- Volume 14 Issue 6
DOI QR Code
Cervical Cancer Screening: Knowledge, Attitude and Practices among Nursing Staff in a Tertiary Level Teaching Institution of Rural India
- Shekhar, Shashank (Department of Obstetrics and Gynecology, AIIMS Jodhpur) ;
- Sharma, Chanderdeep (Department of Obstetrics and Gynecology, Dr RPGMC Tanda) ;
- Thakur, Sita (Department of Obstetrics and Gynecology, Dr RPGMC Tanda) ;
- Raina, Nidhi (Department of Obstetrics and Gynecology, Dr RPGMC Tanda)
- Published : 2013.06.30
Background: Assessment of the nursing staff knowledge, attitude and practices about cervical cancer screening in a tertiary care teaching institute of rural India. Materials and Methods: A cross sectional, descriptive, interview-based survey was conducted with a pretested questionnaire among 262 staff nurses of a tertiary care teaching and research institute. Results: In this study 77% respondents knew that Pap smear is used for detection of cervical cancer, but less than half knew that Pap smear can detect even precancerous lesions of cervix. Only 23.4% knew human papilloma virus infection as a risk factor. Only 26.7% of the respondents were judged as having adequate knowledge based on scores allotted for questions evaluating knowledge about cervical cancer and screening. Only 17 (7%) of the staff nurses had themselves been screened by Pap smear, while 85% had never taken a Pap smear of a patient. Adequate knowledge of cervical cancer and screening, higher parity and age >30 years were significantly associated with self screening for cervical cancer. Most nurese held a view that Pap test is a doctor procedure, and nearly 90% of nurses had never referred a patient for Pap testing. Conclusions: The majority of nursing staff in rural India may have inadequate knowledge about cervical cancer screening, and their attitude and practices towards cervical cancer screening could not be termed positive.
- Aswathy S, Quereshi MA, Kurian B, Leelamoni K (2012). Cervical cancer screening: current knowledge and practice among women in a rural population of Kerala, India. Indian J Med Res, 136, 205-10
- Denny L, Kuhn L, De Souza M, et al (2005). Screen-and treat approaches for cervical cancer prevention in low-resource settings: a randomized controlled trial. JAMA, 294, 2173-81. https://doi.org/10.1001/jama.294.17.2173
- Ertem G (2009). Awareness of cervical cancer risk factors and screening behaviour among nurses in a rural region of Turkey. Asian Pac J Cancer Prev, 10, 735-8.
- Freeman H (1989). Cancer and the socioeconomically disadvantaged. Atlanta, Ga: American Cancer Society.
- Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of Cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
- Gaffikin L, Blumenthal PD, Emerson M, Limpaphayom K (2003). Safety, acceptability and feasibility of a single-visit approach to cervical-cancer prevention in rural Thailand: a demonstration project. Lancet, 361, 814-20. https://doi.org/10.1016/S0140-6736(03)12707-9
- Government of India - World Health Organization Collaboration Programme 2004-2005. Guidelines for cervical cancer screening programme; 2006.
- Gakidou E, Nordhagen S, Obermeyer Z (2008). Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities. PloS Med, 5, 132. https://doi.org/10.1371/journal.pmed.0050132
- Harry TK, Felicia MS, Ngugen S (2006). A needs assessment of barriers to cervical cancer screening in Vietnamese American health care providers. Californian J Health Promotion, 4, 146-56.
- Hainer R. New guidelines: Pap test should start at age 21. Atlanta: Cable News Network (CNN); 2009. Available from: http://edition.cnn.com/2009/HEALTH/11/20/pap.cervical.cancer/index.html.
