Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study

Abstract Background High awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine the factors associated with good knowledge. Meth...

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Main Authors: Mohamedraed Elshami, Mariam Thalji, Hanan Abukmail, Ibrahim Al-Slaibi, Mohammed Alser, Afnan Radaydeh, Alaa Alfuqaha, Salma Khader, Lana Khatib, Nour Fannoun, Bisan Ahmad, Lina Kassab, Hiba Khrishi, Deniz Elhussaini, Nour Abed, Aya Nammari, Tumodir Abdallah, Zaina Alqudwa, Shahd Idais, Ghaid Tanbouz, Ma’alem Hajajreh, Hala Abu Selmiyh, Zakia Abo-Hajouj, Haya Hebi, Manar Zamel, Refqa Najeeb Skaik, Lama Hammoud, Saba Rjoub, Hadeel Ayesh, Toqa Rjoub, Rawan Zakout, Amany Alser, Nasser Abu-El-Noor, Bettina Bottcher
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-021-01510-2
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author Mohamedraed Elshami
Mariam Thalji
Hanan Abukmail
Ibrahim Al-Slaibi
Mohammed Alser
Afnan Radaydeh
Alaa Alfuqaha
Salma Khader
Lana Khatib
Nour Fannoun
Bisan Ahmad
Lina Kassab
Hiba Khrishi
Deniz Elhussaini
Nour Abed
Aya Nammari
Tumodir Abdallah
Zaina Alqudwa
Shahd Idais
Ghaid Tanbouz
Ma’alem Hajajreh
Hala Abu Selmiyh
Zakia Abo-Hajouj
Haya Hebi
Manar Zamel
Refqa Najeeb Skaik
Lama Hammoud
Saba Rjoub
Hadeel Ayesh
Toqa Rjoub
Rawan Zakout
Amany Alser
Nasser Abu-El-Noor
Bettina Bottcher
author_facet Mohamedraed Elshami
Mariam Thalji
Hanan Abukmail
Ibrahim Al-Slaibi
Mohammed Alser
Afnan Radaydeh
Alaa Alfuqaha
Salma Khader
Lana Khatib
Nour Fannoun
Bisan Ahmad
Lina Kassab
Hiba Khrishi
Deniz Elhussaini
Nour Abed
Aya Nammari
Tumodir Abdallah
Zaina Alqudwa
Shahd Idais
Ghaid Tanbouz
Ma’alem Hajajreh
Hala Abu Selmiyh
Zakia Abo-Hajouj
Haya Hebi
Manar Zamel
Refqa Najeeb Skaik
Lama Hammoud
Saba Rjoub
Hadeel Ayesh
Toqa Rjoub
Rawan Zakout
Amany Alser
Nasser Abu-El-Noor
Bettina Bottcher
author_sort Mohamedraed Elshami
collection DOAJ
description Abstract Background High awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine the factors associated with good knowledge. Methods This was a national cross-sectional study. Adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates in Palestine were recruited using a stratified convenience sampling. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess the knowledge about the 11 CC risk factors. For each correctly identified risk factor, the participant was given one point. The total score was calculated and was categorized into three categories: poor knowledge (0–3), fair knowledge (4–7), and good knowledge (8–11). Results A total of 7223 participants completed the Arabic CeCAM (response rate = 89.3%) and 7058 questionnaires were included in the final analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem. Participants recruited from the Gaza Strip were younger, getting lower monthly incomes, and with less chronic diseases than participants recruited from the West Bank and Jerusalem. The most frequently identified risk factor was ‘having a weakened immune system’ (n = 5458, 77.3%) followed by ‘infection with a sexually transmitted infection’ (n = 5388, 76.3%). The least identified risk factor was ‘having many children’ (n = 1597, 22.6%). Only 1670 women (23.7%) had good knowledge of CC risk factors. Women living in the Gaza Strip were more likely than women living in the West Bank and Jerusalem to have good knowledge (25.2% vs 22.7%). Completing a secondary or diploma degree, being employed, and having a monthly income of ≥ 1450 NIS (around $450) were all associated with lower likelihood of having good knowledge of CC risk factors. Conversely, knowing someone with cancer was associated with higher likelihood of having good knowledge. Conclusion The overall awareness of CC risk factors was low. There is a substantial need to establish educational programs to promote Palestinian women’s awareness of CC.
