Document Type : Original Article(s)
Department of Pharmacy Practice, Bapuji Pharmacy College, Davangere, India
Background: Cervical cancer is characterized by the unusual growth of cells in the cervix. It accounts for about 25% of deaths in India; due to lack of knowledge, poor practice, and a negative attitude, diagnosis tends to arise at later stages of the disease. The main objective of our study was to evaluate cervical cancer knowledge, attitude, and practice (KAP) and to assess the relationship between educational status with knowledge and attitude toward cervical cancer.
Method: An online survey-based cross-sectional study was conducted among Indian women using a self-generated questionnaire for a period of six months. Cervical cancer awareness measure (C-CAM) was used to assess the knowledge. We recruited a total of 660 women aged 18 years and above.
Results: The majority of the participants had poor knowledge, strong positive attitudes, and poor practice. Among them, only 86 women were found to be vaccinated for HPV. A statistically significant association was found between the level of KAP of cervical cancer (P < 0.001). There was a significant positive correlation between KAP of cervical cancer.
Conclusion: Our study concluded that the level of awareness regarding the screening techniques and preventive measures for cervical cancer is very low. Educational status had a significant association with KAP of cervical cancer. Hence, these outcomes suggest the need for more effective awareness-boosting programmes about cervical cancer screening. Promotion of free regular health check-ups and vaccination for cervical cancer among the general population will increase the awareness while decreasing the disease burden.
Nazish Fathima (Google Scholar)
How to cite this article:
Fathima N, Balakrishna T, Roy CM, Babu BG, Siby A. Indian women and the risk of cervical cancer: a cross-sectional study. Middle East J Cancer. 2023;14(3):413-27. doi: 10.30476/ mejc.2022.94602.1732.
- Amin MN, Uddin MG, Uddin MN, Rahaman MZ, Siddiqui SA, Hossain MS, et al. A hospital based survey to evaluate knowledge, awareness and perceived barriers regarding breast cancer screening among females in Bangladesh. Heliyon. 2020;6(4):e03753. doi: 10.1016/j.heliyon.2020.e03753.
- Monica, Mishra R. An epidemiological study of cervical and breast screening in India: district-level analysis. BMC Womens Health. 2020;20(1):225. doi:10.1186/s12905-020-01083-6.
- Erdem O, Toktaş Í. Knowledge, attitudes, and behaviors about breast self-examination and mammography among female primary healthcare workers in Diyarbakir, Turkey. Biomed Res Int. 2016;2016:6490156. doi: 10.1155/2016/6490156.
- Chaka B, Sayed AR, Goeieman B, Rayne S. A survey of knowledge and attitudes relating to cervical and breast cancer among women in Ethiopia. BMC Public Health. 2018;18(1):1072. doi: 10.1186/s12889-018-5958-8.
- Pandya M, Mukhi S. Knowledge and awareness about cervical cancer amongst physiotherapist of Ahmedabad - An observational study. Int J Health Sci Res. 2020;10(9):424-30.
- Narayana G, Suchitra MJ, Sunanda G, Ramaiah JD, Kumar BP, Veerabhadrappa KV. Knowledge, attitude, and practice toward cervical cancer among women attending Obstetrics and Gynecology Department: A cross-sectional, hospital-based survey in South India. Indian J Cancer. 2017;54(2):481-7. doi: 10.4103/ijc.IJC_251_17.
- Al-Darwish AA, Al-Naim AF, Al-Mulhim KS, Al-Otaibi NK, Morsi MS, Aleem AM. Knowledge about cervical cancer early warning signs and symptoms, risk factors and vaccination among students at a medical school in Al-Ahsa, Kingdom of Saudi Arabia. Asian Pac J Cancer Prev. 2014;15(6):2529-32. doi:10.7314/apjcp.2014.15.6.2529.
- Krishnaveni K, Roy P, Sambathkumar R. Knowledge, attitude and practice related to cervical cancer and screening among women: community based cross-sectional study. Int J Pharm Sci Res. 2018;9(2):722-9. doi: 10.13040/IJPSR.0975-8232.
- Kadian L, Gulshan G, Sharma S, Kumari I, Yadav C, Nanda S, et al. A study on knowledge and awareness of cervical cancer among females of rural and urban areas of Haryana, north India. J Cancer Educ. 2021;36(4):844-9. doi: 10.1007/s13187-020-01712-6.
- Mukama T, Ndejjo R, Musabyimana A, Halage AA, Musoke D. Women's knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda. BMC Womens Health. 2017;17(1):9. doi: 10.1186/s12905-017-0365-3.
- Niyonzima JP, Matabelle LB, Ntasumbumuyange D, Rulisa S. Cervical cancer prevention knowledge and attitudes: Survey of midwives and nurses in Rwanda. Int J Cancer Tremnt. 2018;1(1):30-4.
- Nemenqani DM, Abdelmaqsoud SH, Al-Malki AA, Oraija AA, Al-Otaibi EM. Knowledge, attitude and practice of breast self-examination and breast cancer among female medical students in Taif, Saudi Arabia. O J Prev Med. 2014;04(02):69-77. doi: 10.4236/ojpm.2014.42011.
- Khanna D, Khargekar N, Budukh A. Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India. J Family Med Prim Care. 2019;8(5):1715-9. doi: 10.4103/jfmpc.jfmpc_143_19.
- Mutambara J, Mutandwa P, Mahapa M, Chirasha V, Nkiwane S, Shangahaidonhi T. Knowledge, attitudes and practices of cervical cancer screening among women who attend traditional churches in Zimbabwe. J Cancer Res Practice. 2017;4(2):53-8. doi:10.1016/j.jcrpr.2017.02.001.
- Heena H, Durrani S, AlFayyad I, Riaz M, Tabasim R, Parvez G, et al. Knowledge, attitudes, and practices towards cervical cancer and screening amongst female healthcare professionals: A cross-sectional study. J Oncol. 2019;2019:5423130. doi:10.1155/2019/5423130.
- Cervical Cancer Detection & Diagnosis | Cervical Cancer Staging [Internet]. Cancer.org. 2022 [cited on: 21 May 2022]. Available from: https://www.cancer.org/cancer/cervical-cancer/detection-diagnosis-staging.html
- 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;9(3):e026413. doi: 10.1136/bmjopen-2018-026413.
- The Cancer Awareness Measures (CAM) [Internet]. Cancer Research UK. 2022 [cited 21 May 2022]. Available from: https://www.cancerresearchuk.org/health-professional/awareness-and-prevention/thecancer-awareness-measures-cam
- Barbara G, DiPiro JT, et al. Pharmacotherapy handbook, 9th ed. McGraw-Hill Education: New York; 2009. vol 2. 395p.
- Kaneko N. Factors associated with cervical cancer screening among young unmarried Japanese women: results from an internet-based survey. BMC Womens Health. 2018;18(1):132. doi: 10.1186/s12905-018-0623-z.