- Volume 15 Issue 16
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Knowledge, Attitude and Practices of Women in Maldives Related to the Risk Factors, Prevention and Early Detection of Cervical Cancer
- Basu, Partha (Department of Gynecological Oncology, Chittaranjan National Cancer Institute) ;
- Hassan, Salma (Maldivies Nurses Association) ;
- Fileeshia, Fathmath (Maldivies Nurses Association) ;
- Mohamed, Sizna (Maldivies Nurses Association) ;
- Nahoodha, Aminath (Maldivies Nurses Association) ;
- Shiuna, Aminath (Maldivies Nurses Association) ;
- Sulaiman, Asma Ibrahim (Ministry of Health and Gender) ;
- Najeeb, Nazeera (Ministry of Health and Gender) ;
- Saleem, Fathmath Jeehan (United Nations Population Fund (UNFPA))
- Published : 2014.08.30
Background: A population-based cervical cancer screening program using visual inspection with acetic acid was launched in Maldives in 2014. Our study aimed to assess the knowledge, attitude and practices of women in relation to risk factors of cervical cancer, early detection of the disease and its prevention. Materials and Methods: The questionnaire based survey was conducted among 20 to 50 year old women, systematically sampled to represent three regions of Maldives. Trained investigators interviewed a total of 2,845 women at home. Results: The prevalence of the risk factors of cervical cancer like early age at marriage and childbirth, multiple marriages, multiple marriages of the husbands, and multiple pregnancies was high. More women knew about breast cancer than cervical cancer. Even among the small number of women who knew of cervical cancer, only 34.6% had the knowledge of at least one early symptom. Very few women knew that the cancer could be prevented by any test. Only 6.2% of the women reported having ever undergone a Pap smear. Many women had the misconception that cervical cancer was infectious. In Maldives the younger women have high literacy rate due to the policy of universal free education and those with higher levels of education had improved knowledge of cervical cancer and its risk factors. The prevalence of risk factors also reduced with improved literacy. Conclusions: Awareness about risk factors and prevention of cervical cancer is limited among Maldivian women in spite of having high exposure to some of the risk factors. A universal literacy program in the country has helped to improve the knowledge of cervical cancer prevention and to reduce the exposure to various risk factors in the younger population.
Cervical cancer;knowledge attitude;practices;maldives;screening;Maldives
- Basu P, Sarkar S, Mukherjee S, et al (2006). Women's perceptions and social barriers determine compliance to cervical screening: results from a population based study in India. Cancer Detect Prev, 30, 369-74. https://doi.org/10.1016/j.cdp.2006.07.004
- Bruni L, Barrionuevo-Rosas L, Serrano B, et al (2013). ICO Information centre on HPV and cancer (HPV information centre). Human papillomavirus and related diseases in maldives.
- Castellsague X, Munoz N (2003). Chapter 3: cofactors in human papillomavirus carcinogenesis-role of parity, oral contraceptives, and tobacco smoking. J Natl Cancer Inst Monogr, 20, 8.
- Donta B, Begum S, Nair S, et al (2012). Awareness of cervical cancer among couples in a slum area of Mumbai. Asian Pac J Cancer Prev, 13, 4901-3. https://doi.org/10.7314/APJCP.2012.13.10.4901
- Eaker S, Adami HO, Sparen P (2001). Attitudes to screening for cervical cancer: a population-based study in Sweden. Cancer Causes Control, 12, 519-28. https://doi.org/10.1023/A:1011233007132
- GLOBOCAN (2012). Estimated Cancer incidence, mortality and prevalence woldwide in 2012. [Internet]. Lyon: international agency for research on Cancer; 2012.
