DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211280

Impact of educational intervention on cervical cancer screening uptake among reproductive age women

Ajoke Akinola, Menira S. Constance

Abstract


The objective of this review is to examine the efficacy of educational approaches in increasing women's adoption of cervical screening. A search was conducted through PubMed, Medline and Google Scholar. Articles that met the eligibility criteria were reviewed. The preferred reporting items for systematic reviews and meta-analysis (PRISMA) guided the data synthesis and reporting. We conducted a qualitative synthesis of evidence and pooled individual research results in meta-analyses using RevMan 5.3 review manager, where applicable. Heterogeneity has been estimated for total summary results of studies pooled together. Quality analysis of the papers was done using JADAD scale. This meta-analysis included a total of nine articles (n=2316). Statistical research findings indicate that the use of cervical cancer educational approaches substantially improved cervical cancer screening rates and screening acceptability by double folds 2.88. The results of this study support the use of educational intervention for cervical cancer to increase the acceptance of cervical cancer screening by women. We also recommend more research to assess the efficacy of various teaching approaches and the effect of intervention length on the rise in women's cervical cancer screening services utilization.

 


Keywords


Educational intervention, Cervical cancer, Screening, Reproductive age women

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References


Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. Available at: https://www.who.int/cancer /PRGlobocanFinal.pdf. Accessed on 07 January 2021.

WHO releases new estimates of the global burden of cervical cancer associated with HIV. Available at: https://www.who.int/news/item/16-11-2020-who-releases-new-estimates-of-the-global-burden-of-cervical-cancer-associated-with-hiv. Accessed on 07 January 2021.

Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, Bray F. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8(2):191-203.

Lei J, Ploner A, Elfström KM, Wang J, Roth A, Fang F, et al. HPV Vaccination and the Risk of Invasive Cervical Cancer. N Engl J Med. 2020;383(14):1340-8.

Human papillomavirus (HPV) and cervical cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer. Accessed on 07 January 2021.

WHO guidelines WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. Available at: https://www.who.int/ reproductivehealth/publications/cancers/screening_and_treatment_of_precancerous_lesions/en/. Accessed on 07 January 2021.

Arbyn M, Anttila A, Jordan J, Ronco G, Schenck U, Segnan N, et al. European Guidelines for Quality Assurance in Cervical Cancer Screening. Second edition--summary document. Ann Oncol. 2010;21(3):448-58.

Campos NG, Tsu V, Jeronimo J, Mvundura M, Kim JJ. Evidence-based policy choices for efficient and equitable cervical cancer screening programs in low-resource settings. Cancer Med. 2017;6(8):2008-14.

Cremer ML, Conlisk E, Felix JC. HPV screening for cervical cancer in rural India. N Engl J Med. 2009;361(3):305.

Ronco G, Dillner J, Elfström KM, Tunesi S, Snijders PJ, Arbyn M, et al. Efficacy of HPV-based screening for prevention of invasive cervical cancer: follow-up of four European randomised controlled trials. Lancet. 2014;383(9916):524-32.

Rijkaart DC, Berkhof J, Rozendaal L, van Kemenade FJ, Bulkmans NW, Heideman DA, et al. Human papillomavirus testing for the detection of high-grade cervical intraepithelial neoplasia and cancer: final results of the POBASCAM randomised controlled trial. Lancet Oncol. 2012;13(1):78-88.

Forouzanfar MH, Foreman KJ, Delossantos AM, Lozano R, Lopez AD, Murray CJ, Naghavi M. Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis. Lancet. 2011;378(9801):1461-84.

Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang XS, et al. Global surveillance of cancer survival 1995-2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet. 2015;385(9972):977-1010.

Miller JW, Royalty J, Henley J, White A, Richardson LC. Breast and cervical cancers diagnosed and stage at diagnosis among women served through the National Breast and Cervical Cancer Early Detection Program. Cancer Causes Control. 2015;26(5):741-7.

