| Peer-Reviewed

Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria

Received: 25 June 2015    Accepted: 20 July 2015    Published: 31 July 2015
Views:       Downloads:
Abstract

Background. The burden of cervical cancer is on the increase, especially in developing countries, where programmed or regular screening for the disease with Papanicolaou smear is inadequate. The objective was to determine the awareness and practice of cervical cancer screening in a rural tertiary hospital in Nigeria. Methodology. 220 consecutive and consenting women of age 20–70years attending Federal Teaching Hospital, Ido-Ekiti and Comprehensive Health Centre, Oke-Isa, Ado-Ekiti, Ekiti State were recruited between April and August 2009. Relevant data were collected using interviewer-administered semi-structured questionnaires. Results. Mean age ± SD of participants was 41.2 ± 12.6 years and mean age at sexual debut was 20 years. Twenty three (10.7%) participants were single and all were sexually active. 147 (68.4%) had more than one life time sexual partner. 78 (36.3%) of participants were aware of cervical cancer but only 39(18.2%) were aware of its screening, and majority (71.8%) got to know about cervical cancer through health workers. Increasing age, multiple sexual partners, parity more than 4, having a partner who has multiple sexual partners and polygamy were significantly associated with development of pre-malignant lesions for cervical cancer in this study. Conclusion. Majority of the participants were not aware of CC and the steps to be taken to prevent it from occurring. This poses a tremendous health education challenge.

Published in Clinical Medicine Research (Volume 4, Issue 4)
DOI 10.11648/j.cmr.20150404.16
Page(s) 120-126
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Awareness, Cervical Cancer, Screening, Papanicolaou Smear, Nigeria

References
[1] Namagembe I. Cancer of the cervix and its prevention: still a public health concern. Available from www.cwru.edu/med/epidbio/mphp439- cancer.htm-158 (Accessed September 5, 2014)
[2] Harris TG, Burk Rd, Palefsky JM, Massad LS, Bang JY, Anastos K, Minkoff H et al. Incidence of cervical squamous intraepithelial lesions associated with HIV sero-status, CD4 cell counts, and Human Papilloma Virus test results. JAMA 2005; 293 (12):1471–6
[3] Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shav KV et al. Human Papilloma Virus (HPV) is a necessary cause of invasive cervical cancer worldwide. J Pathol 1999; 1:12 – 9
[4] Amy E P, Miranda B, Lindsay E, Felicity C, Nathalie B. Ensuring access to HPV vaccine through integrated services; a reproductive health perspective. Bull WHO 2007; 85(1): 57 – 63
[5] Rengaswamy S, Atul MB, Rajamanickam R. Effective screening programmes for cervical cancer in low income developing countries. Bull WHO 2001; 79:10-8
[6] Peter OA. Knowledge and practice of cervical cancer screening among female professional health workers in a sub-urban district of Nigeria. Niger Med Pract 2006; 50 (1): 19 – 22
[7] Gichangi P, Estambale B, Biuayo J, Rogo K, Ojwang S, Opiyo A et al. Knowledge and practice about cervical cancer and Pap smear testing among patients at Kenyatta National Hospital, Nairobi Kenya. Int J Gynecol Cancer 2003; 13 (6):827 – 33
[8] Azadeh S, Lucie G, Rebecca P, Allison Z, Arthur G, Wayne DL, Human Papilloma Virus, cervical cancer and women’s knowledge. Cancer Detect Prev. 2008; 32 (1): 15 – 22
[9] Robert ER. The Family Physician. In: Robert ER’ editor Text book of Family Practice, 6th ed.WB Saunder 2001; 13 - 7
[10] Oyedeji GA. Socioeconomic and cultural background of hospitalized children in Ilesha. Niger J Paediatr 1985; 12:111 – 7
[11] Ayinde OA, Omigbodun AO, Ilesanmi AO. Awareness of cervical cancer, Papanicolaou's smear and its utilisation among female undergraduates in Ibadan. Afr J Reprod Health 2004; 8(3):68-80
[12] Abdul MA, Shittu SO, Randawa JA, Shehu MS. The cervical smear pattern with chronic inflammatory disease. Niger J Clin Pract 2009;12 (3): 289-93
[13] Umezulike AC, Tabansi SN, Ewunonu HA, Nwana EJ. Epidemiological characteristics of carcinoma of the cervix in the Federal capital Territory of Nigeria. Nig J Clin Pract 2007; 10(2):143 – 6
[14] Akujobi CN, Ikechebelu JI, Onunkwo I, Onyiaorah IV. Knowledge, attitude, and practice of screening for cervical cancer among female students of a tertiary institution in South Eastern Nigeria. Niger J Clin Pract 2008; 11(3): 216-9
[15] Ajayi I.O. and Adewole I.F. Knowledge and attitude of general outpatient attendants in Nigeria to cervical cancer. Cent Afr J Med 1998; 44 (2):41–3
[16] Domfeh AB, Wiredu EK, Adjei AA, Ayeh-Kumi PFK, Adiku TK, Tettey Y et al. Cervical Human Papilloma Virus infection in Accra, Ghana. Ghana Med J 2008; 42(2): 71-8
[17] James DR, Victoria MT, Yutaka Y, Alan K, Carey J, Shing-ping T. Knowledge of cervical cancer risk factors among Chinese immigrants in Seattle. J Community Health 2003; 28(1):41-57
[18] Ezem BU. Awareness and uptake of cervical cancer screening in Owerri, South-Eastern Nigeria. Ann Afr Med 2007; 6(3) 94-8
[19] Ogunbowale T, Lawoyin TO. Cervical cancer risk factors and predictors of cervical dysplasia among women in South – West, Nigeria. Aust J Rural Health 2008;16(6):338-42
[20] Bhagwan N, Kasturi J, Silvina A, Surendra S, Atul B, Sanjay H et al. Determinants of women’s participation in cervical cancer screening trial, Maharashtra,India. Bull WHO 2007; 85(4): 264–72
[21] Preventing Cervical Cancer in low resources setting. PATH’S Outlook 2000; 18 (No1):1-6.Available:www.roproline.jhu.edu. (Accessed 25th September 2014).
[22] Ayinde OA, Omigbodun AO. Knowledge, attitude and practice related to prevention of cancer of the cervix among female health workers in Ibadan. Journal of Obstet Gynaecol 2003; 23(1): 59 - 62
[23] Do HH, Taylor V, Yasui Y, Jackson JC, Tu SP. Cervical cancer screening among Chinese immigrants in Seattle, Washington. J Immigrant Health 2001; 3:15– 21.
Cite This Article
  • APA Style

