Spousal support and knowledge related to cervical cancer screening: Are Sub-Saharan African immigrant men interested?

Adegboyega, Adebola; Aleshire, Mollie E.; Dignan, Mark; Hatcher, Jennifer

doi:10.1080/07399332.2019.1615914

Cited by 18 publications

(21 citation statements)

References 34 publications

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“…This was evidenced by the degree of importance given to screening, the willingness to discuss, approve and sponsor cervical screening for their wives. This finding is in agreement with other similar studies conducted to assess the attitude of men towards involvement in cervical cancer screening [ 10 , 11 , 17 , 20 ]. This favourable attitude of men towards involvement in reproductive health has been also documented in other studies on other reproductive health issues such as family planning and prevention of mother to child transmission of HIV [ 21 - 24 ].…”

Section: Discussionsupporting

confidence: 93%

“It is what i tell her that she will do”: a mixed methods study of married men´s knowledge and attitude towards supporting their wives´ cervical cancer screening in rural South-East Nigeria

Okedo‐Alex¹,

Uneke²,

Uro-Chukwu³

et al. 2020

Pan Afr Med J

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Introduction cervical cancer is a leading cause of death among Nigerian women. Women often require spousal support before attending cervical cancer screening services. This study assessed married men´s knowledge and attitude towards male involvement in cervical cancer screening of their wives. Methods a cross-sectional study using a mixed methods approach was conducted among 245 married men in Izzi, Local Government Area of Ebonyi State, South-East Nigeria. Quantitative data collected using structured, interviewer-administered questionnaires and qualitative data from focus group discussions were triangulated. Data analysis was done using IBM SPSS version 20. Qualitative findings were analysed using thematic analysis. Results the mean knowledge of cervical cancer was 2.06±0.55. Only 2.9% of the respondents had adequate knowledge of risk factors for cervical cancer. Up to 89.8% were willing to approve screening for their spouses. Majority (76.3%) considered screening important in cervical cancer prevention, while 91.4% were willing to pay for the screening test. Most of them exhibited patriarchal tendencies and insisted that their wives must obtain their consent before screening as depicted by the statement “It is what I tell her that she will do”. Previous spousal screening was a predictor of good knowledge (OR = 10.94, 95% CI = 2.44-48.93; P=0.002). Conclusion married men in this study had poor knowledge of cervical cancer. However, they were willing to support cervical cancer screening conditional on their pre-information and consent. Awareness creation activities on cervical cancer screening should incorporate active engagement of husbands in order to promote screening uptake by their wives.

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Section: Discussionsupporting

confidence: 93%

“It is what i tell her that she will do”: a mixed methods study of married men´s knowledge and attitude towards supporting their wives´ cervical cancer screening in rural South-East Nigeria

Okedo‐Alex¹,

Uneke²,

Uro-Chukwu³

et al. 2020

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…In addition, they were also willing to encourage their partners to go for screening. Similar findings have also been established in the literature among men in Kenya [16], and Uganda [17] as well as sub-Saharan African immigrant men [18]. In this study, most of the men believe that they will quickly seek medical attention for the disease and provide any necessary support that will be prescribed by the medical personnel, in order to help treat their female partners.…”

Section: Discussionsupporting

confidence: 85%

“…The findings show that men had little or no knowledge about the disease. A number of previous studies have also shown that men have low or inadequate cervical cancer knowledge [16–18]. In this study, it has been observed that the men did not have any information about the causes and symptoms of the disease as well as the risk factors of the disease.…”

Section: Discussionmentioning

confidence: 66%

Male support for cervical cancer screening and treatment in rural Ghana

et al. 2019

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Men have a critical role to play in reducing cervical cancer burden. Yet, there is little information on male involvement in the cervical cancer screening and treatment process in Ghana. In this study, we explore male knowledge and support during cervical cancer screening and treatment in a rural setting in Ghana. In-depth interviews and focus group discussions were conducted among a total of 41 respondents to collect qualitative data from cervical cancer patients, their male partners and other married men in the North Tongu District, Ghana. A thematic approach was used for data analysis and presentation of the results. The results show that male partners have little or no knowledge about cervical cancer. Some men provide various forms of support–financial, social, material and emotional–to their partners during the screening and treatment stages of the disease. Some men, however, abandoned their partners during the screening and treatment process of the disease. Men whose partners did not have cervical cancer said they were willing to provide financial, social, emotional and material support to their partners if they should contract the disease. Some men said they were willing to support their female partners but lacked education on the disease. This study underscores the need for cervical cancer education programmes to target Ghanaian men. The education should focus on the causes of the disease, screening and treatment methods of the disease, and, ultimately, promote spousal support during the screening and treatment processes.

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“… 63 When husbands receive health education about CCS and HPV, they can support their wives by providing emotional support, including empathy, love, trust, and caring, instrumental support including all direct care need by the person, and informational support, including the provision of advice, suggestions, and information to accomplish the goal. 76 The screening uptake among COMW in the control group was very poor because they had inadequate knowledge of cervical cancer and CCS. They were not informed about cervical cancer causes, risk factors, signs and symptoms, prevention of cervical cancer, and advantages of cervical cancer screening.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

et al. 2022

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Background Even though the government’s priorities in preventing cervical cancer are implemented in urban areas, the screening rate remains unsatisfactory at 6%, compared to 70% recommended by the world health organization. The ongoing public health education has not resulted in sufficient screening rates. The study aims to assess peer-led navigation (PLNav) in promoting cervical cancer screening knowledge, intention, and practices among urban women in Tanzania. Since PLNav is the form of task shifting, it involves delegating cervical-cancer-related tasks from healthcare professionals to community health workers (CHWs). Methods It is a community-based randomized controlled trial conducted in Dar es Salaam in Tanzania March-Sept 2020. The PLNav involved the CHWs delivering health education, counselling and navigation assistance to community women (COMW). The CHWs help women who have never undergone cervical cancer screening (CCS) and those who have undergone CCS but with a precancerous cervical lesion to overcome screening barriers. The data related to PLNav were analyzed by descriptive statistics, an independent-samples t-test, repeated measures ANOVA and linear regression. Results The repeated measures ANOVA across time showed that PLNav intervention on mean knowledge score changes was statistically significant in the intervention group compared with the control group’s usual care, [F (1, 43) = 56.9, P < .001]. At the six-month follow-up, 32 (72.7%) out of 44 participants from the intervention group had screened for cervical cancer, and only one participant (2.3%) from the control group screened. The PLNav intervention on CCS uptake changes was statistically significant in the intervention group compared with usual care in the control group [F (1, 43) = 100.4, P < .001]. The effect of time on CCS uptake in the intervention and control groups was statistically significant [F (1.64, 70.62) = 73.4, P < .001]. Conclusion Peer-led navigation (PLNav) was effective in promoting cervical cancer screening knowledge, intention, and uptake.

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Spousal support and knowledge related to cervical cancer screening: Are Sub-Saharan African immigrant men interested?

Abstract: There are significant disparities in rates of cervical cancer screening for Sub-Saharan African immigrant (SSAI) women in the United States (U.S.

Cited by 18 publications

References 34 publications

“It is what i tell her that she will do”: a mixed methods study of married men´s knowledge and attitude towards supporting their wives´ cervical cancer screening in rural South-East Nigeria

“It is what i tell her that she will do”: a mixed methods study of married men´s knowledge and attitude towards supporting their wives´ cervical cancer screening in rural South-East Nigeria

Male support for cervical cancer screening and treatment in rural Ghana

The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial

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