Knowledge of Human Papillomavirus, Risk Factors and Screening for Cervical Cancer Among Women in Ghana.

IF 2.5 4区 医学 Q3 ONCOLOGY
Yvonne Nartey, Kwabena Amo-Antwi, Betty Osei-Ntiamoah, Philip C Hill, Edward T Dassah, Richard H Asmah, Kofi M Nyarko, Ramatu Agambire, Thomas O Konney, Joel Yarney, Nelson Damale, Brian Cox
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引用次数: 0

Abstract

Background: Cervical cancer ranks as the fourth most common cancer among women, with 662,301 new cases and 348,874 deaths reported in 2022. The majority of the disease burden occurs in low- and middle-income countries. In Ghana, there were 3072 new cases and 1815 deaths reported in 2022. While human papillomavirus (HPV) infection, a key cause for cervical cancer, resolves in most individuals, it can progress to cancer in some. This has led to research into other factors that may, in conjunction with HPV, increase the risk of cervical cancer progression. Improving knowledge of HPV, risk factors, and screening will be important in reducing the burden of cervical cancer. In this study, we investigate the knowledge on HPV, risk factors, and cervical screening among women in Ghana.

Methods: A hospital-based case-control study was conducted among women aged 18 to 95 years. This involved Ghanaian women diagnosed with cervical cancer and hospital controls. Data were collected using a structured questionnaire, and basic descriptive analyses were performed.

Results: Results from the 206 cases and 230 controls revealed limited knowledge about HPV and its role in cervical cancer development, with minimal disparity between women with (2.4%) and without (6.5%) cervical cancer. The majority of participants lacked awareness of HPV transmission (95.9%), and awareness of HPV vaccination was low (3.5%). Barriers to HPV vaccination included insufficient awareness about HPV, limited access to vaccination centers, and cost concerns. Respondents expressed a preference for educational programs delivered through church, radio, and television channels.

Conclusions: Knowledge of HPV, risk factors, and cervical screening was found to be very low among Ghanaian women. These findings underscore the need for a comprehensive cervical cancer educational initiative within Ghana's national cervical cancer control policy to mitigate the disease's impact.

加纳妇女对人乳头瘤病毒、危险因素和宫颈癌筛查的了解。
背景:宫颈癌是女性中第四大常见癌症,2022年报告了662,301例新病例和348,874例死亡。大多数疾病负担发生在低收入和中等收入国家。在加纳,2022年报告了3072例新病例和1815例死亡。虽然人乳头瘤病毒(HPV)感染是宫颈癌的主要原因,在大多数人身上会消退,但在一些人身上可能会发展成癌症。这导致了对其他可能与HPV一起增加宫颈癌进展风险的因素的研究。提高对HPV、危险因素和筛查的认识对于减轻宫颈癌的负担非常重要。在这项研究中,我们调查了加纳妇女对HPV、危险因素和子宫颈筛查的了解。方法:以医院为基础的病例对照研究,对年龄在18岁至95岁之间的女性进行研究。这涉及被诊断患有宫颈癌的加纳妇女和医院控制组。使用结构化问卷收集数据,并进行基本的描述性分析。结果:206例病例和230例对照的结果显示,对HPV及其在宫颈癌发展中的作用的了解有限,患有宫颈癌的妇女(2.4%)和未患宫颈癌的妇女(6.5%)之间的差异很小。大多数参与者缺乏对HPV传播的认识(95.9%),对HPV疫苗接种的认识较低(3.5%)。HPV疫苗接种的障碍包括对HPV的认识不足,进入疫苗接种中心的机会有限,以及成本问题。受访者表示更喜欢通过教堂、广播和电视频道播出的教育节目。结论:加纳妇女对HPV、危险因素和子宫颈筛查的了解非常低。这些发现强调需要在加纳国家宫颈癌控制政策范围内开展全面的宫颈癌教育倡议,以减轻该疾病的影响。
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来源期刊
Cancer Control
Cancer Control ONCOLOGY-
CiteScore
3.80
自引率
0.00%
发文量
148
审稿时长
>12 weeks
期刊介绍: Cancer Control is a JCR-ranked, peer-reviewed open access journal whose mission is to advance the prevention, detection, diagnosis, treatment, and palliative care of cancer by enabling researchers, doctors, policymakers, and other healthcare professionals to freely share research along the cancer control continuum. Our vision is a world where gold-standard cancer care is the norm, not the exception.
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