Knowledge and Attitude of Pregnant Women Attending Antenatal Clinic at University College Hospital towards Causes and Methods of Prevention of Cervical Cancer
Olanrewaju John Adedayo *
Department Environmental Health Science, Faculty of Basic Medical and Health Science, Lead City University, Ibadan, Nigeria.
Akinyele-Williams Titilope Felicia
Department of Public Health Nursing, University College Hospital (UCH), Ibadan. Oyo State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Nigerian women of childbearing age who are sexually active are the at risk of cervical cancer (CC), since they may have been exposed to Human Papilloma virus. Majority of the women with invasive cervical cancer were never screened for this disease which is known to be a major cause of cancer deaths among women, especially in developing nations. Mortality and morbidity arising from non-communicable diseases like cancer have continued to pose threat to the life of women. Cervical cancer is one of the common cancers and is responsible for the death of many women. This study was therefore designed to investigate the knowledge of pregnant women attending antenatal clinic at University Teaching Hospital Ibadan about cervical cancer and their attitude towards its methods of prevention.
A descriptive cross-sectional design was adopted and a total of one hundred and forty-seven (147) pregnant women were selected at the antenatal clinic at University Teaching Hospital Ibadan using a simple random sampling method. Self-structured questionnaire was used to collected the date from the respondents while descriptive statistics was used to analyze the data. Respondents’ ages ranged between 18 and 50 which is the average reproductive age of women, of which 80% had at least secondary school education while the remaining 20% had only primary school education.
The study confirmed that most of the respondents had heard about cervical cancer screening and know where it can be done. While the awareness of cervical; cancer is high unfortunately, the perception that it can be treated is quite low. Knowledge, attitude and perception of women attending ante-natal clinic on cervical cancer screening often an important opportunity for comprehensive prevention and preventive strategies of the disease especially during the early stage if detected on time. Noteworthy is that majority of the respondents are aware of cervical cancer, however they are not aware of the vaccines that can help prevent it. Their knowledge of the relationship of cervical cancer is not accurate. Also, they don’t know that women should be checked every three years by health professionals for cervical cancer. Similarly, they do not have enough information about the different types of test that should be carried out for the detection of cervical cancer.
Hence, there is a large gap between level of knowledge and attitude of pregnant women attending antenatal clinic at University Teaching Hospital Ibadan towards causes and methods of preventing cervical cancer. Efforts should be put in place to bridge this gap to reduce the incidence of women with cervical cancer.
Keywords: Cervical cancer, screening test, knowledge, attitude, women
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References
WHO: WHO. Comprehensive cervical cancer control. A guide to essential practice. WHO Library Cataloguing-In-Publication Data. 2018;9-38.
Li X, Hu SY, He Y, Hernandez Donoso L, Qu KQ, Van Kriekinge G, Zhao FH. Systematic literature review of risk factors for cervical cancer in the South African population. Women’s Health. 2018;14. Available:https://doi.org/10.1177/1745506518816599
Amu E, Ndugba S, and Olatona F: Knowledge of cervical cancer and attitude to cervical cancer screening among women in Somolu local government area, Lagos, Cervical Screening J Community Med Prim Heal Care. 2019;31(1):76–85.
American Association for Cancer Research: “Global burden of cancer in women, current status, trends, and interventions,” Cancer Epidemiol Biomarkers Prevention.2017;26(4):444–457.
Arbyn M, Weiderpass E, Bruni L, et al: Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis Lancet Glob Health. 2018;8(2):e191–e203. Available:https://doi.org/10.1016/S2214-109X(19)30482-6 PMCID: 7025157
Bray F. Transitions in human development and the global cancer burden. In: Wild, CP., Stewart, B. (Eds.), World Cancer Report 2014. International Agency for Research on Cancer Lyon; 2014.
International Agency for Cancer Research/World Health Organization, Nigeria Factsheet: Globocan: Available:https://gco.iarc.fr/today/data/factsheets/populations/566-nigeria-fact-sheets.pdf Accessed on 5 October 2019.
Murfi, J, Irvine F, Meechan‐Rogers R, Swift A: Education, income and occupation and their influence on the uptake of cervical cancer prevention strategies: A systematic review. Journal of Clinical Nursing; 2019. Available:https://doi.org/10.1111/jocn.15094
World Health Organization: Human papillomavirus (HPV) and cervical cancer FactSheet: Available:https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer.
Last Accessed on 2020 Apr 14.
Tulu Gebisa, Elias Teferi Bala, Berhanu Senbeta Deriba: Knowledge, Attitude, and Practice Toward Cervical Cancer Screening Among Women Attending Health Facilities in Central Ethiopia. Cancer Control, 2022;29. Available:https://doi.org/10.1177/10732748221076680
Adebayo M D Agboola, Oluwasomidoyin O Bello: The determinants of knowledge of cervical cancer, attitude towards screening and practice of cervical cancer prevention amongst antenatal attendees in Ibadan, Southwest Nigeria. Ecancer. 2021;15:1225 Available:https://doi.org/10.3332/ecancer.2021.1225
Ifebude Joshua Ebuka, Idowu Oluwasegun Caleb, Awolude Olutosin Alaba: Knowledge and Attitude of Pregnant Women Attending Antenatal Clinic to Cervical Cancer Screening in Pregnancy in Ibadan, Nigeria. International Journal of Clinical Oncology and Cancer Research. 2022;7(3):64-69. DOI: 10.11648/j.ijcocr.20220703.13
Saad Aliyu Ahmed, Kabiru Sabitu, Suleiman Hadejia Idris, Rukaiya Ahmed: Knowledge, attitude and practice of cervical cancer screening among market women in Zaria, Nigeria. Nigerian Medical Journal. 2013;54(5). Website: www.nigeriamedj.com. DOI:10.4103/0300-1652.122337
Tope Olubodun, Oluwakemi Ololade Odukoya, Mobolanle Rasheedat Balogunet: Knowledge, attitude and practice of cervical cancer prevention, among women residing in an urban slum in Lagos, South West, Nigeria. Pan African Medical Journal. 2019;32:130. DOI: 10.11604/pamj.2019.32.130.14432
Sowemimo O, Ojo O, Fasubaa O: Cervical cancer screening and practice in low resource countries: Nigeria as a case study Trop. J. Obstet. Gynaecol. 2017;34(3):170. DOI: 10.4103/tjog.tjog_66_17 View Record in ScopusGoogle Scholar