DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20220236
Published: 2022-01-28

Knowledge and practice regarding cervical cancer prevention among women in a rural area of Tripura, India

Suranjana Banik, Dinesh Prasad Sahu, Himadri Bhattacharjya

Abstract


Background: Cervical cancer is commonest in developing countries and the third most common form of cancer among women worldwide which presents a later stage causing high morbidity and mortality. PAP smear discovered in 1941 was a revolutionary screening test but acceptance is poor. Objective was to detect the level of awareness regarding prevention of cervical cancer among rural women and to study the determinants of awareness regarding prevention of cervical cancer.

Methods:A community based cross-sectional study was conducted in rural field practice area of Agartala Government Medical College for two months among 131 women chosen by multistage sampling, aged 15 years and above. Quantitative data were collected by administering a structured interview schedule. Chi square test was applied for testing the significance of study findings and p<0.05 was considered statistically significant.

Results: About 78% of the study women were primary educated and 33.3% of the study women have heard about cervical cancer and health care providers were the source of information for 34.04% of the respondents. 99.2% of the women didn’t hear about PAP smear, nor they have any idea of vaccination. They didn’t undergo any screening test and cited “absence of symptoms” as the main reason.

Conclusions:Majority of the studied women didn’t have any clear idea of cervical cancer, screening and vaccination and level of awareness was very low. Intensified health educational programs should be launched. Health workers and physicians must play critical role in counselling. Information about safety, efficacy, insurance coverage etc. to be facilitated for active HPV vaccination. 


Keywords


Awareness, Cervical carcinoma, HPV, PAP smear, Vaccination

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References


Parkin DM, Pisani P, Ferlay J. Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer. 1999;80(6):827-41.

Pontén J, Adami HO, Bergström R, Dillner J, Friberg LG, Gustafsson L, et al. Strategies for global control of cervical cancer. Int J Cancer. 1995;60(1):1-26.

Ferlay J et al. GLOBOCAN 2002: cancer incidence, mortality and prevalence worldwide. Lyon, France, IARC Press, 2004 (IARC Cancer Base No. 5, version 2.0).

Sankaranarayanan R, Black RJ, Parkin DM, eds. Cancer survival in developing countries (IARC Scientific publications No. 145) Lyon, France: IARC Press; 2004.

Bailie RS, Selvey CE, Bourne D, Bradshaw D. Trends in cervical cancer mortality in South Africa. Int J Epidemiol. 1996;25(3):488-93.

Bergstrom R, Sparen P, Adami HO. Trends in cancer of the cervix uteri in Sweden following cytological screening. Br J Cancer. 1999;81(1):159-66.

Department of Health, Human Services, Washington, DC, Healthy People 2010 (Group), United States Government Printing Office. Healthy people 2010: Understanding and improving health. US Department of Health and Human Services; 2000.

Aareleid T, Thomson H, Pukkala E, Hakama M. Cervical cancer incidence and mortality trends in Finland and Estonia: a screened versus an unscreened population. Eur J Cancer. 1993;29(5):745-9.

Ayayi IO, Adewole IF. Knowledge and attitude of general outpatient attendants in Nigeria to cervical cancer. Central Afr J Med. 1998;44(2):41-3.

Kidanto HL, Kilewo CD, Moshiro C. Cancer of the cervix: knowledge and attitudes of female patients admitted at Muhimbili National Hospital, Dar es Salaam. East Afr Med J. 2002;79(9):467-75.

Bener A, Denic S, Alwash R. Screening for cervical cancer among Arab women. Int J Gynaecol Obstet. 2001;74(3):305-7.

Maaita M, Barakat M. Jordanian women’s attitudes towards cervical screening and cervical cancer. J Obstet Gynaecol. 2002;22(4):421-2.

Amarin ZO, Badria LF, Obeidat BR. Attitudes and beliefs about cervical smear testing in ever-married Jordanian women. EMHJ-East Mediter Health J. 2008;14(2):389-97.

Touch S, Oh JK. Knowledge, attitudes, and practices toward cervical cancer prevention among women in Kampong Speu Province, Cambodia. BMC Cancer. 2018;18:294.

Shrestha J, Saha R, Tripathi N. Knowledge, attitude and practice regarding cervical cancer screening amongst women visiting tertiary centre in Kathmandu, Nepal. Nepal J Med Sci. 2013;2:85-90.

Ramaiah R, Jayarama S. Knowledge, attitude and practices about cervical cancer among rural married women: a cross sectional study. Int J Community Med Public Health. 2018;5:1466.

Aswathy S, Quereshi MA, Kurian B, Leelamoni K. Cervical cancer screening: current knowledge and practice among women in a rural population of Kerala, India. Indian J Med Res. 2012;136:205-10.

Narayana G, Suchitra MJ, Sunanda G, Ramaiah JD, Kumar BP, Veerabhadrappa K. Knowledge, attitude, and practice toward cervical cancer among women attending obstetrics and gynecology department: a cross-sectional, hospital-based survey in South India. Indian J Cancer. 2017;54:481.

Ulman-Włodarz I, Nowosielski K, Romanik M, Pozowski J, Jurek M. Awareness of cervical cancer prevention among patients of gynaecological outpatient clinic. Ginekol Pol. 2011;82(1):22-5.

Arunadevi V, Prasad G. Knowledge and awareness of cervical cancer among women in rural India. Int J Cur Res Rev. 2015;7:29.

Veerakumar AM. Knowledge of carcinoma cervix among rural women of reproductive age in Trichy district, India. J Compr Health. 2017;5:46.