- Bosch FX, Castellsague X, Munoz N, et al (1996). Male sexual behavior and human papillomavirus DNA: Key risk factors for cervical cancer in Spain. J Natl Cancer Inst, 88, 1060-7. https://doi.org/10.1093/jnci/88.15.1060
- McKie L (1993). Women's views of the cervical smear test: implications for nursing practice-women who have not had a smear test. J Adv Nurs, 18, 972-9. https://doi.org/10.1046/j.1365-2648.1993.18060972.x
- Munoz N, Franceschi S, Bosetti C, et al (2002). Role of parity and human papillomavirus in cervical cancer: the IARC multicentric case-control study. Lancet, 359, 1093-101. https://doi.org/10.1016/S0140-6736(02)08151-5
- Natphopsuk S, Settheetham-Ishida W, Sinawat S, et al (2012). Risk factors for cervical cancer in northeastern Thailand: detailed analyses of sexual and smoking behavior. Asian Pac J Cancer Prev, 13, 5489-95. https://doi.org/10.7314/APJCP.2012.13.11.5489
- Nessa A, Hussain MA, Rashid MH, et al (2013). Role of print and audiovisual media in cervical cancer prevention in Bangladesh. Asian Pac J Cancer Prev, 14, 3131-7. https://doi.org/10.7314/APJCP.2013.14.5.3131
- Ortashi O, Raheel H, Shalal M, Osman N (2013). Awareness and knowledge about human papillomavirus infection and vaccination among women in UAE.. Asian Pac J Cancer Prev, 14, 6077-80. https://doi.org/10.7314/APJCP.2013.14.10.6077
- Ozyer S, Uzunlar O, Ozler S, et al (2013). Awareness of Turkish female adolescents and young women about HPV and their attitudes towards HPV vaccination. Asian Pac J Cancer Prev, 14, 4877-81. https://doi.org/10.7314/APJCP.2013.14.8.4877
- Practical and Cost-effective Screening for Cervical Cancer using VIA Launched in Maldives. UNFPA Maldives. 2014. http://countryoffice.unfpa.org/maldives/.
- Sellors JW, Karwalajtys TL, Kaczorowski J, et al (2003). Incidence, clearance and predictors of human papillomavirus infection in women. CMAJ, 168, 421-5
- Toan Tran N, Choe S, Taylor R, et al (2011). Knowledge, attitude and practice (KAP) concerning cervical cancer and screening among rural and urban women in six provinces of the democratic people's republic of Korea. Asian Pac J Cancer Prev, 12, 3029-33.
- Trimble CL, Genkinger JM, Burke AE, et al (2005). Active and passive cigarette smoking and the risk of cervical Neoplasia. Obstet Gynecol, 105, 174-81. https://doi.org/10.1097/01.AOG.0000148268.43584.03
- UNDP Maldives (2008). Executive summary. biological and behavioural survey on HIV/AIDS-2008. Republic of maldives. the global fund supported programme in maldives. November. 4-5.
- Wolff M, Bates T, Beck B, et al (2003). Cancer prevention in underserved African American communities: barriers and effective strategies-a review of the literature. WMJ, 102, 36-40.
- Risk Awareness on Uterine Cancer among Australian Women vol.15, pp.23, 2015, https://doi.org/10.7314/APJCP.2014.15.23.10251
- Level of Awareness of Cervical and Breast Cancer Risk Factors and Safe Practices among College Teachers of Different States in India: Do Awareness Programmes Have an Impact on Adoption of Safe Practices? vol.16, pp.3, 2015, https://doi.org/10.7314/APJCP.2015.16.3.927
- Community-Based Health Education has Positive Influence on the Attitude to Cervical Cancer Screening among Women in Rural Nepal vol.31, pp.3, 2016, https://doi.org/10.1007/s13187-015-0863-7
- Hispolon suppresses metastasis via autophagic degradation of cathepsin S in cervical cancer cells vol.8, pp.10, 2017, https://doi.org/10.1038/cddis.2017.459
- Comprehensive knowledge on cervical cancer, attitude towards its screening and associated factors among women aged 30–49 years in Finote Selam town, northwest Ethiopia vol.15, pp.1, 2018, https://doi.org/10.1186/s12978-018-0471-1