White MC, Wong FL. Preventing premature deaths from breast and cervical cancer among underserved women in the United States: insights gained from a national cancer screening program. Cancer Causes Control. 2015;26(5):805-9.

Smith RA, Cokkinides V, Brooks D, Saslow D, Shah M, Brawley OW. Cancer screening in the United States, 2011: A review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin. 2011;61(1):8-30.

Moyer VA; U.S. Preventive Services Task Force. Screening for oral cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(1):55-60.

Idowu A, Olowookere SA, Fagbemi AT, Ogunlaja OA. Determinants of Cervical Cancer Screening Uptake among Women in Ilorin, North Central Nigeria: A Community-Based Study. J Cancer Epidemiol. 2016;6469240.

Sudenga SL, Rositch AF, Otieno WA, Smith JS. Knowledge, attitudes, practices, and perceived risk of cervical cancer among Kenyan women: brief report. Int J Gynecol Cancer. 2013;23(5):895-9.

Everett T, Bryant A, Griffin MF, Martin-Hirsch PP, Forbes CA, Jepson RG. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2011;5:CD002834.

Baron RC, Melillo S, Rimer BK, Coates RJ, Kerner J, Habarta N, et al. Intervention to increase recommendation and delivery of screening for breast, cervical, and colorectal cancers by healthcare providers a systematic review of provider reminders. Am J Prev Med. 2010;38(1):110-7.

Everett T, Bryant A, Griffin MF, Martin-Hirsch PP, Forbes CA, Jepson RG. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev. 2011;5:CD002834.

Musa J, Achenbach CJ, O'Dwyer LC, Evans CT, McHugh M, Hou L, et al. Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis. PLoS One. 2017;12(9):e0183924.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):1-34.

Nuño T, Martinez ME, Harris R, García F. A Promotora-administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.-Mexico border: A randomized controlled trial. Cancer Causes Control. 2011;22(3):367-74.

Molokwu JC, Penaranda E, Dwivedi A, Mallawaarachchi I, Shokar N. Effect of educational intervention on self-sampling acceptability and follow-up paps in border dwelling hispanic females. J Low Genit Tract Dis. 2018;22(4):295-301.

Rosser JI, Njoroge B, Huchko MJ. Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya. Patient Educ Couns. 2015;98(7):884-9.

Ndikom CM, Ofi BA, Omokhodion FO, Adedokun BO. Effects of educational intervention on women’s knowledge and uptake of cervical cancer screening in selected hospitals in Ibadan, Nigeria. Int J Health Promot Educ. 2017;55:5-6.

Fang CY, Ma GX, Tan Y, Chi N. A multifaceted intervention to increase cervical cancer screening among underserved Korean women. Cancer Epidemiol Biomarkers Prev. 2007;16(6):1298-302.

Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA. Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 2014;14(1):814.

Parsa P, Sharifi F, Shobeiri F, Karami M. Effects of group counseling based on health belief model on cervical cancer screening beliefs and performance of rural women in Kaboudrahang, Iran. Asian Pacific J Cancer Prev. 2017;18(6):1525-30.

Malmir S, Barati M, Jeihooni AK, Bashirian S, Hazavehei SMM. Effect of an educational intervention based on Protection Motivation Theory on preventing cervical cancer among marginalized women in west Iran. Asian Pacific J Cancer Prev. 2018;19(3):755-61.

Ebu NI, Amissah-Essel S, Asiedu C, Akaba S, Pereko KA. Impact of health education intervention on knowledge and perception of cervical cancer and screening for women in Ghana. BMC Public Health. 2019;19(1):1505.

Bandura A. Health promotion by social cognitive means. Health Educ Behav. 2004;31(2):143-64.

Social foundations of thought and action: A social cognitive theory. - PsycNET. Available at: https://psycnet.apa.org/record/1985-98423-000. Accessed on 07 January 2021.