CERVICAL CANCER SCREENING AND KNOWLEDGE OF CERVICAL CANCER RISK FACTORS AMONG WOMEN OF REPRODUCTIVE AGE IN JUJA SUB-COUNTY, KENYA
Keywords:
Cervical cancer, Screening, risk factors, Knowledge, JujaAbstract
Purpose: To examine cervical cancer screening and knowledge of cervical cancer risk factors among women of reproductive age in Juja sub-county, Kenya
Methodology: The survey adopted a descriptive cross-sectional study design. The targeted sample was 422 women aged 18-49 years in selected households. Multistage sampling was used to select the respondents. Interviewer-administered questionnaires were utilized in gathering quantitative data while FGDs facilitated collection of qualitative data. Binary logistic regression and chi square tests were used in data analysis. Odds ratio (OR), level of significance at 95% and chi square were used interpret the results. The investigator processed the data using SPSS software version 20.
Findings: There was significant statistical difference between knowledge level of cervical cancer risk factors and screening (P=0.017). Knowledge level of risk factors for cervical cancer was a significant predictor for having a cervical cancer screen (P=0.022). Respondents who had least knowledge level on risk factor to cervical cancer were about 14 times more likely to be unscreened as compared to those who had highest knowledge level [OR, 17.40 (95% CI: 1.510, 200.6) P-value 0.02.
Unique contribution to theory, practice and policy: Department of health in Kiambu county government should introduce policies which help to increase rate of screening for cervical cancer by initiating public knowledge of risk factors for the disease
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References
Denny, L., & Anorlu, R. (2012). Cervical cancer in Africa. Cancer Epidemiology and Prevention Biomarkers, 21(9), 1434-1438.
Finocchario-Kessler, S., Wexler, C., Maloba, M., Mabachi, N., Ndikum-Moffor, F., & Bukusi, E. (2016). Cervical cancer prevention and treatment research in Africa: a systematic review from a public health perspective. BMC women's health, 16(1), 29.
Goertz, G., & Mahoney, J. (2012). A tale of two cultures: Qualitative and quantitative research in the social sciences. Princeton University Press.
ICO Information Centre. (2017). Kenya Human Papilloma Virus and Related Cancers, Fact Sheet 2017. http://www.hpvcentre.net. Retrieved 18 October 2017, from http://www.hpvcentre.net/statistics/reports/KEN_FS.pdf
Ifemelumma, C. C., Anikwe, C. C., Okorochukwu, B. C., Onu, F. A., Obuna, J. A., Ejikeme, B. N., & Ezeonu, O. P. (2019). Cervical Cancer Screening: Assessment of Perception and Utilization of Services among Health Workers in Low Resource Setting. International journal of reproductive medicine, 2019.
KDHS. (2014). KDHS 2014 Demographic and Health SurveyKey Findings. Retrieved 16 September 2019, from https://www.dhsprogram.com/pubs/pdf/sr227/sr227.pdf
Kumar, H. H. N., & Tanya, S. (2014). A study on knowledge and screening for cervical cancer among women in Mangalore city. Annals of medical and health sciences research, 4(5), 751-756.
Mitiku, I., & Tefera, F. (2016). Knowledge about cervical cancer and associated factors among 15-49 year old women in Dessie Town, Northeast Ethiopia. PloS one, 11(9), e0163136.
Modibbo, F., Iregbu, K. C., Okuma, J., Leeman, A., Kasius, A., de Koning, M., ... & Adebamowo, C. (2017). Randomized trial evaluating self-sampling for HPV DNA based tests for cervical cancer screening in Nigeria. Infectious Agents and Cancer, 12(1), 11.
Moore, A. R., & Driver, N. (2014). Knowledge of cervical cancer risk factors among educated women in Lomé, Togo: Half-truths and misconceptions. Sage Open, 4(4), 2158244014557041.
Morema, E. N., Atieli, H. E., Onyango, R. O., Omondi, J. H., & Ouma, C. (2014). Determinants of cervical screening services uptake among 18–49 year old women seeking services at the Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya. BMC health services research, 14(1), 335.
Morris, M. R. (2016). Factors Associated with the Uptake of Cervical Cancer Screening Among Women of Reproductive Age in Homabay County, Kenya: A Case of Kanyadhiang Sub Location. Clinics Mother Child Health, 13(232), 2.
Mugo, M. (2017). Trends of leading cancer cases at KNH Cancer Registry. Retrieved 20 August 2019, from https://www.kemri.org/KASH/ojs-2.4.8-1/index.php/KCAB/article/view/19/0
Mugwe, J. (2014). Uptake of HPV Vaccine and Screening for Cervical Precancerous Lesions among Attendees of MCH Clinic at Thika Level 5 Hospitals, Kiambu County (Doctoral dissertation, Kenyatta University).
Mwangi, J. H. (2015). Utilization of the visual inspection screening method for cancer of the cervix in Kitui Central Sub County, Kenya (Doctoral dissertation, Kenyatta University).
Nelson, E. J., Maynard, B. R., Loux, T., Fatla, J., Gordon, R., & Arnold, L. D. (2016). The acceptability of self-sampled screening for HPV DNA: a systematic review and meta-analysis. Sex Transm Infect, sextrans-2016.
Njiru, J. M. (2016). Challenges to Visual Cervical Cancer Screening Service Integration and Utilization in Imenti South Sub-County Reproductive Health Care System, Meru County–Kenya. Imperial Journal of Interdisciplinary Research, 2(5).
Nyangasi, M., Nkonge, N. G., Gathitu, E., Kibachio, J., Gichangi, P., Wamai, R. G., & Kyobutungi, C. (2018). Predictors of cervical cancer screening among Kenyan women: results of a nested case-control study in a nationally representative survey. BMC public health, 18(3), 1221.
Ralston, J. D., Taylor, V. M., Yasui, Y., Kuniyuki, A., Jackson, J. C., & Tu, S. P. (2003). Knowledge of cervical cancer risk factors among Chinese immigrants in Seattle. Journal of Community Health, 28(1), 41-57.
Wanyoro, A. K., & Kabiru, E. W. (2017). Use of Mobile Phone Short Text Message Service to Enhance Cervical Cancer Screening at Thika Level 5 Hospital, Kiambu County, Kenya: A Randomised Controlled Trial. Research in Obstetrics and Gynecology, 5(1), 10-20.
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