KNOWLEDGE, AWARENESS AND PREVENTION OF CERVICAL CANCER AMONG WOMEN ATTENDING A TERTIARY CARE HOSPITAL IN INDORE, INDIA
Abstract
Background: Cervical cancer is one of the most common cancers among women worldwide, with highest mortality in India. The incidence and mortality of cervical cancer can be reduced by screening women for precancerous lesion and by administration of human papilloma virus vaccine to adolescent girls. Knowledge of the women about cervical cancer and awareness about its prevention are the key factors that determine their utilization of screening services.
Methods: A cross sectional survey of women attending Gynaecology Out-Patient Department (OPD) in a tertiary care hospital in Indore was conducted. Information about their knowledge of cervical cancer, awareness of its prevention and their socio demographic characters were collected.
Results: Mean age of the study population was 40.45 ± 12 years. Less than half of the study population (178, 44.5%) knew about cervical cancer. Less than one-fourth of the population knew about screening services for prevention of cervical cancer, and majority (389, 97.2%) were not aware of vaccination as prevention for cervical cancer.
Conclusion: Our study population shows poor knowledge about cervical cancer and is unaware of the concept of prevention. Hence extensive health education to the public is needed regarding cervical cancer and its prevention.
References
Ferlay, HR Shin, F Bray. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010. 2013;15(127):2893–917. Available at http://www-dep.iarc.fr/ [accessed November 15, 2013]. [PubMed] [Google Scholar]
A Nandakumar, PC Gupta, P Gangadharan, RN Visweswara. National Cancer Registry Programme (NCRP-ICMR): Development of an atlas of cancer in India. First All India Report. 2001-2002. Vol. I-II, Bangalore: NCRP, 2010. Available from: www.canceratlasindia.org [Cited on November 15,2013].
E Vallikad. Cervical Cancer: The Indian Perspective. International Journal of Gynecology & Obstetrics. 2006;95(1):S215–S233. [PubMed] [Google Scholar]
AP Kurkure, BB Yeole. Social inequalities in cancer with special reference to South Asian countries. Asian Pacific Journal of Cancer Prevention. 2006;7(1):36–40. [PubMed] [Google Scholar]
FX Bosch, SS de Sanjosé. Human papillomavirus and cervical cancer - burden and assessment of causality. J Natl Cancer Inst Monogr. 2003;31:3–13. [PubMed] [Google Scholar]
T Singhal. Indian Academy of Pediatrics Committee on Immunisation (IAPCOI)- Consensus Recommendations on Immunization 2008. Indian Pediatr. 2008;45:635–48. [PubMed] [Google Scholar]
AB Miller, J Chamberlain, NE Day, M Hakama, PC Prorok. Report on a workshop of the UICC project on evaluation of screening for cancer. International Journal of Cancer. 1990;46:761–9. [PubMed] [Google Scholar]
J Sherris, S Wittet, A Kleine, J Sellors, S Luciani, R Sankaranarayanan. Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low- Resource Settings. Article en Français. 2009;35(3) SPECIAL REPORT. [PubMed] [Google Scholar]
EC Lazcano-Ponce, S Moss, DR Alonso, CJ Salmeron, AM Hernandez. Cervical cancer screening in developing countries: why is it ineffective? The case of Mexico. Arch Med Res. 1999;30:240–50. doi: 10.1016/S0188-0128(99)00006-8. [PubMed] [Google Scholar]
R Sankaranarayanan, AM Budukh, R Rajkumar. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ. 2001;79:954–62. [PMC free article] [PubMed] [Google Scholar].
