DOI QR코드

DOI QR Code

Awareness of cervical cancer screening among nursing staff in a tertiary institution of rural India

  • Singh, Ekta (Department of Obstetrics and Gynaecology, Uttar Pradesh Rural Institute of Medical Sciences & Research) ;
  • Seth, Shikha (Department of Obstetrics and Gynaecology, Uttar Pradesh Rural Institute of Medical Sciences & Research) ;
  • Rani, Vidya (Department of Community Medicine, Uttar Pradesh Rural Institute of Medical Sciences & Research) ;
  • Srivastava, Dhiraj Kumar (Department of Community Medicine, Uttar Pradesh Rural Institute of Medical Sciences & Research)
  • Published : 2012.07.30

Abstract

Objective: To determine the baseline information about the knowledge of cervical cancer and explore attitude and practice of Pap smear screening among staff nurses. Methods: A pretested structured self administered questionnaire based survey was done on 205 staff nurses working in Rural Institute of Medical Sciences & Research, Saifai, Etawah, containing mostly recognition and some recall type questions about demographics, knowledge about cervical cancer, its risk factors, screening techniques, attitudes towards cervical cancer screening and its practices. Results: In this study, 74% knew that Pap smear is used for detection of cervical cancer, but only 59% knew that it can detect both cancerous as well as precancerous lesions of the cervix. Only 18% of the respondents knew about human papillomavirus vaccine. A 47% of respondents had never taken a Pap smear; 63% never referred patients for the screening. Most nurses (79%) thought that a speculum examination and Pap smear are procedures to be performed by the doctors. Among all the respondents, only 11% had ever undergone a Pap smear on themselves. Conclusion: Despite knowledge of the gravity of cervical cancer and prevention by screening, attitudes and practices towards screening were negative.

Keywords

References

  1. Standard & Guidelines, Cervical and breast cancer screening by VIA & CBE. New York: The United Nations Population Fund; 2006.
  2. Desai M. An assessment of community based cancer screening program among Indian women using the Anganwadi workers. J Obstet Gynecol Ind 2004;54:483-487.
  3. Adeleke NA, Komolafe JA. Knowledge, attitude and practice of cervical cancer screening among women of reproductive age group in Osogbo, south western Nigeria. Sex Health Matters 2007;8:70-73.
  4. Postgraduate Institute of Medical Education and Research. Guidelines for cervical cancer screening programme. Government of India-World Health Organization Collaborative Programme (2004-2005). Chandigarh, India: Postgraduate Institute of Medical Education and Research; 2006.
  5. National Commission on Macroeconomics and Health. Burden of disease in India. New Delhi, India: Ministry of Health & Family Welfare, Government of India; 2005.
  6. Hainer R. New guidelines: Pap test should start at age 21 [Internet]. Atlanta: Cable News Network (CNN); 2009 [cited 2012 May 30]. Available from: http://edition.cnn.com/2009/HEALTH/11/20/pap.cervical.cancer/index.html.
  7. Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ 2001;79:954-962.
  8. Chirenje ZM, Chipato T, Kasule J, Rusakaniko S. Visual inspection of the cervix as a primary means of cervical cancer screening: results of a pilot study. Cent Afr J Med 1999;45:30-33.
  9. Cronje HS, Parham GP, Cooreman BF, de Beer A, Divall P, Bam RH. A comparison of four screening methods for cervical neoplasia in a developing country. Am J Obstet Gynecol 2003;188:395-400. https://doi.org/10.1067/mob.2003.153
  10. Ertem G. Awareness of cervical cancer risk factors and screening behavior among nurses in a rural region of Turkey. Asian Pac J Cancer Prev 2009;10:735-738.
  11. Sankaranarayanan R, Rajkumar R, Arrossi S, Theresa R, Esmy PO, Mahe C, et al. Determinants of participation of women in a cervical cancer visual screening trial in rural south India. Cancer Detect Prev 2003;27:457-465. https://doi.org/10.1016/j.cdp.2003.09.006
  12. Siahpush M, Singh GK. Sociodemographic predictors of pap test receipt, currency and knowledge among Australian women. Prev Med 2002;35:362-368. https://doi.org/10.1006/pmed.2002.1086
  13. Bott S, Jejeebhoy S, Shah I, Puri C. Towards adulthood: exploring the sexual and reproductive health of adolescent in South Asia. Geneva: World Health Organization; 2003.
  14. Powe BD, Finnie R. Cancer fatalism: the state of the science. Cancer Nurs 2003;26:454-465.
  15. Denny L, Kuhn L, De Souza M, Pollack AE, Dupree W, Wright TC Jr. Screen-and-treat approaches for cervical cancer prevention in low-resource settings: a randomized controlled trial. JAMA 2005;294:2173-2181. https://doi.org/10.1001/jama.294.17.2173
  16. Waller J, McCaffery K, Wardle J. Measuring cancer knowledge: comparing prompted and unprompted recall. Br J Psychol 2004;95(Pt 2):219-234. https://doi.org/10.1348/000712604773952430