- Kitchener HC, Symonds P (1999). Detection of cervical intraepithelial neoplasia in developing countries. Lancet, 353, 856-7. https://doi.org/10.1016/S0140-6736(98)00417-6
- Nene B, Jayant K, Arrossi S, et al (2007). Determinants of women’s participation in cervical cancer screening trial, Maharashtra, India. Bulletin of the World Health Organization, 85, 264-72. https://doi.org/10.2471/BLT.06.031195
- Sankaranarayanan R, Wesley R, Somanathan T, et al (1998). Visual inspection of the uterine cervix after the application of acetic acid in the detection of cervical carcinoma and its precursors. Cancer, 83, 2150-6. https://doi.org/10.1002/(SICI)1097-0142(19981115)83:10<2150::AID-CNCR13>3.0.CO;2-0
- Sankaranarayanan R, Shyamalakumary B, Wesley R, et al (1999). Visual inspection with acetic acid in the early detection of cervical cancer and precursors. Int J Cancer, 80, 161-63. https://doi.org/10.1002/(SICI)1097-0215(19990105)80:1<161::AID-IJC28>3.0.CO;2-8
- Sankaranarayanan R, Rajkumar R, Arrossi S, et al (2003). Determinants of participation of women in a cervical cancer visual screening trial in rural south India. Cancer Detect Prev, 27, 457-65. https://doi.org/10.1016/j.cdp.2003.09.006
- Swan J, Breen N, Coates RJ, Rimer BK, Lee NC (2003). Progress in cancer screening practices in the United States. Results from the 2000 national health interview survey. Cancer, 97, 1528-40. https://doi.org/10.1002/cncr.11208
- Singh E, Seth S, Rani V, Srivastava DK (2012). Awareness of cervical cancer screening among nursing staff in a tertiary institution of rural India. J Gynecol Oncol, 23, 141-6. https://doi.org/10.3802/jgo.2012.23.3.141
- University of Zimbabwe/JHPIEGO Cervical Cancer Project (1999). Visual inspection with acetic acid for cervical cancer screening: test qualities in a primary-care setting. Lancet, 353, 869-73. https://doi.org/10.1016/S0140-6736(98)07033-0
- World Health Survey: WHO (2003). Geneva.
- Waller J, McCaffery K, Wardle J (2004). Measuring cancer knowledge: comparing prompted and unprompted recall. Br J Psychol, 95, 219-34. https://doi.org/10.1348/000712604773952430
- Perception and Practices on Screening and Vaccination for Carcinoma Cervix among Female Healthcare Professional in Tertiary Care Hospitals in Bangalore, India vol.15, pp.15, 2014, https://doi.org/10.7314/APJCP.2014.15.15.6095
- Evaluation of an Educational Program on Cervical Cancer for Rural Women in Mangalore, Southern India vol.15, pp.16, 2014, https://doi.org/10.7314/APJCP.2014.15.16.6603
- Effects of an Educational Intervention Based on the Protection Motivation Theory and Implementation Intentions on First and Second Pap Test Practice in Iran vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7257
- Acceptability of Human Papilloma Virus Vaccination among Women in the United Arab Emirates vol.15, pp.5, 2014, https://doi.org/10.7314/APJCP.2014.15.5.2007
- Factors Affecting Cervical Cancer Screening Uptake by Hmong Hilltribe Women in Thailand vol.15, pp.8, 2014, https://doi.org/10.7314/APJCP.2014.15.8.3753
- Clinical Impact of De-Regulated Notch-1 and Notch-3 in the Development and Progression of HPV-Associated Different Histological Subtypes of Precancerous and Cancerous Lesions of Human Uterine Cervix vol.9, pp.6, 2014, https://doi.org/10.1371/journal.pone.0098642
- Breast and Cervical Cancer Related Practices of Female Doctors and Nurses Working at a University Hospital in Turkey vol.16, pp.14, 2015, https://doi.org/10.7314/APJCP.2015.16.14.5869
- Perspectives of Women during Reproductive Years for Cervical Cancer Scans and Influencing Factors vol.16, pp.16, 2015, https://doi.org/10.7314/APJCP.2015.16.16.7171
- Knowledge and Acceptability of Human Papillomavirus Vaccination and Cervical Cancer Screening among Women in Karnataka, India vol.30, pp.1, 2015, https://doi.org/10.1007/s13187-014-0745-4
- Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory vol.17, pp.3, 2016, https://doi.org/10.7314/APJCP.2016.17.3.1157
- Effect of structured training programme on the knowledge and behaviors of breast and cervical cancer screening among the female teachers in Turkey vol.17, pp.1, 2017, https://doi.org/10.1186/s12905-017-0478-8
- Uptake of cervical cancer screening among women attending a provincial hospital in Zimbabwe vol.12, pp.1, 2018, https://doi.org/10.12968/ajmw.2018.12.1.35
- Feasibility of implementing cervical cancer screening program using smartphone imaging as a training aid for nurses in rural India pp.07371209, 2018, https://doi.org/10.1111/phn.12517
- Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal vol.29, pp.4, 2018, https://doi.org/10.3802/jgo.2018.29.e57
- Cervical cancer awareness and presence of abnormal cytology among HIV-infected women on antiretroviral therapy in rural Andhra Pradesh, India pp.1758-1052, 2019, https://doi.org/10.1177/0956462419825950