INVESTIGATION OF PREVENTIVE PRACTICES AND PERCEPTION OF CERVICAL CANCER AMONG FEMALE STUDENTS AT THE POLYTECHNIC IN IBADAN, OYO STATE
Abstract
The objective of this study is to determine the perception of female students of the polytechnic of Ibadan, Oyo State, towards cervical cancer and preventive. A cross-sectional study design was used to determine the above objective. The survey included 429 female students who lived on the Polytechnic Ibadan campus. A systematic sampling technique was used to choose 210 rooms out of a total of 420 rooms, and all of the selected rooms' occupants were questioned under the premise that there were two people in each room. Data were gathered using a self-administered questionnaire that had been pretested. Respondents with one or more risk factors were classified as being at a higher risk for cervical cancer and those with no risk factors as being at a lower risk. Data was analyzed using descriptive statistics and Chi square test at p<0.05.
Mean age of respondents was 24.2±3.7 years. More than half (60.3%) had good knowledge about cervical cancer and 55.1% had a good perception of cervical cancer. The identified risk factors were sexual debut before the age of 18 years (25.1%) multiple sexual partnering (11.6%), unprotected sexual intercourse (59.2%) and positive family history of cervical cancer (2.2%). Majority of the respondents (96.9%) were at a higher risk for developing cervical cancer. Few respondents (8.0%) had ever heard of the pap smear test and the major sources of information were the internet (33.3%) and hospital (25%). The uptake of pap smear test was low (1.8%). Majority of the respondents (71.9%) were not aware of where the pap smear test could be done. Only 4.7% were willing to receive the human papilloma virus (HPV) vaccine, while 5.1% were willing to do a pap smear test. The major reasons cited for not wanting to do the pap smear test was lack of perceived need for the test (13.4%) and financial constraint (1.5%). Respondents who were 25 years and below and single were more likely to have a good perception of cervical cancer. Those aged <30 years (OR 1.39, 95% CI 0.34-5.66), single (OR 1.07, 95% CI 0.45-2.50), those from faculty of science (OR 1.22, 95% CI 0.57-2.58) and those that had low risk score (OR 2.66, 95% CI 0.54-12.98) were likely to have a good perception of cervical cancer.
Even though respondents had a fair amount of awareness about cervical cancer, they nevertheless exhibited significant behavioral risk factors for the condition. The pap smear test had very poor awareness and uptake. Therefore, it is necessary to develop health communication initiatives that would motivate tertiary students to apply their learning to prevent cervical cancer.
References
2. Adekunle DA, Adeyemi A.S. Afolabi Af (2011): knowledge, attitude and cervical screening among female secondary school teachers in Osogbo, Southwest Nigeria.
3. Adewuyi SA, Shittu SO, Rafindadi Ait, Sociodemographic and clinicopathologic charadensation of cervical cnacers in Northern Nigeria Eur J Gynecological oncol 2008; 29(i); 61-4
4. Agurto I. (2005): Bridging distances: Preventive services and women concerns. Program on non communicable diseases division of disease prevention and control.
5. Agustin A and Garcia MD (2010): Associate professor of medicine university of southern California kerk school of medicine, Dec 8, 2010.
6. Akujobi C.N, Ikechebele J, Onunkwo l, Onyiarah IV, (2008): Knowledge attitude and practice of screening for survival cancer among female students of tertiary institution in south eastern Nigeria. Niger J Chin practy. 2008, 11 (3): 216- 9.
7. Akujobi cN, Ikedubedu Ji, Onunkwo I., Onyidorah IV (2008): Knowledge, attitude andpractises screening for cervical cancer among female students of a tertiary institution in South East Nigeria. Niger J. Clin Pract. 2008; 11 (3):216-9.
8. Alanoud Al Thani, Alzeldin Eljack, Mohamad Al Than, Rasha E Salama (2012): Impact of health education on utilization of cervical cancer screening services among females working in secondary schools in Doha.
9. Allen J, Mohllajee A, Shelton R, etal (2009): Stage of adoption of the human papiloma virus vaccine among college women. Prev. med 2009; 48:420-5.
10. Almear FM, Aseel MT, Al-khala J, Al-kuwari MG, Ismail MFS (2011): knowledge, attitude and practice regarding cervical cancer and screening among women visiting health car in Qatar.
11. Cothran MM and White J.A (2003): Adolescent behaviour and sexually transmitted diseases. Health care women int 2002, 23 (3):306-319.
12. Cox T, Cuzick J. HPV DNA testing in cervical cancer screening: from evidence to policies Gynecol oncol 2006: 103:8-11.
13. Cristina M, Almeida, Jasmen A. Tiro. Michael A. Rodriguez, Allison L. Diamant (2012): Evaluating associations between sources of information, knowledge of the human papillomavirus, and human papillomavirus vaccine uptake for adult women in califonia.
14. Elman A Joura, Suzanne M Garland, Jorma Paa vunen, Daron G ferris, Gonzalo A Perez, Kevin Autl, Warner K Hugh, Heather L sing, Margaret K James, Richard M Haupt (2012): Effect of the human papillomavirus (HPV) quadrivalent vaccine in a sub group of women with cervical and vulvan disease retrospective pooled analyses of trail data.
15. Eun-Joo Lee, Jeung-Sunk Park (2011): Knowledge about cervical cancer, health beliefs and human papilloma virus vaccination rate in female university student.
