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Knowledge and awareness of cervical cancer in Southwestern Ethiopia is lacking: A descriptive analysis


Autoři: Atif Saleem aff001;  Alemayehu Bekele aff002;  Megan B. Fitzpatrick aff001;  Eiman A. Mahmoud aff003;  Athena W. Lin aff003;  H. Eduardo Velasco aff003;  Mona M. Rashed aff004
Působiště autorů: Department of Pathology, Stanford University Medical Center, Stanford, California, United States of America aff001;  College of Medicine, Jimma University, Jimma, Ethiopia aff002;  Department of Basic Sciences, College of Osteopathic Medicine, Touro University, Vallejo, California, United States of America aff003;  Department of Pathology, Affiliated to General Organization of Teaching Hospitals and Institutes, Cairo, Egypt aff004
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0215117

Souhrn

Purpose

Cervical cancer remains the second most common cancer and cancer-related death among women in Ethiopia. This is the first study, to our knowledge, describing the demographic, and clinicopathologic characteristics of cervical cancer cases in a mainly rural, Southwestern Ethiopian population with a low literacy rate to provide data on the cervical cancer burden and help guide future prevention and intervention efforts.

Methods

A descriptive analysis of 154 cervical cancer cases at the Jimma University Teaching Hospital in Southwestern Ethiopia from January 2008 –December 2010 was performed. Demographic and clinical characteristics were obtained from patient questionnaires and cervical punch biopsies were histologically examined.

Results

Of the 154 participants with a histopathologic diagnosis of cervical cancer, 95.36% had not heard of cervical cancer and 89.6% were locally advanced at the time of diagnosis. Moreover, 86.4% of participants were illiterate, and 62% lived in a rural area.

Conclusion

A majority of the 154 women with cervical cancer studied at the Jimma University Teaching Hospital in Southwestern Ethiopia were illiterate, had not heard of cervical cancer and had advanced disease at the time of diagnosis. Given the low rates of literacy and knowledge regarding cervical cancer in this population which has been shown to correlate with a decreased odds of undergoing screening, future interventions to address the cervical cancer burden here must include an effective educational component.

Klíčová slova:

Cancer detection and diagnosis – Cancer screening – Carcinomas – Cervical cancer – Ethiopia – Lesions – Literacy – Squamous cell carcinomas


Zdroje

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