Awareness of cervical cancer risk factors and symptoms: cross-sectional community survey in post-conflict northern Uganda

被引:68
作者
Mwaka, Amos D. [1 ]
Orach, Christopher G. [2 ]
Were, Edward M. [3 ]
Lyratzopoulos, Georgios [4 ]
Wabinga, Henry [6 ,7 ]
Roland, Martin [5 ]
机构
[1] Makerere Univ, Sch Med, Dept Med, Coll Hlth Sci, POB 7072, Kampala, Uganda
[2] Makerere Univ, Sch Publ Hlth, Dept Community Hlth & Behav Sci, Coll Hlth Sci,Publ Hlth, Kampala, Uganda
[3] Management Sci Hlth, Kampala, Uganda
[4] Univ Cambridge, Inst Publ Hlth, Dept Hlth Serv Res, Cambridge, England
[5] Univ Cambridge, Inst Publ Hlth, Dept Hlth Serv Res, Hlth Serv Res, Cambridge, England
[6] Makerere Univ, Coll Hlth Sci, Pathol, Kampala, Uganda
[7] Makerere Univ, Coll Hlth Sci, Dept Pathol, Kampala Canc Registry, Kampala, Uganda
基金
英国惠康基金;
关键词
awareness; cervical cancer; health seeking; perceived causes; post-conflict northern Uganda; risk factors; HUMAN-PAPILLOMAVIRUS INFECTION; COLLABORATIVE REANALYSIS; SCREENING PROGRAMS; POPULATION-SAMPLE; INDIVIDUAL DATA; HELP-SEEKING; PAP-SMEAR; KNOWLEDGE; WOMEN; ATTITUDES;
D O I
10.1111/hex.12382
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Lack of awareness of risk factors and symptoms for cancer may lead to late diagnosis and poor prognosis. Objective We assessed community awareness about cervical cancer risk factors and symptoms and perceptions about prevention and cure of cervical cancer in order to contribute data to inform interventions to improve cervical cancer survival. Design Cross-sectional population-based survey. Setting and participants We conducted this study in Gulu, a post-conflict district in Uganda in 2012. The sample included 448 persons aged 18 years and above, selected through a multi-stage stratified cluster sampling process. Data collection methods and analysis We collected data using a pretested structured questionnaire. Logistic regressions were used to determine magnitudes of associations between socio-demographic and outcome variables. Results Most participants (444/448) had heard about cervical cancer. Known risk factors including multiple sexual partners, human papillomavirus infection, and early onset of sexual activity, were recognized by 88%, 82%, and 78% of respondents respectively. 63% of participants believed that prolonged use of family planning pills and injections caused cervical cancer. The majority of participants recognized symptoms of cervical cancer including intermenstrual bleeding (85%), post-menopausal bleeding (84%), and offensive vaginal discharge (83%). 70% of participants believed that cervical cancer is preventable and 92% believed that it could be cured if diagnosed at an early stage. Discussion and conclusions Recognition of cervical cancer risk factors and symptoms was high among study participants. Targeted interventions including increasing availability of HPV vaccination, population-based cervical screening and diagnostic services can translate high awareness into actual benefits.
引用
收藏
页码:854 / 867
页数:14
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