Sociodemographic factors associated with knowledge and practice on cervical cancer among female residents of Herat, Afghanistan: A cross-sectional study

Laila Qanawizada; Mahsa Ahmadi

doi:10.56101/rimj.v3i1.75

Authors

Laila Qanawizada Herat Maternity Hospital
Mahsa Ahmadi George Mason University

DOI:

https://doi.org/10.56101/rimj.v3i1.75

Keywords:

Knowledge , Practice, Sociodemographic, Cervical cancer, Afghanistan

Abstract

Background: According to the World Health Organization, cervical cancer is the “fourth most common cancer in women”; around 311,000 women globally lost their lives to cervical cancer in 2018. The purpose of the current study is to assess the knowledge, attitude, and practice of women in Afghanistan regarding cervical cancer.

Methods: This cross-sectional study was conducted from September 2022 to November 2022 among female residents aged at least 10 years old living in Herat province of Afghanistan. A total of 1000 female in Herat were asked, and about 441 agreed to participate in this study (response rate=44.1%).

Results: One-fifth of the participants were adolescents and were 10-17 years old (20%). Almost three out of four participants had no education (73.0%). Less than one-third of the participants were single (30.4%). Almost half of the participants had low knowledge on cervical cancer. Participants residency, occupation, and monthly family income were significantly associated with knowledge of cervical cancer.

Conclusion: The observations here have shown there is space for development surrounding knowledge and practices about cervical cancer. The study sample have demonstrated that the participation of healthcare providers and organizations on awareness of people about cervical cancer was low compared to other sources of information. What underscores these aspects of shortcomings in health information and practices is the disparities in residency, employment, and monthly family income among women.

Author Biographies

Laila Qanawizada, Herat Maternity Hospital

Herat Maternity Hospital, Herat, Afghanistan.

Mahsa Ahmadi, George Mason University

Department of Neuroscience, George Mason University, Fairfax, VA, United States.

References

Basic Information About Cervical Cancer | CDC [Internet]. 2022 [cited 2022 Nov 11]. Available from: https://www.cdc.gov/cancer/cervical/basic_info/index.htm

Cervical cancer [Internet]. [cited 2022 Nov 11]. Available from: https://www.who.int/health-topics/cervical-cancer#tab=tab_1

What Are the Risk Factors for Cervical Cancer? | CDC [Internet]. 2021 [cited 2022 Nov 12]. Available from: https://www.cdc.gov/cancer/cervical/basic_info/risk_factors.htm

Cervical Cancer Treatment: Patient Version. In: PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002 [cited 2022 Nov 11]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK65985/

Fowler JR, Maani EV, Jack BW. Cervical Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2022 Nov 11]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK431093/

Diagnose earlier, live longer? The impact of cervical and breast cancer screening on life span - PMC [Internet]. [cited 2022 Nov 11]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9299384/

Nwabichie CC, Manaf RA, Ismail SB. Factors Affecting Uptake of Cervical Cancer Screening Among African Women in Klang Valley, Malaysia. Asian Pac J Cancer Prev. 2018;19(3):825–31.

Adedimeji A, Ajeh R, Pierz A, Nkeng R, Ndenkeh JJr, Fuhngwa N, et al. Challenges and opportunities associated with cervical cancer screening programs in a low income, high HIV prevalence context. BMC Womens Health. 2021 Feb 18;21:74.

Abu SH, Woldehanna BT, Nida ET, Tilahun AW, Gebremariam MY, Sisay MM. The role of health education on cervical cancer screening uptake at selected health centers in Addis Ababa. PLoS One. 2020 Oct 7;15(10):e0239580.

Yang H, Li SP, Chen Q, Morgan C. Barriers to cervical cancer screening among rural women in eastern China: a qualitative study. BMJ Open. 2019 Mar 13;9(3):e026413.

Lesińska-Sawicka M. A cross-sectional study to assess knowledge of women about cervical cancer: an urban and rural comparison. Environ Health Prev Med. 2021;26:64.

Ruddies F, Gizaw M, Teka B, Thies S, Wienke A, Kaufmann AM, et al. Cervical cancer screening in rural Ethiopia: a cross- sectional knowledge, attitude and practice study. BMC Cancer. 2020 Jun 17;20(1):563.

Niu L, Virani S, Bilheem S, Sriplung H. The effect of Pap smear screening on cervical cancer stage among southern Thai women. Sci Rep. 2019 Nov 15;9(1):16921.

Alsous MM, Ali AA, Al-Azzam SI, Abdel Jalil MH, Al-Obaidi HJ, Al-abbadi EI, et al. Knowledge and awareness about human papillomavirus infection and its vaccination among women in Arab communities. Sci Rep. 2021 Jan 12;11(1):786.

