Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal

Niresh Thapa; Muna Maharjan; Marcia A. Petrini; Rajiv Shah; Swati Shah; Narayani Maharjan; Navin Shrestha; Hongbing Cai

Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal

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Type: Academic journal

Author: Niresh Thapa (Department of Gynecological Oncology Zhongnan Hos) Muna Maharjan (HOPE School of Nursing Zhongnan Hospital of Wuhan University Wuhan China.) Marcia A. Petrini (Faculty of Nursing Chiang Mai University Chiang Mai Thailand.) Rajiv Shah (Department of Obstetrics and Gynecology Karnali Academy of Health Sciences Jumla Nepal.)

Journal: 대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.29 No.4 KCI Accredited Journals

Published: 2018.1

Pages: 1 - 12 (12page)

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Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal

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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 (p<0.001); and those who had a positive family history of cancer were more likely to attend the cervical cancer screening (p<0.001). Similarly, married women, who had adequate knowledge and or favorable attitude, were more likely to practice cervical cancer screening, though statistically not significant. Factors such as "No symptoms," "Lack of awareness," "Embarrassment," etc. were the most common barriers for the cervical cancer screening. CONCLUSION: The adequate knowledge and practice of cervical cancer screening were meager among rural Nepalese women, but most of them had a favorable attitude. There is an imperative need for related awareness programs to promote the uptake of cervical cancer screening tests.

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ICO/IARC Information Centre on HPV and Cancer / 2017 / Human papillomavirus and related diseases in the world / ICO/IARC HPV Information Centre

Ferlay J / GLOBOCAN 2012: estimated cancer incidence, mortality and prevalence worldwide in 2012 v1.0

Gyenwali D / 2013 / Factors associated with late diagnosis of cervical cancer in Nepal / Asian Pac J Cancer Prev 14:4373~4377

World Health Organization / Comprehensive cervical cancer control: a guide to essential practice

Family Health Division / 2010 / National guideline for cervical cancer screening and prevention in Nepal / Government of Nepal Ministry of Health & Population

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