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spelling doaj.art-afe5c2a2367641b6b57ee3d8e047d65b2022-12-21T19:19:01ZengBMCBMC Women's Health1472-68742021-11-0121111410.1186/s12905-021-01510-2Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional studyMohamedraed Elshami0Mariam Thalji1Hanan Abukmail2Ibrahim Al-Slaibi3Mohammed Alser4Afnan Radaydeh5Alaa Alfuqaha6Salma Khader7Lana Khatib8Nour Fannoun9Bisan Ahmad10Lina Kassab11Hiba Khrishi12Deniz Elhussaini13Nour Abed14Aya Nammari15Tumodir Abdallah16Zaina Alqudwa17Shahd Idais18Ghaid Tanbouz19Ma’alem Hajajreh20Hala Abu Selmiyh21Zakia Abo-Hajouj22Haya Hebi23Manar Zamel24Refqa Najeeb Skaik25Lama Hammoud26Saba Rjoub27Hadeel Ayesh28Toqa Rjoub29Rawan Zakout30Amany Alser31Nasser Abu-El-Noor32Bettina Bottcher33Harvard Medical SchoolFaculty of Medicine, Al-Quds UniversityMinistry of HealthAlmakassed HospitalMinistry of HealthFaculty of Medicine, Al-Quds UniversityFaculty of Graduate Studies, An-Najah National UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, An-Najah National UniversityFaculty of Pharmacy, Alazhar University of GazaFaculty of Medicine, Islamic University of GazaMinistry of HealthFaculty of Dentistry and Dental Surgery, Al-Quds UniversityFaculty of Medicine, Alazhar University of GazaFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Alazhar University of GazaFaculty of Medicine, Al-Quds UniversityFaculty of Dentistry and Dental Surgery, Al-Quds UniversityAlia HospitalFaculty of Medicine, Islamic University of GazaFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, An-Najah National UniversityFaculty of Medicine, Alazhar University of GazaFaculty of Dentistry and Dental Surgery, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Al-Quds UniversityFaculty of Medicine, Islamic University of GazaAl-Shiffa HospitalFaculty of Nursing, Islamic University of GazaFaculty of Medicine, Islamic University of GazaAbstract Background High awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine the factors associated with good knowledge. Methods This was a national cross-sectional study. Adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates in Palestine were recruited using a stratified convenience sampling. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess the knowledge about the 11 CC risk factors. For each correctly identified risk factor, the participant was given one point. The total score was calculated and was categorized into three categories: poor knowledge (0–3), fair knowledge (4–7), and good knowledge (8–11). Results A total of 7223 participants completed the Arabic CeCAM (response rate = 89.3%) and 7058 questionnaires were included in the final analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem. Participants recruited from the Gaza Strip were younger, getting lower monthly incomes, and with less chronic diseases than participants recruited from the West Bank and Jerusalem. The most frequently identified risk factor was ‘having a weakened immune system’ (n = 5458, 77.3%) followed by ‘infection with a sexually transmitted infection’ (n = 5388, 76.3%). The least identified risk factor was ‘having many children’ (n = 1597, 22.6%). Only 1670 women (23.7%) had good knowledge of CC risk factors. Women living in the Gaza Strip were more likely than women living in the West Bank and Jerusalem to have good knowledge (25.2% vs 22.7%). Completing a secondary or diploma degree, being employed, and having a monthly income of ≥ 1450 NIS (around $450) were all associated with lower likelihood of having good knowledge of CC risk factors. Conversely, knowing someone with cancer was associated with higher likelihood of having good knowledge. Conclusion The overall awareness of CC risk factors was low. There is a substantial need to establish educational programs to promote Palestinian women’s awareness of CC.https://doi.org/10.1186/s12905-021-01510-2Cervical cancerPreventionEarly detectionSurvivalRisk factorAwareness
spellingShingle Mohamedraed Elshami
Mariam Thalji
Hanan Abukmail
Ibrahim Al-Slaibi
Mohammed Alser
Afnan Radaydeh
Alaa Alfuqaha
Salma Khader
Lana Khatib
Nour Fannoun
Bisan Ahmad
Lina Kassab
Hiba Khrishi
Deniz Elhussaini
Nour Abed
Aya Nammari
Tumodir Abdallah
Zaina Alqudwa
Shahd Idais
Ghaid Tanbouz
Ma’alem Hajajreh
Hala Abu Selmiyh
Zakia Abo-Hajouj
Haya Hebi
Manar Zamel
Refqa Najeeb Skaik
Lama Hammoud
Saba Rjoub
Hadeel Ayesh
Toqa Rjoub
Rawan Zakout
Amany Alser
Nasser Abu-El-Noor
Bettina Bottcher
Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
BMC Women's Health
Cervical cancer
Prevention
Early detection
Survival
Risk factor
Awareness
title Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
title_full Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
title_fullStr Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
title_full_unstemmed Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
title_short Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study
title_sort knowledge of cervical cancer risk factors among palestinian women a national cross sectional study
topic Cervical cancer
Prevention
Early detection
Survival
Risk factor
Awareness
url https://doi.org/10.1186/s12905-021-01510-2
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