J Gynecol Oncol. 2018 Jul;29(4):e57 https://doi.org/10.3802/jgo.2018.29.e57 pISSN 2005-0380·eISSN 2005-0399
Original Article
Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal Niresh Thapa ,1,2,* Muna Maharjan ,3,* Marcia A. Petrini ,4 Rajiv Shah ,5 Swati Shah ,5 Narayani Maharjan ,6 Navin Shrestha ,7 Hongbing Cai 1 Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Hubei Cancer Clinical Study Center, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China 2 Karnali Academy of Health Sciences, Jumla, Nepal 3 HOPE School of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China 4 Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand 5 Department of Obstetrics and Gynecology, Karnali Academy of Health Sciences, Jumla, Nepal 6 Department of Clinical Laboratory Science, Zhongnan Hospital of Wuhan University, Wuhan, China 7 Department of Urology and Andrology, Zhongnan Hospital of Wuhan University, Wuhan, China 1
Received: Feb 9, 2018 Revised: Mar 5, 2018 Accepted: Mar 15, 2018 Correspondence to Hongbing Cai Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Hubei Cancer Clinical Study Center, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan 430071, China. E-mail:
[email protected] *Niresh Thapa and Muna Maharjan contributed equally to this work. Copyright © 2018. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https:// creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ORCID iDs Niresh Thapa https://orcid.org/0000-0003-3641-5622 Muna Maharjan https://orcid.org/0000-0001-8601-8620 Marcia A. Petrini https://orcid.org/0000-0003-3494-0415 Rajiv Shah https://orcid.org/0000-0002-6478-8111 Swati Shah https://orcid.org/0000-0001-8813-7156 Narayani Maharjan https://orcid.org/0000-0002-8930-7409
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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 (p0.70. The Cronbach's α value calculated was 0.90.
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https://doi.org/10.3802/jgo.2018.29.e57
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Awareness of cervical cancer in rural Nepal
5. Statistical analysis Data analysis was performed using the Statistical Package for the Social Sciences (SPSS version 16.0; IBM Corp., Armonk, NY, USA). Descriptive statistics were used to describe the women's socio-demographic characteristics and KAP scores. Cross-tabulations were used to describe the association of age, marital status, education, ethnicity and family history of cancer with knowledge, attitude and practice of cervical cancer screening. Binary logistic regression analysis was done for factors predictive towards likely to attend the screening. The χ2 test was used for statistical significance. Odds ratio (OR) was calculated at 95% CI, p
