Keywords
screening
prevention
nursing
Abstract
KNOWLEDGE, ATTITUDES AND PRACTICES OF CERVICAL CANCER PREVENTION
Aim. Cervical cancer is the most common genital malignancy and one of the leading causes of death among female population in Slovakia. At present, this location of cancer is preventable disease visible in screening for premalignant lesions if the women use and participate in such screening regularly. We assessed the knowledge on the cervical cancer screening, the attitude towards it and its utilization among women in Slovakia.
Material and methods. A cross-sectional study evaluated the knowledge, attitude and practice of cervical cancer prevention and screening among women. The sample was composed of 239 women aged 18-64 years. Data collection was conducted by selfadministered questionnaire in a period from January to April 2015.
Results. Respondents exhibited an average knowledge of cervical cancer, about risk factors and early signs, but awareness of cervical cancer screening was satisfactory. Despite the fact that respondents expressed good attitude to cervical cancer screening, their level of practice was low (64% participation in preventative gynaecology check-ups and 43% in Pap smear tests within one year and 44% within three years). In the study we could observe better results in women with higher education when it comes to an illness (p < .001), its prevention (p < .001) and risk behaviour (p < .001).
Conclusions. The awareness of cervical cancer among women in Slovakia is limited. In the future there is a need to educate and promote awareness of cervical cancer among women to reduce the burden of morbidity and mortality.
References
1. Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E 359−E386.
2. Národné centrum zdravotníckych informácií, Národný onkologický register SR. 2015, Incidencia zhubných nádorov v Slovenskej republike 2009. ed. Safaei Diba, Ch. vyd. NCZI SR, NOR SR; 2015. s. 191.
3. Ondrušová M, Sadovský O, Pšenková M. Epidemiológia vybraných gynekologických malignít na Slovensku. Onkológia. 2015;10(4):223–225.
4. Underwood SM, Ramsay-Johnson E, Browne L, Caines N, Dean A, Duval S, et al. What women in the United States Virgin Islands still want and need to know about HPV, cervical cancer, and condom use. J Natl Black Nurses Assoc. 2010;21(1):25-32.
5. Sadovský O. Skríning rakoviny krčka maternice na Slovensku. Onkológia. 2014;9(3):144-148.
6. Act No. 661/2007 of Code which amended the Act No. 577/2004 o rozsahu zdravotnej starostlivosti uhrádzanej na základe verejného zdravotného poistenia a o úhradách
7. za služby súvisiace s poskytovaním zdravotnej starostlivosti v znení neskorších predpisov a o zmene a doplnení niektorých zákonov.
8. Rob L. Screening karcinomu děložního hrdla. Onkologická péče. 2007;11(1):12-14.
9. Zubor P, Danko J, Kajo K, et al. Low affordability may limit the effect of cervical cancer vaccination in central and eastern European countries. J Clin Oncol. 2007;25(34):5534−5537.
10. Ondrušová M, Zubor P, Ondruš D. Time trends in cervical cancer epidemiology in the Slovak Republic: reflection on the non-implementation of screening with international comparisons. Neoplasma. 2012;59(2):121-128.
11. Park MJ, et al. Sociodemographic gradients in breast and cervical cancer screening in Korea: the Korean National Cancer Screening Survey (KNCSS) 2005-2009. BMC Cancer. 2011;11(257):1-8.
12. Ibekwe CM, Hoque ME, Ntuli-Ngcobo B. Perceived barriers of cervical cancer screening among women attending Mahalapye district hospital, Botswana. Archives of Clinical Microbiology. 2011;2:1-9.
13. Waller J, Bartoszek M, Marlow L, Wardle J. 2009. Barriers to cervical cancer screening attendance in England: a population-based survey. J Med Screen. 2009;16(4):199-204.
14. Petruželka L, et al. Klinická onkologie. 1. vyd. Praha: Karolinum; 2003, s. 274.
15. IARC, 2013. HPV and cervical cancer curriculum. [online]. [cit. 29. October 2016]. Available from: http://screening.iarc.fr/cxcaccurriculum.php?lang=1
16. NCI, 2012. Oral contraceptives and risk cancer. [online]. [cit. 20. December 2016]. Available from: http://www.cancer.gov/cancertopics/factsheet/Risk/oralcontraceptives
17. Hensley, M. A Sexual Activity and Cervical Cancer Risk? [online]. last update 5.5.2008. [cit. 13. November 2016]. Available from: http://www.everydayhealth.com/specialists/women/hensley/qa/sex-and-cervical-cancer-risk/index.aspx
18. Hlavatá L. Očkování proti rakovině děložního čípku. [online 15.7.2012]. [cit. 12.September 2016]. Available from: http://cs.medixa.org/lecba/ockovani-protirakovine-delozniho-cipku
19. Drolet M, et al. Sociodemographic inequalities in sexual activity and cervical cancer screening: implications for the success of human papillomavirus vaccination. Cancer Epidemiol Biomarkers Prev. 2013;22(4):641-52.
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