Understanding cervical cancer awareness in hard-to-reach areas of Bangladesh: A cross-sectional study involving women and household decisionmakers

被引：0

作者：

Nazrul, Naheed ^{[1
]}

de Fouw, Marlieke ^{[2
]}

Beltman, Jogchum J. ^{[2
]}

de Zeeuw, Janine ^{[3
]}

Schans, Jurjen van der ^{[3
]}

Koot, Jaap ^{[3
]}

Rasul, Kazi Golam ^{[1
]}

Kulsum, Mosamat Umma ^{[1
]}

Ahmed, Md Shahnur ^{[1
]}

Rahman, Anika ^{[4
]}

Rahman, Aminur ^{[4
]}

Islam, Kazi Maruful ^{[5
]}

Nessa, Ashrafun ^{[6
]}

Campbell, Christine ^{[7
]}

Stekelenburg, Jelle ^{[3
,8
]}

机构：

[1] Friendship NGO, Hlth Sect, Dhaka, Bangladesh

[2] Leiden Univ, Med Ctr, Dept Gynecol, Leiden, Netherlands

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci, Global Hlth Unit, Groningen, Netherlands

[4] Icddr B, Hlth Syst & Populat Studies Div, Dhaka, Bangladesh

[5] Univ Dhaka, Dept Dev Studies, Dhaka, Bangladesh

[6] Bangabandhu Sheikh Mujib Med Univ, Dept Gynecol Oncol, Dhaka, Bangladesh

[7] Univ Edinburgh, Usher Inst, Edinburgh, Scotland

[8] Med Ctr Leeuwarden, Dept Obstet & Gynecol, Leeuwarden, Netherlands

来源：

PLOS ONE | 2024年 / 19卷 / 08期

关键词：

POPULATION; PREVENTION; KNOWLEDGE; SYMPTOMS;

D O I：

10.1371/journal.pone.0304396

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Introduction In Bangladesh, the uptake of cervical cancer screening is low. Lack of knowledge and understanding of symptoms and risk factors contributes to low screening uptake. The purpose of this study was to explore the knowledge of cervical cancer risk factors and symptoms and to measure the association with socio-demographic characteristics among women and household decisionmakers living in hard-to-reach areas of Bangladesh. Methods A cross-sectional survey was conducted in five districts in Bangladesh among women aged between 30 and 60 years, their husbands, and their mothers-in-law from April to September 2022. Data were collected using a modified version of the validated AWACAN questionnaire tool. The significance level was considered at p-value <0.05 and odds ratios with 95% confidence. Results Nearly 50% of participating women in hard-to-reach areas of Bangladesh and their family decisionmakers had low levels of knowledge of the risk factors and symptoms of cervical cancer. Only 20% of respondents in our survey knew about HPV, the most important risk factor for developing cervical cancer. Most respondents were familiar with the terminology of cervical cancer as a disease; however, approximately 40% of respondents did not know that not adhering to cervical cancer screening could be seen as a risk factor. Women do not make decisions about participation in cervical cancer screening on their own. Knowledge of cervical cancer risk factors and symptoms among decisionmakers was significantly associated with higher education and higher household monthly expenditure. Conclusion Women, their husbands, and mothers-in-law in hard-to-reach areas of Bangladesh had limited knowledge about cervical cancer risk factors and symptoms. Engaging these key decision-makers in targeted health education is vital to improve screening uptake. Conduction of future research to identify and address screening barriers is also essential for effective prevention efforts.

引用

页数：14

共 45 条

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