Cited by

  1. Screening of uterine cervical cancer in low-resource settings vol.23, pp.3, 2012, https://doi.org/10.3802/jgo.2012.23.3.137
  2. Effect of Screening on the Risk Estimates of Socio Demographic Factors on Cervical Cancer - A Large Cohort Study from Rural India vol.14, pp.1, 2013, https://doi.org/10.7314/apjcp.2013.14.1.589
  3. Cervical Cancer Screening: Knowledge, Attitude and Practices among Nursing Staff in a Tertiary Level Teaching Institution of Rural India vol.14, pp.6, 2012, https://doi.org/10.7314/apjcp.2013.14.6.3641
  4. Cervical cancer prevention in reproductive health services: knowledge, attitudes and practices of midwives in Côte d’Ivoire, West Africa vol.14, pp.None, 2012, https://doi.org/10.1186/1472-6963-14-165
  5. Breast, Cervix and Colorectal Cancer Knowledge among Nurses in Turkey vol.15, pp.5, 2012, https://doi.org/10.7314/apjcp.2014.15.5.2267
  6. Perception of Human Papillomavirus Infection, Cervical Cancer and HPV Vaccination in North Indian Population vol.9, pp.11, 2012, https://doi.org/10.1371/journal.pone.0112861
  7. Knowledge, attitudes and practice toward cervical cancer screening among Sikkimese nursing staff in India vol.36, pp.2, 2012, https://doi.org/10.4103/0971-5851.158840
  8. A Mixed Method Research to Identify Perceived Reasons and Solutions for Low Uptake of Cervical Cancer Screening in Urban Families of Bhopal Region vol.2016, pp.None, 2012, https://doi.org/10.1155/2016/5731627
  9. A comparison of liquid-based cytology with conventional Papanicolaou smears in cervical dysplasia diagnosis vol.5, pp.None, 2012, https://doi.org/10.4103/2277-9175.192735
  10. Factors Predicting Nurse Intent and Status Regarding Pap Smear Examination in Taiwan: a Cross-sectional Survey vol.17, pp.1, 2016, https://doi.org/10.7314/apjcp.2016.17.1.165
  11. Cost Analysis of Cervical Cancer Patients with Different Medical Payment Modes Based on Gamma Model within a Grade A Tertiary Hospital vol.131, pp.4, 2012, https://doi.org/10.4103/0366-6999.225052
  12. Knowledge and practices of general practitioners at district hospitals towards cervical cancer prevention in Burundi, 2015: a cross-sectional study vol.14, pp.None, 2012, https://doi.org/10.1186/s12992-018-0321-5
  13. Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal vol.29, pp.4, 2012, https://doi.org/10.3802/jgo.2018.29.e57
  14. Primary health care workers’ understanding and skills related to cervical cancer prevention in Sango PHC centre in south-western Nigeria: a qualitative study vol.20, pp.None, 2019, https://doi.org/10.1017/s1463423619000215
  15. Knowledge and Awareness of Cervical Cancer and its Prevention amongst Nursing Staff in a Tertiary Care Hospital vol.7, pp.1, 2012, https://doi.org/10.5005/jp-journals-10032-1161
  16. Awareness of human papilloma virus and cervical cancer prevention among Cypriot female healthcare workers vol.13, pp.None, 2019, https://doi.org/10.3332/ecancer.2019.978
  17. Can LBC Completely Replace Conventional Pap Smear in Developing Countries vol.69, pp.1, 2019, https://doi.org/10.1007/s13224-018-1123-7
  18. Knowledge, Attitudes, and Intentions towards Human Papillomavirus Vaccination among Nursing Students in Spain vol.16, pp.22, 2012, https://doi.org/10.3390/ijerph16224507
  19. Knowledge, attitude, and practice regarding the screening of cervical cancer among women in New Delhi, India vol.31, pp.4, 2019, https://doi.org/10.4103/tcmj.tcmj_145_18
  20. Awareness and utilization of cervical cancer screening services among primary health care providers in Zaria vol.2, pp.2, 2012, https://doi.org/10.4081/aamr.2019.68
  21. Diagnostic accuracy of self‐collected vaginal samples for HPV DNA detection in women from South India vol.149, pp.2, 2012, https://doi.org/10.1002/ijgo.13116
  22. Knowledge, attitude, and practice on screening toward cervical cancer among health professionals in India-A review vol.17, pp.None, 2021, https://doi.org/10.1177/17455065211017066
  23. Knowledge on cervical cancer and perceived barriers to the uptake of HPV vaccination among health professionals vol.21, pp.1, 2012, https://doi.org/10.1186/s12905-021-01205-8