Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Early Detection of Cancer* ; Health Knowledge, Attitudes, Practice* ; Uterine Cervical Neoplasms*/etiology ; Uterine Cervical Neoplasms*/prevention & control; Adult ; Aged ; Cross-Sectional Studies ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Nuclear Family ; Papillomavirus Vaccines ; Patient Acceptance of Health Care/statistics & numerical data ; Surveys and Questionnaires ; Vaccination ; Young Adult ; Zambia
    • Abstract:
      Background: In Zambia, cervical cancer screening was started in 2006 and the human papillomavirus vaccine was piloted in 2013. Nevertheless, cervical cancer remains the leading cancer. It is assumed that knowledge, social interaction, health behaviors and religion are factors that can influence screening and vaccination practices. This study addresses the question, what is the relationship between knowledge about cervical cancer, attitudes, self-reported behavior, and immediate support system, towards screening and vaccination of cervical cancer of Zambian women and men. The results of this study serve as a basis for future research, an input for improvement and adjustment of the existing prevention program and build on documented health behavior frameworks.
      Methods: A cross-sectional mixed methods study was conducted from February to May 2016. Two separate questionnaires were used to collect data from women (N = 300) and men (N = 300) residing in Chilenje and Kanyama (two townships in the capital city Lusaka). Respondent's knowledge of cervical cancer was operationalized by grading their ability to correctly identify causes and protective factors if they were aware of cervical cancer. Besides providing descriptive statistics of all study variables, we tested four research hypotheses concerning the link between knowledge, attitudes and practices suggested by the literature, by applying appropriate statistical tests (chi square test, analysis of variance, logistic regression).
      Results: Less than half of the respondents (36.8%) had heard of cervical cancer, 20.7% of women had attended screening and 6.7% of the total sample had vaccinated their daughter. Knowledge of causes and prevention was very low. There was a strong association between having awareness of cervical cancer and practicing screening (odds ratio = 20.5, 95% confidence interval = [9.214, 45.516]) and vaccination (odds ratio = 5.1, 95% confidence interval = [2.473, 10.423]). Social interactions were also found to greatly influence screening and vaccination behaviors.
      Conclusions: The low level of knowledge of causes and prevention of cervical cancer suggests a need to increase knowledge and awareness among both women and men. Interpersonal interactions have great impact on practicing prevention behaviors, for instance, vaccination of daughters.
    • References:
      Cancer Epidemiol Biomarkers Prev. 2000 Oct;9(10):1127-30. (PMID: 11045799)
      J Womens Health (Larchmt). 2004 Nov;13(9):1048-65. (PMID: 15665661)
      Am J Public Health. 2009 Jun;99(6):1137-42. (PMID: 19372507)
      J Low Genit Tract Dis. 2010 Jul;14(3):167-73. (PMID: 20592550)
      PLoS Med. 2011 May;8(5):e1001032. (PMID: 21610859)
      J Reprod Med. 2011 Nov-Dec;56(11-12):491-6. (PMID: 22195332)
      J Community Health. 2012 Oct;37(5):917-26. (PMID: 22302651)
      J Community Health. 2012 Dec;37(6):1127-35. (PMID: 22426995)
      Soc Sci Med. 2012 May;74(10):1486-93. (PMID: 22459188)
      Eur J Cancer. 2013 Apr;49(6):1264-72. (PMID: 23290788)
      Int J Nurs Stud. 2013 Oct;50(10):1399-406. (PMID: 23395482)
      Drug Alcohol Depend. 2013 Oct 1;132(3):665-73. (PMID: 23683794)
      J Epidemiol Community Health. 2014 Jun;68(6):571-7. (PMID: 24567443)
      PLoS One. 2014 Mar 11;9(3):e90912. (PMID: 24618636)
      J Vaccines Vaccin. 2012 Jun 12;3(138):null. (PMID: 24991482)
      Eur J Public Health. 2015 Feb;25(1):31-7. (PMID: 25617353)
      BMJ Open. 2015 Mar 10;5(3):e005828. (PMID: 25757944)
      PLoS One. 2015 Aug 12;10(8):e0135563. (PMID: 26266949)
      BMJ Open. 2016 Jan 11;6(1):e008533. (PMID: 26754174)
      PLoS One. 2016 Feb 19;11(2):e0149696. (PMID: 26894270)
      BMC Public Health. 2016 Nov 17;16(1):1166. (PMID: 27855680)
      J Cancer Educ. 2018 Jun 20;:null. (PMID: 29926432)
      BMC Cancer. 2018 Dec 12;18(1):1242. (PMID: 30541491)
      Health Educ Q. 1988 Winter;15(4):351-77. (PMID: 3068205)
    • Contributed Indexing:
      Keywords: Attitude; Cervical cancer; Knowledge; Practices; Screening; Social ecological model; Theory of triadic influence; Vaccination; Zambia
    • Accession Number:
      0 (Papillomavirus Vaccines)
    • Publication Date:
      Date Created: 20190506 Date Completed: 20190617 Latest Revision: 20200225
    • Publication Date:
      20240105
    • Accession Number:
      PMC6500583
    • Accession Number:
      10.1186/s12889-019-6874-2
    • Accession Number:
      31054569