cancer (urban: 89.7%, rural 93.4%; P = 0.003). The odds of having heard of cervical cancer were significantly higher in urban women aged 35–44 years (aOR: 2.92 (1.34–6.33) and rural women aged 25–34 years (aOR: 2.90 (1.24–6.73) compared to those aged less than 24 years. Very few women reported to have detailed knowledge on risk factors (urban:9.1%, rural: 8.8%) and prevention (urban: 6.4%, rural: 4.4%) of cervical cancer. In our sample, one in five urban women and one in twenty rural women heard about a vaccine that can prevent cervical cancer. Among urban women, secondary education or higher (aOR: 3.48, 95% CI: 1.67–7.25), age of 20 years and above at marriage (aOR: 2.83, 95% CI: 1.61–5.00), and high socioeconomic status (aOR: 2.25, 95% CI: 1.28–3.95) were factors associated with having heard of the HPV vaccine. Willingness to receive the HPV vaccine among study participants either for themselves (urban: 93.9%, rural: 99.4%) or for their daughters (urban: 91.8%, rural: 99.2%) was high.ConclusionsDetailed knowledge of cervical cancer among Bangladeshi women was found to be poor. Education on cervical cancer must include information on symptoms, risk factors, and preventive methods. Despite poor knowledge, the study population was willing to receive the HPV vaccine.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population based, cross-sectional study

et al. 2018

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“… 18 One other previous report of Bangladeshi women has documented high (81%) awareness of cervical cancer, however, the majority (74%) of these data were collected from women residing in rural areas and limited to women above the age of 30 years; however, this study found high awareness, but did not explore willingness to vaccinate oneself or their daughters. 19 On the contrary, in another African study, 20 low awareness was related to increased willingness to vaccinate one's child, but not oneself. To our knowledge, no previous studies have been conducted to assess the knowledge of cervical cancer and HPV, and acceptance of HPV vaccination with a focus on Bangladeshi women with high educational background and high socioeconomic status.…”

Section: Introductionmentioning

confidence: 91%

Knowledge and Acceptance of Human Papillomavirus Vaccine for Cervical Cancer Prevention Among Urban Professional Women in Bangladesh: A Mixed Method Study

Bhuiyan

Sultana

Islam

et al. 2018

BioResearch Open Access

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Prophylactic human papillomavirus (HPV) vaccination is the most effective preventive method against invasive cervical cancer, the second leading cause of cancer-related deaths among women in Bangladesh. Evidence on women's knowledge and perception about cervical cancer and HPV vaccination are needed for effective implementation of national cervical cancer prevention programs. The objective of this study was to assess the knowledge, attitude, and acceptance of cervical cancer, HPV, and HPV vaccination among urban professional women in Bangladesh. We recruited 160 female professionals employed at selected private banks in Bangladesh. Participants were selected using nonprobability-based convenience sampling for interviews through a self-administered questionnaire. Later, in-depth interviews were conducted with nine of these women. Quantitative data were analyzed utilizing descriptive statistics, whereas qualitative data were analyzed using a thematic approach. Ninety-eight percent of participants reported that they had previously heard of cervical cancer, however, only half (51%) reported to have heard of HPV as a cause of the disease. Less than 1% of the 160 participants had previously undergone a pap smear, and only 2% were vaccinated with at least one dose of HPV vaccination. Although knowledge was low, intention for acceptance of vaccination was moderate for women and high for their children. Although the majority of women had heard of cervical cancer, few women had in-depth knowledge of HPV and the etiology of invasive disease. This study draws attention to the urgent need of educational interventions on cervical cancer and its prevention to improve uptake of available HPV vaccination in Bangladesh.

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“…Within Bangladeshi society, marriage at an early age and multiple births are very common. 15,20,[22][23][24] Cumulative evidence indicates that women who have their first full-term pregnancy at 17 years or younger are more likely to develop cervical cancer as compared with those who have their first full-time pregnancy at 25 years or older. 25 Women who have multiple full term pregnancies are more likely to be exposed to more frequent and unprotected intercourse, leading to higher chances of HPV infection.…”

Section: Risk Factors Associated With Cervical Cancer In Bangladeshmentioning

confidence: 99%

Cervical cancer in low‐income countries: A Bangladeshi perspective

Hoque

Haque

Karim

2020

Intl J Gynecology & Obste

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Cervical cancer is the fourth most common cancer among women worldwide, with approximately 70% of cases involving infection with human papillomavirus (HPV) genotypes 16 and 18. According to International Agency for Research on Cancer, more than 50 million Bangladeshi women are at risk of developing cervical cancer, and 17 686 new cases and 10 362 deaths occur annually. If diagnosed at the precursor stage, however, cervical cancer is a condition that can be successfully treated. As a result, screening programs are necessary to identify the disease before it progresses to invasive cancer. In the present review, we discuss the overall situation of cervical cancer in Bangladesh, summarizing the sociodemographic status of affected women, associated risk factors, screening approaches, and treatment options. We emphasize the potential of visual inspection with acetic acid (VIA) as a cost‐effective screening approach for detecting cervical lesions among poor women in the community. In a resource‐limited country such as Bangladesh, VIA may represent an ideal model to build an effective awareness campaign through urban and rural hospitals, community‐based clinics, and other health facilities available in industry.

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Lack of Understanding of Cervical Cancer and Screening Is the Leading Barrier to Screening Uptake in Women at Midlife in Bangladesh: Population-Based Cross-Sectional Survey

Cited by 26 publications

References 19 publications

Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population based, cross-sectional study

Knowledge of cervical cancer and HPV vaccine in Bangladeshi women: a population based, cross-sectional study

Knowledge and Acceptance of Human Papillomavirus Vaccine for Cervical Cancer Prevention Among Urban Professional Women in Bangladesh: A Mixed Method Study

Cervical cancer in low‐income countries: A Bangladeshi perspective

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