Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital
Background Brazil has a high burden of cervical cancer, even though it is preventable, traceable and treatable. Hence, this study evaluated levels of knowledge, attitudes and practices (KAP) related to cervical cancer screening and diagnosis and acceptance of self-screening techniques among women ag...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-10-01
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| Series: | Cancer Control |
| Online Access: | https://doi.org/10.1177/10732748221135441 |
| _version_ | 1797838544946855936 |
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| author | Luiza Perez BA Kimberley Tran Vanessa Alvarenga-Bezerra MD Diya Chadha Libby Dotson BA Fernanda Assir Eduardo Cordioli MD, MSc Mariano Tamura Vieira Gomes MD, PhD Sergio Podgaec MD, PhD Agnaldo Lopes da Silva-Filho MD, PhD Nimmi Ramanujam PhD Renato Moretti-Marques MD, PhD |
| author_facet | Luiza Perez BA Kimberley Tran Vanessa Alvarenga-Bezerra MD Diya Chadha Libby Dotson BA Fernanda Assir Eduardo Cordioli MD, MSc Mariano Tamura Vieira Gomes MD, PhD Sergio Podgaec MD, PhD Agnaldo Lopes da Silva-Filho MD, PhD Nimmi Ramanujam PhD Renato Moretti-Marques MD, PhD |
| author_sort | Luiza Perez BA |
| collection | DOAJ |
| description | Background Brazil has a high burden of cervical cancer, even though it is preventable, traceable and treatable. Hence, this study evaluated levels of knowledge, attitudes and practices (KAP) related to cervical cancer screening and diagnosis and acceptance of self-screening techniques among women aged 24 and greater. Methods A cross-sectional KAP survey was administered to n = 4206 women and spanned questions relating to cervical cancer, HPV, speculum, Pap test and colposcopy. Questionnaire was disseminated through a major hospital’s social media platforms, intranet and gynecologic-oncology clinics. Logistic regressions evaluated associations between sociodemographic characteristics and knowledge, attitudes, and preventative behaviors against cervical cancer. Participants indicated willingness to try DNA-HPV self-sampling and cervix self-visualization (self-colposcopy). Findings Participants were mostly white individuals (70.5%) with higher education and from social classes A and B. They demonstrated superior levels of KAP than described in the literature, with over 57.8% having answered 80+% of questions correctly. KAP scores were predicted by social class, educational attainment, race, history of premalignant cervical lesions and geographic location. About 80% and 63% would be willing to try DNA-HPV self-sampling and cervix self-visualization, respectively. Interest in self-screening was associated with adequate attitude (OR = 1.85) and inadequate practice (OR = .83). Interpretation Adequate KAP are fundamental for the successful implementation of a self-screening program. Participants were interested in methods that provide them with greater autonomy, control and practicality. Self-screening could address barriers for under-screened women such as shame, discomfort, distance from clinics and competing commitments, enabling Brazil to reach the WHO’s cervical cancer elimination goals. It could also decrease excess medical intervention in over-screened populations by promoting shared decision-making. |
| first_indexed | 2024-04-09T15:42:33Z |
| format | Article |
| id | doaj.art-f3d3b79beeab469e9ba3fe25780e1479 |
| institution | Directory Open Access Journal |
| issn | 1526-2359 |
| language | English |
| last_indexed | 2024-04-09T15:42:33Z |
| publishDate | 2022-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cancer Control |
| spelling | doaj.art-f3d3b79beeab469e9ba3fe25780e14792023-04-27T07:35:55ZengSAGE PublishingCancer Control1526-23592022-10-012910.1177/10732748221135441Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian HospitalLuiza Perez BAKimberley TranVanessa Alvarenga-Bezerra MDDiya ChadhaLibby Dotson BAFernanda AssirEduardo Cordioli MD, MScMariano Tamura Vieira Gomes MD, PhDSergio Podgaec MD, PhDAgnaldo Lopes da Silva-Filho MD, PhDNimmi Ramanujam PhDRenato Moretti-Marques MD, PhDBackground Brazil has a high burden of cervical cancer, even though it is preventable, traceable and treatable. Hence, this study evaluated levels of knowledge, attitudes and practices (KAP) related to cervical cancer screening and diagnosis and acceptance of self-screening techniques among women aged 24 and greater. Methods A cross-sectional KAP survey was administered to n = 4206 women and spanned questions relating to cervical cancer, HPV, speculum, Pap test and colposcopy. Questionnaire was disseminated through a major hospital’s social media platforms, intranet and gynecologic-oncology clinics. Logistic regressions evaluated associations between sociodemographic characteristics and knowledge, attitudes, and preventative behaviors against cervical cancer. Participants indicated willingness to try DNA-HPV self-sampling and cervix self-visualization (self-colposcopy). Findings Participants were mostly white individuals (70.5%) with higher education and from social classes A and B. They demonstrated superior levels of KAP than described in the literature, with over 57.8% having answered 80+% of questions correctly. KAP scores were predicted by social class, educational attainment, race, history of premalignant cervical lesions and geographic location. About 80% and 63% would be willing to try DNA-HPV self-sampling and cervix self-visualization, respectively. Interest in self-screening was associated with adequate attitude (OR = 1.85) and inadequate practice (OR = .83). Interpretation Adequate KAP are fundamental for the successful implementation of a self-screening program. Participants were interested in methods that provide them with greater autonomy, control and practicality. Self-screening could address barriers for under-screened women such as shame, discomfort, distance from clinics and competing commitments, enabling Brazil to reach the WHO’s cervical cancer elimination goals. It could also decrease excess medical intervention in over-screened populations by promoting shared decision-making.https://doi.org/10.1177/10732748221135441 |
| spellingShingle | Luiza Perez BA Kimberley Tran Vanessa Alvarenga-Bezerra MD Diya Chadha Libby Dotson BA Fernanda Assir Eduardo Cordioli MD, MSc Mariano Tamura Vieira Gomes MD, PhD Sergio Podgaec MD, PhD Agnaldo Lopes da Silva-Filho MD, PhD Nimmi Ramanujam PhD Renato Moretti-Marques MD, PhD Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital Cancer Control |
| title | Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital |
| title_full | Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital |
| title_fullStr | Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital |
| title_full_unstemmed | Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital |
| title_short | Cervical Cancer-Related Knowledge, Attitudes, Practices and Self-Screening Acceptance Among Patients, Employees, and Social Media Followers of Major Brazilian Hospital |
| title_sort | cervical cancer related knowledge attitudes practices and self screening acceptance among patients employees and social media followers of major brazilian hospital |
| url | https://doi.org/10.1177/10732748221135441 |
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