16. Gerend EP, Ekeany FN (2006): Awareness, knowledge, beliefs about human papilloma virus in a racially diverse sample of young adults J Addesc health 16:1063.
17. Gharoro EP, Ikeanyi EN (2006): An appraisal of the level of awareness and utilization of pap smear as a cervical cancer screening test amongst female health workers in tertiary health institution. Int J gynecol cancer. 2006, 16 (3):1063-8.
18. Gichangi P. Estambale, B, Bwayo. J, Rogo k, Ojwang S, Opiyo As, Temoerman M 2003: Knowledge and practice about cervical cancer and papsmear testing among patients at Kenyatta National Hospital, Narobi, Kenya.
19. Guide book for papsmear. Screening, Ministry of Health Kuala Lumpur: Division of Family Health Development, Ministry of Health, Malaysia, 2004; 1-2.
20. Hadi N, Azimirad A (2009): knowledge, attitude and practice of women in Shiraz about cervical cancer and pap smear.
21. Irma Perez-Contreras, Betania Allen, Silvia Ruiz-Velason, Raffaela Schiavon-Errnani, Aurelio Curs-Valdex, Clara, Hernandez, Eduado Lazcard Ponce (2004):Levels and correlates of knowledge about cancer risk factors among 13,293 public school students in Morelos, Mexico
22. Jasmen A. Tiro, Helen I., Meissner, Sarah Kobrin and Veronia Collete (2006): What do women in the US know about human papilloma virus and cervical cancer?
23. Jemal A., Siegel R, Ward E, et al (2006): Cancer statistics 2006 CA cancer Jclin 2006, 56:106-30.
24. Laura F, Romo, Maria Elena Cruz, Torsten B, Neilanos (2011): Mother-Daughter communication and college womens confidence to communicate with family members and doctors about the human papillomavirus and sexual health.
25. Leyva M, Byrd T, Tarwater P (2006): Attitude towards cervical cancer screening: A study of beliefs among woman in Mexico.
26. Marrazo JM, Koutsky LA, Handsfield HH (2004): Characteristics of female sexual transmitted disease clinic clients who report same-sex behaviour. Int J STDAIDS 2004; 12:41-46.
27. Marrazo JM 2003: Genital Human papilloma virus infection in women who have sex with women: A cancer for patients and providers. AIDS patient care STDS 2003; 12:41-46.
28. Marrazo JM Koutsky LA, Kiviat NB, Kuyper JM. Sinte K 2005: Papanicolains test screening and prevalence of genital human papilloma virus among women who have sex with women.
29. Paraskevopoulou E., Economou A., Panagopoulos P., Zikopoulos M., Petrakos G., Koutras I. (2005): Cervical cancer screening among Greek and immigrant women: the experience of a Greek District Hospital. Clin Exp obstet Gynecol.
30. Parent N. (2008): The HPV vaccine, one year later. Network magazine, public H’lth, 120, 1170-6.
31. Shina Oranratanaphan, Patcharada Amatyakul, kanokwan Iramareerat, Suchila Srithipayawan (2010): knowledge, attitudes and practices about the papsmear among medical workers in Naresuan University hopsitla.
32. Social Statistic Bulletin, Malaysia (2005): Kuala Lumpur: Department of Statistics Malaysia; 2005.
33. Sonia Puri (2010): Knowledge of cancer and its risk factors in Chandigarh India.
34. Stark A, Gregoire I. Pilarski R, Zarbo A., Gaba A, Lancaster WD (2008): Human papilloma virus, cervical cancer and women’s knowledge. Cancer Detect Prev. 2008; 32:15-22.
35. Syed Faizan Ali, Samia Ayub, Nauman Fazal Manzoor, Sidra Azimi, Muneeza Afif (2010): Knowledge and awareness about cervical cancer and its prevention among interns and nursing staff in tertiaty core hospital, Kerachi Pakistan.
36. Tan YY, Hesham R, Quodriyah HMS (2010): knowledge and attitude of university students in health science on the prevention of cervical cancer
37. Tebeu, PM, Major AL, Rapiti E, Petignat P, Bouchandy C, Sando Z, DE Bennis L, Al, L, Mha wech-Fauceglia P (2008): The attitude and knowledge cervical cancer by Cameroonian women; a clinical survey conducted in Marova, the capital of far North province of Cameroon.
38. Urasa M. and Darj E. (2011): Knowledge of cervical cancer and screening practice of nurses at a regional hospital in Tanzania.
39. Wong LP, Wong YL, Low WY etal (2009): Knowledge and awareness of cervical cancer and screening among Malaysia women who have never had a papsmear: A qualitative study. Singapore Med J, 50, 49-53.
40. World Health Organisation (2009): Indicative for vaccines research team of the department of immunization, vaccines and biological. Available at: www.who.int/vaccinesdocument/
41. World health Organisation (2000,2001,2002): Exploring adolescent reproductive health research on reproductive health at WHO; Biennial report 2000, 2001, 2002, 43-45.
42. Wright Tc, Jr, Chiffman M., Solomon D., etal (2004): Interim guidance for the use of human papilloma virus DNA testing as an adjunct to cervical cytology for screening obstet cynecol 2004; 103:304-9.
43. Zoe Philips, stacy Johnson, Mark Avis, and David K. Whynes (2004): Human papilloma virus and the value of screening: young women’s knowledge of cervical cancer.
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