J Gynecol Oncol.  2018 Jul;29(4):e57. 10.3802/jgo.2018.29.e57.

Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal

Affiliations
  • 1Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Hubei Cancer Clinical Study Center, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China. chb2105@163.com
  • 2Karnali Academy of Health Sciences, Jumla, Nepal.
  • 3HOPE School of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • 4Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
  • 5Department of Obstetrics and Gynecology, Karnali Academy of Health Sciences, Jumla, Nepal.
  • 6Department of Clinical Laboratory Science, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • 7Department of Urology and Andrology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Abstract


OBJECTIVE
To find out the knowledge, attitude, practice, and barriers of cervical cancer screening in mid-western rural, Nepal.
METHODS
A hospital-based cross-sectional study was conducted. Women aged 20 or more were interviewed using a structured questionnaire regarding the socio-demographic information, knowledge, attitude, practice, and barriers to the cervical cancer screening.
RESULTS
Total of 360 participants were recruited for this study, mean age was 30.13±10.4 years. More than 87% of participants had inadequate knowledge, but around 72% had a favorable attitude towards cervical cancer screening. There was a significant portion of women (86.4%) had never done any cervical cancer screening test. Despite being higher literacy rate of Brahmin and Chhetri ethnic group, they were less likely to attend the cervical cancer screening than Dalit and Janajati (p < 0.001); and those who had a positive family history of cancer were more likely to attend the cervical cancer screening (p < 0.001). Similarly, married women, who had adequate knowledge and or favorable attitude, were more likely to practice cervical cancer screening, though statistically not significant. Factors such as "No symptoms,""Lack of awareness,""Embarrassment," etc. were the most common barriers for the cervical cancer screening.
CONCLUSION
The adequate knowledge and practice of cervical cancer screening were meager among rural Nepalese women, but most of them had a favorable attitude. There is an imperative need for related awareness programs to promote the uptake of cervical cancer screening tests.

Keyword

Cervical Cancer; Early Detection of Cancer; Diagnosis; Awareness; Nepal

MeSH Terms

Cross-Sectional Studies
Diagnosis
Early Detection of Cancer
Ethnic Groups
Female
Humans
Literacy
Mass Screening*
Nepal*
Uterine Cervical Neoplasms*
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