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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
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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), 2015. Published by Science Publishing Group

Keywords

Awareness, Cervical Cancer, Screening, Papanicolaou Smear, Nigeria

References
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[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
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[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
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[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
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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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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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

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