Cohen PA, Jhingran A, Oaknin A, Denny L. Cervical cancer. The Lancet. 2019 Jan 12;393(10167):169–82.

Cervical cancer screening and management of cervical pre-cancers [Internet]. [cited 2022 Nov 12]. Available from: https://www.who.int/southeastasia/activities/cervical-cancer-screening-and-management-of-cervical-pre-cancer

Chua B, Ma V, Asjes C, Lim A, Mohseni M, Wee HL. Barriers to and Facilitators of Cervical Cancer Screening among Women in Southeast Asia: A Systematic Review. Int J Environ Res Public Health. 2021 Apr 26;18(9):4586.

DEGUARA M, CALLEJA N, ENGLAND K. Cervical cancer and screening: knowledge, awareness and attitudes of women in Malta. J Prev Med Hyg. 2021 Jan 14;61(4):E584–92.

Tekle T, Wolka E, Nega B, Kumma WP, Koyira MM. Knowledge, Attitude and Practice Towards Cervical Cancer Screening Among Women and Associated Factors in Hospitals of Wolaita Zone, Southern Ethiopia. Cancer Manag Res. 2020 Feb 11;12:993–1005.

Algabr GA, AlSaud L, Ismail AAS. Knowledge, attitudes and practices toward cervical cancer and screening among sexually active Saudi females visiting a primary care center in Saudi Arabia. Journal of Family Medicine and Primary Care. 2022 Oct;11(10):6121–6.

Obol JH, Lin S, Obwolo MJ, Harrison R, Richmond R. Knowledge, attitudes, and practice of cervical cancer prevention among health workers in rural health centres of Northern Uganda. BMC Cancer. 2021 Feb 3;21(1):110.

Melo EMF de, Linhares FMP, Silva TM da, Pontes CM, Santos AH da S, Oliveira SC de. Cervical cancer: knowledge, attitude and practice on the prevention examination. Rev Bras Enferm. 2019 Dec;72(suppl 3):25–31.

Cervical cancer Afghanistan 2021 country profile [Internet]. [cited 2022 Nov 12]. Available from: https://www.who.int/publications/m/item/cervical-cancer-afg-country-profile-2021

Afghanistan. Prevention is crucial for tackling Afghanistan’s cancer burden [Internet]. World Health Organization - Regional Office for the Eastern Mediterranean. [cited 2022 Nov 12]. Available from: http://www.emro.who.int/afg/afghanistan-news/tackling-cancer-burden.html

Acuti Martellucci C, Delsoz M, Qaderi S, Madadi S, Bhandari D, Ozaki A, et al. Delay in Diagnosis of Cervical Cancer in Afghanistan: A Pilot Cross-Sectional Survey. Frontiers in Reproductive Health [Internet]. 2021 [cited 2022 Nov 12];3. Available from: https://www.frontiersin.org/articles/10.3389/frph.2021.783271

Reichheld A, Mukherjee PK, Rahman SM, David KV, Pricilla RA. Prevalence of Cervical Cancer Screening and Awareness among Women in an Urban Community in South India—A Cross Sectional Study. Ann Glob Health. 86(1):30.

Mengesha A, Messele A, Beletew B. Knowledge and attitude towards cervical cancer among reproductive age group women in Gondar town, North West Ethiopia. BMC Public Health. 2020 Feb 11;20(1):209.

Tafere Y, Jemere T, Desalegn T, Melak A. Women’s knowledge and attitude towards cervical cancer preventive measures and associated factors In South Gondar Zone, Amhara Region, North Central Ethiopia: a cross-sectional study. Arch Public Health. 2021 Jul 23;79:136.

Al Yahyai T, Al Raisi M, Al Kindi R. Knowledge, Attitudes, and Practices Regarding Cervical Cancer Screening among Omani Women Attending Primary Healthcare Centers in Oman: A Cross-Sectional Survey. Asian Pac J Cancer Prev. 2021 Mar;22(3):775–83.

Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study | BMC Cancer | Full Text [Internet]. [cited 2022 Nov 12]. Available from: https://bmccancer.biomedcentral.com/articles/10.1186/s12885-020-6528-x

Knowledge of cervical cancer screening and associated factors among women attending maternal health services at Aira Hospital, West Wollega, Ethiopia - Megersa Argaw Aredo, Endalew Gemechu Sendo, Jembere Tesfaye Deressa, 2021 [Internet]. [cited 2022 Nov 12]. Available from: https://journals.sagepub.com/doi/full/10.1177/20503121211047063

Han B, Guan H, Guan M. Association between ethnicity and health knowledge among the floating population in China. Cost Eff Resour Alloc. 2022 Apr 2;20(1):15.