Knowledge about cervical cancer among respondents in Slovakia and the Czech Republic – Aurora Project


Authors: V. Švihrová 1;  E. Jílková 2;  V. Szabóová 1;  T. Baška 1;  J. Danko 3;  H. Hudečková 1
Authors‘ workplace: Ústav verejného zdravotníctva, Jesseniova lekárska fakulta UK, Martin, vedúca prof. MUDr. H. Hudečková, PhD., MPH 1;  Zdravotní ústav, Ústí nad Labem, statutární zástupce ředitel Ing. P. Bernáth 2;  Gynekologicko-pôrodnícka klinika, Jesseniova lekárska fakulta UK, Martin, prednosta prof. MUDr. J. Danko, CSc. 3
Published in: Čes. Gynek.2015, 80, č. 3 s. 181-188

Overview

Objective:
The Aurora Project, aimed at promotion of cervical cancer prevention, was realised with the support of the European Commission. The project included 14 partners from 11 EU countries. The objective of this contribution was to analyse the level of knowledge on cervical cancer among respondents in the project partner countries and to compare the situations in Slovakia and the Czech Republic. Data were obtained within one of the project outputs: Work Package 2 (WP2) Dissemination of Aurora Project Objectives and Results.

Methods:
The questionnaire used included 10 questions (available at the project website www.aurora-project.eu) and has been translated into 11 languages of the project partners. In total, 2111 questionnaires were analysed (91.7% response rate), among them 246 were from Slovakia and 305 from the Czech Republic. Descriptive statistical methods and the χ2 test were used to analyse data.

Results:
The level of knowledge in Slovak and Czech respondents was comparable in answers to seven questions. Statistically significant differences were observed in answers to questions about anatomy and cervical cancer therapy. Answers to the question, 'What are the symptoms of cervical cancer in the early stages?', should be considered as crucial to understand attitudes of the lay population towards prevention. There were 7% of women in the Czech Republic and 16% in Slovakia with the opinion that there is some clinical manifestation of such a condition. This means that women with such an opinion have no reason to visit a gynaecologist while no signs of a disease are present. The period during which they do not attend a preventive check-up is sufficient for the development of precancerous lesions or even cancer.

Conclusion:
Recommendations of doctors play a key role in primary and secondary prevention of the disease. An important part of interventions includes information campaigns and educational programmes. The internet is another important source of information, especially for younger generations. Together, these can contribute to increased participation in preventive check-ups by education of the general public. Thus, the disease can be detected early and the development of cervical cancer prevented.

Keywords:
cervical cancer, questionnaire, knowledge, education, preventive examinations


Sources

1. Albuquerque, CLF., Costa, MP., Nunes, FM., et al. Knowledge, attitudes and practices regarding the Pap test among women in Northeastern Brazil. Sao Paulo Med J, 2014, 132, p. 3–9.

2. Al-Darwish, AA., Al-Naim, AF., Al-Mulhim, KS., et al. Knowledge about cervical cancer early warning signs and symptoms, risk factors and vaccination among students at Medical School in Al-Ahsa, Kingdom of Saudi Arabia. Asian Pac J Cancer Prev, 2014, 15, p. 2529–2532.

3. Antic, LG., Djikanovic, BS., Antic, DZ., et al. Differencies in the level of knowledge on cervical cancer among health care students, midwives and patients in Serbia. Asian J Cancer Prev, 2014, 15, p. 3011–3015.

4. AURORA PROJECT. Dotazník o rakovine krčka maternice. [online]. 2009–2013 [cit. 2013-08-21]. Dostupné na: http://www.aurora-project.eu/sk/web/%C4%8Co-viete-o-rakovine-kr%-C4%8Dka-maternice-543.

5. Centers for Disease Control and Prevention (CDC). Basic information about HPV-associated cancers. [online]. Page last updated: September 5, 2013a [cit. 2014-02-26] Dostupné na: http://www.cdc.gov/cancer/hpv/basic_info/.

