Awareness, knowledge and screening for cervical cancer among women of a faith-based organization in Nigeria

Pan Afr Med J. 2021 Jul 14:39:200. doi: 10.11604/pamj.2021.39.200.23761. eCollection 2021.

Abstract

Introduction: cervical cancer is the second most frequent cancer among women in Nigeria. With proper screening, the disease can be detected early enough and properly managed. However, there seems to be limited knowledge of cervical cancer among women and several barriers might prevent them from accessing the screening services. We determined the awareness, knowledge and screening for cervical cancer among women of a faith-based organization in Nigeria.

Methods: we employed descriptive survey research design and purposively sampled a Catholic Parish in Nsukka Local Government Area of Enugu State, Nigeria. All consenting women in the Parish were used for the study. We utilized researchers' structured instrument titled 'Awareness and knowledge about Cervical Cancer and Screening' to collect data. Frequencies, percentages and logistic regression were employed for data analysis.

Results: awareness of cervical cancer (70.8%) and its screening (68.1%) are high but there is generally poor level of knowledge (65.3%) of different aspects of cervical cancer among the women. Age (aOR: 7.183, 95% CI 1.769-29.168; p=.006), number of children (aOR: .074, 95% CI .009- .631; p=.017), and occupation (aOR: .032, 95% CI .004-.260; p= .001 and aOR: .050, 95% CI .007-.347; p=.002) were significantly associated with knowledge of cervical cancer. Majority of the women studied had never been screened for cervical cancer (91.7%) and the reasons for not screening ranged from lack of knowledge of; where to go for screening (69.7%) and the importance of being screened (40.9%) to not feeling susceptible to cervical cancer (18.2%).

Conclusion: there was generally poor knowledge of cervical cancer and its screening; and very poor screening practice. There is, therefore, an urgent need to improve women´s knowledge of cervical cancer and address the identified barriers in order to improve screening practices of the women.

Keywords: Awareness; cervical cancer; knowledge; screening; women.

MeSH terms

  • Adult
  • Early Detection of Cancer / statistics & numerical data
  • Faith-Based Organizations
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Nigeria
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Surveys and Questionnaires
  • Uterine Cervical Neoplasms / diagnosis*
  • Young Adult