    Gabriel Olusegun Emanuel, Busari Olusegun Adesola, Komolafe Akinwumi Oluwole, Agboola Segun Mathew, Elegbede Olayide Toyin, et al. (2015). Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria. Clinical Medicine Research, 4(4), 120-126. https://doi.org/10.11648/j.cmr.20150404.16

    Copy | Download

    ACS Style

    Gabriel Olusegun Emanuel; Busari Olusegun Adesola; Komolafe Akinwumi Oluwole; Agboola Segun Mathew; Elegbede Olayide Toyin, et al. Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria. Clin. Med. Res. 2015, 4(4), 120-126. doi: 10.11648/j.cmr.20150404.16

    Copy | Download

    AMA Style

    Gabriel Olusegun Emanuel, Busari Olusegun Adesola, Komolafe Akinwumi Oluwole, Agboola Segun Mathew, Elegbede Olayide Toyin, et al. Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria. Clin Med Res. 2015;4(4):120-126. doi: 10.11648/j.cmr.20150404.16

    Copy | Download

  • @article{10.11648/j.cmr.20150404.16,
      author = {Gabriel Olusegun Emanuel and Busari Olusegun Adesola and Komolafe Akinwumi Oluwole and Agboola Segun Mathew and Elegbede Olayide Toyin and Omoragbon Aishatu},
      title = {Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria},
      journal = {Clinical Medicine Research},
      volume = {4},
      number = {4},
      pages = {120-126},
      doi = {10.11648/j.cmr.20150404.16},
      url = {https://doi.org/10.11648/j.cmr.20150404.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20150404.16},
      abstract = {Background. The burden of cervical cancer is on the increase, especially in developing countries, where programmed or regular screening for the disease with Papanicolaou smear is inadequate. The objective was to determine the awareness and practice of cervical cancer screening in a rural tertiary hospital in Nigeria. Methodology. 220 consecutive and consenting women of age 20–70years attending Federal Teaching Hospital, Ido-Ekiti and Comprehensive Health Centre, Oke-Isa, Ado-Ekiti, Ekiti State were recruited between April and August 2009. Relevant data were collected using interviewer-administered semi-structured questionnaires. Results. Mean age ± SD of participants was 41.2 ± 12.6 years and mean age at sexual debut was 20 years. Twenty three (10.7%) participants were single and all were sexually active. 147 (68.4%) had more than one life time sexual partner. 78 (36.3%) of participants were aware of cervical cancer but only 39(18.2%) were aware of its screening, and majority (71.8%) got to know about cervical cancer through health workers. Increasing age, multiple sexual partners, parity more than 4, having a partner who has multiple sexual partners and polygamy were significantly associated with development of pre-malignant lesions for cervical cancer in this study. Conclusion. Majority of the participants were not aware of CC and the steps to be taken to prevent it from occurring. This poses a tremendous health education challenge.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Awareness and Practice of Cervical Cancer Screening among Women Accessing Care in a Rural Tertiary Hospital in Nigeria
    AU  - Gabriel Olusegun Emanuel
    AU  - Busari Olusegun Adesola
    AU  - Komolafe Akinwumi Oluwole
    AU  - Agboola Segun Mathew
    AU  - Elegbede Olayide Toyin
    AU  - Omoragbon Aishatu
    Y1  - 2015/07/31
    PY  - 2015
    N1  - https://doi.org/10.11648/j.cmr.20150404.16
    DO  - 10.11648/j.cmr.20150404.16
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 120
    EP  - 126
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20150404.16
    AB  - Background. The burden of cervical cancer is on the increase, especially in developing countries, where programmed or regular screening for the disease with Papanicolaou smear is inadequate. The objective was to determine the awareness and practice of cervical cancer screening in a rural tertiary hospital in Nigeria. Methodology. 220 consecutive and consenting women of age 20–70years attending Federal Teaching Hospital, Ido-Ekiti and Comprehensive Health Centre, Oke-Isa, Ado-Ekiti, Ekiti State were recruited between April and August 2009. Relevant data were collected using interviewer-administered semi-structured questionnaires. Results. Mean age ± SD of participants was 41.2 ± 12.6 years and mean age at sexual debut was 20 years. Twenty three (10.7%) participants were single and all were sexually active. 147 (68.4%) had more than one life time sexual partner. 78 (36.3%) of participants were aware of cervical cancer but only 39(18.2%) were aware of its screening, and majority (71.8%) got to know about cervical cancer through health workers. Increasing age, multiple sexual partners, parity more than 4, having a partner who has multiple sexual partners and polygamy were significantly associated with development of pre-malignant lesions for cervical cancer in this study. Conclusion. Majority of the participants were not aware of CC and the steps to be taken to prevent it from occurring. This poses a tremendous health education challenge.
    VL  - 4
    IS  - 4
    ER  - 

    Copy | Download

Author Information
  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Internal Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria

  • Sections