6. Centers for Disease Control and Prevention (CDC). Human papillomavirus vaccination coverage among adolescent girls, 2007–2012, and postlicensure vaccine safety monitoring, 2006–2013 – United States. Morb Mortal Wkly Rep, 2013b, 62, p. 591–595.

7. Institut biostatistiky a analýz. Adresné zvaní je investicí do budoucnosti, shodli se odborníci, politici i zdravotní pojišťovny. Masarykova univerzita, Brno, 16.12.2013. [cit. 2014-06-08]. Dostupné na: http://www.iba.muni.cz/index.php?pg=aktuality&aid=121.

8. International Agency for Research on Cancer (IARC). Cervical cancer. [online]. IARC, 2014a [cit. 2014-02-26]. Dostupné na: http://screening.iarc.fr/cervicalindex.php.

9. International Agency for Research on Cancer (IARC). Globocan 2012: Cervical cancer. Estimated, Mortality and Prevalence Worldwide in 2012. [online]. IARC, 2014b [cit. 2014-02-26]. Dostupné na: http://globocan.iarc.fr/old/FactSheets/cancers/cervix-new.asp.

10. Jeseňák, M., Biskupská Boďová, K., Jeseňáková, B., Bánovčin, P. Praktický pohľad na očkovanie proti ľudskému papilomavírusu. Pediatria (Bratisl.), 2013, 8, s. 7–11.

11. Maľová, A., Kostolný, I., Scholtz, E., et al. Možnosti prevencie rakoviny krčka maternice. Gynekol Prax, 2011, 9, s. 19–22.

12. Masák, L. Rakovina krčka maternice – ako vzniká a ako jej môžeme predchádzať. 4. vyd. Bratislava: Liga proti rakovine SR, 2011, 18 s.

13. Mocová, E. Nepodceňujeme rozsah a riziká HPV infekcií? Pediatria (Bratisl.), 2010, 5, s. 95–99.

14. Navarro-Illana, P., Diez-Domingo, J., Navarro-Illana, E., et al. Knowledge and attitudes of Spanish adolescent girls towards human papillomavirus infection: where to intervence to improve vaccination coverage. BMJ Public Health, 2014, 14, p. 490.

15. Onsuz, MF., Hidirolgu, S., Sarioz, A., et al. Knowledge, attitudes and behaviors of women over 20 years old on cervix cancer in Istanbul, Turkey. Asian Pac J Cancer Prev, 2014, 15, p. 8801–8807.

16. Pan, XF., Zhao, ZM., Sun, J., et al. Acceptability and correlates of primary and secondary prevention of cervical cancer among medical students in southwest China: Implications for cancer education. PloS one, 2014, 9, p. e110353.

17. Sadovský, O. Súčasný stav skríningu rakoviny krčka maternice v Slovenskej republike. Gynekol Prax, 2011, 9, s. 23–28.

18. Tang, SY., Liu, ZH., Li, L., et al. Awareness and knowledge about human papillomavirus among high school students in China. J Reprod Med, 2014, 59, p. 44–50.

19. Tóthová, V. Edukačná kampaň o rakovine krčka maternice úspešne posúva znalosti o ochorení vrátane prevencie. [online]. 9.3.2010. [cit. 2013-08-21]. Dostupné na: http://www.-zzz.sk/?clanok=7906.

20. Vyhláška Ministerstva zdravotníctva SR č. 585/2008 Z. z., ktorou sa ustanovujú podrobnosti o prevencii a kontrole prenosných ochorení, v znení neskorších predpisov.

21. World Health Organization. WHO guidance note: comprehensive cervical cancer prevention and control: a healthier future for girls and women. Switzerland: WHO Press, 2013. ISBN 9789241505147.

22. Zákon č. 369/2011 Sb., kterým se mění zákon č. 48/1997 Sb. o veřejném zdravotním pojištění a o změně a doplnění některých souvisejících zákonů, ve znění pozdějších předpisů.

23. Zimet, GD., Mays, AB., Winston, Y., et al. Acceptability of human papillomavirus immunization. J Women Health Gend Based Med, 2000, 9, p. 47–50.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 3

2015 Issue 3

Most read in this issue

This topic is also in:


Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account