Knowledge, attitudes and practices on cervical cytology in a Peruvian rural population
Keywords:
Rural population, Uterine Cervical Neoplasm, cervical smearsAbstract
Introduction: Cervical cytology is the main tool for the detection and treatment of cervical cancer. Some studies carried out in the urban population have associated the realization and adherence with knowledge, attitudes and favorable practices of women with respect to this test.
Objective: The aim of this study was to determine the level of knowledge, attitudes and practices towards cervical cytology in women of childbearing age in a rural Peruvian province.
Material and Methods: A cross-sectional analytical study was conducted in a population of approximately 3148 women of childbearing age, a representative sample was obtained. An anonymous, validated, directed survey was used; it was applied by trained health personnel working in health centers of the primary care level in the districts of the province of Bolívar, La Libertad.
Results: A total of 400 surveys were carried out. The results showed that 80 % of the women surveyed had high and intermediate levels of knowledge, 70 % had a favorable attitude, while 44 % reported correct practices related to the cervical cytology test. The high and intermediate levels of knowledge were associated with age over 30 years (p: 0.02), married marital status (p: 0.05), the highest level of instruction (p: 0.00) and the use of contraceptive methods (p: 0.01); no relationship was found with the age of onset of sexual intercourse (p: 0.98).
Conclusions: There is a high level of knowledge, attitudes and correct practices towards cervical cytology in the rural population of the province of Bolívar, but a low adherence to it.
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References
1. Capote Negrin L. Epidemiology of cervical cancer in Latin America. Ecancermedicalscience [Internet]. 2015 Oct 8 [citado: 06/11/2019] ;9:577. Disponible en: https://bit.ly/2NM5pK6
2. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. [Internet]. Lyon, France: International Agency for Research on Cancer; 2013 [citado: 06/11/2019]. Disponible en: https://bit.ly/2NO2Bfu
3. Perú, Ministerio de Salud. Análisis de la Situación del Cáncer en el Perú, 2013. Lima: Dirección General de Epidemiología, MINSA; 2013.
4. Bosch FX. Eradication of cervical cancer in Latin America. Salud Publica Mex. 2016 Apr;58(2):97-100.
5. Abdullah F, O'Rorke M, Murray L, Su TT. Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial. Biomed Res Int [Internet]. 2013 [citado: 06/11/2019] ;2013:572126. Disponible en: https://bit.ly/36FjTnr
6. Vedham V, Verma M, Mahabir S. Early-life exposures to infectious agents and later cancer development. Cancer Med. 2015 Dec;4(12):1908-22.
7. Final Update Summary: Cervical Cancer: Screening. U.S. Preventive Services Task Force [Internet]. 2016. [citado: 06/11/2019]. Disponible en: https://bit.ly/2JWHPZU
8. Bazán F, Posso M, Gutiérrez C. Conocimientos, actitudes y prácticas sobre la prueba de Papanicolaou. An Fac Med Lima [Internet]. 2007 [citado: 06/11/2019] ; 68(1). Disponible en: https://bit.ly/2NrILYB
9. Di Mario S, Basevi V, Lopalco PL, Balduzzi S, D'Amico R, Magrini N. Are the Two Human Papillomavirus Vaccines Really Similar? A Systematic Review of Available Evidence: Efficacy of the Two Vaccines against HPV. J Immunol Res. 2015. [Internet]. 2015 [citado: 06/11/2019];2015:435141. Disponible en: https://bit.ly/32luOiL
10. Catarino R, Vassilakos P, Scaringella S, Undurraga-Malinverno M, Meyer-Hamme U, RicardGauthier D, et al. Smartphone Use for Cervical Cancer Screening in Low-Resource Countries: A Pilot Study Conducted in Madagascar. PLoS ONE [Internet]. 2015 [citado: 06/11/2019]; 10(7): e0134309. Disponible en: https://bit.ly/33vmNJO
11. Terrazas S, Ibáñez C, Lagos M, Pogg H, Brañes J, Barriga M, et al. Examen de detección de virus papiloma humano en el tamizaje de cáncer cervicouterino en un Servicio de Salud de Santiago, Chile. Rev Med Chile 2015 [citado: 06/11/2019] ; 143: 56-62. Disponible en: https://bit.ly/2rl3YL3
12. Schlichte M, Guidry J. Current Cervical Carcinoma Screening Guidelines. J Clin Med. [Internet]. 2015 May [citado: 06/11/2019] ; 4(5): 918–932. Disponible en: https://bit.ly/2Cjpima
13. Percac-Lima S, Aldrich LS, Gamba GB, Bearse AM, Atlas SJ. Barriers to follow-up of an abnormal Pap smear in Latina women referred for colposcopy. J Gen Intern Med. [Internet]. 2010 Nov [citado: 06/11/2019] ;25(11):1198-204. Disponible en: https://bit.ly/2WR2qUB
14. Huamaní C, Hurtado-Ortega A, Guardia-Ricra M, RocaMendoza J. Conocimientos y actitudes sobre la toma de papanicolaou en mujeres de lima, perú 2007. Rev Peru Med Exp Salud Publica. [Internet]. 2008 [citado: 06/11/2019] ; 25(1): 44-50. Disponible en: https://bit.ly/2NR7Vyw
15. Instituto nacional de Estadística e Informática. Censos Nacionales 2017: XII de Población, VII de Vivienda y III de Comunidades Indígenas. [Internet]. 2017. [citado: 06/11/2019]. Disponible en: https://bit.ly/2rduaaf
16. CIOMS. International ethical guidelines for health-related research involving humans. CIOMS licence for electronic versions of its publications. [Internet]. 2016. [citado: 06/11/2019]. Disponible en: https://bit.ly/2rdDTgK
17. Grigore M, Popovici R, Pristavu A, Grigore AM, Matei M, Gafitanu D. Perception and use of Pap smear screening among rural and urban women in Romania. Eur J Public Health. [Internet]. 2017 Dec 1 [citado: 06/11/2019] ;27(6):1084-1088. Disponible en: https://bit.ly/2WUsZIO
18. Manica ST, Drachler Mde L, Teixeira LB, Ferla AA, Gouveia HG, Anschau F, et al. Socioeconomic and regional inequalities of pap smear coverage. Rev Gaucha Enferm. [Internet]. 2016 Mar [citado: 06/11/2019] ;37(1):e52287. Disponible en: https://bit.ly/2NMsjkz
19. Pryor RJ, Masroor N, Stevens M, Sanogo K, Hernández O'Hagan PJ, Bearman G. Cervical cancer screening in rural mountainous Honduras: knowledge, attitudes and barriers. Rural Remote Health. [Internet]. 2017 Apr-Jun [citado: 06/11/2019] ;17(2):3820. Disponible en: https://bit.ly/2WOXKPa
20. Jain SM, Bagde MN, Bagde ND. Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India. Indian J Cancer. [Internet]. 2016 Jan-Mar [citado: 06/11/2019] ;53(1):63-6. Disponible en: https://bit.ly/36GQfOQ
21. Thapa N, Maharjan M, Petrini MA, Shah R, Shah S, Maharjan N, et al. Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal. J Gynecol Oncol. [Internet]. 2018 Jul [citado: 06/11/2019]; 29(4):e57. Disponible en: https://bit.ly/33qJK0t
22. Srivastava AN, Misra JS, Srivastava S, Das BC, Gupta S. Cervical cancer screening in rural India: Status & current concepts. Indian J Med Res. [Internet]. 2018 Dec [citado: 06/11/2019] ;148(6):687-696. Disponible en: https://bit.ly/2Clb6cz
23. Urrutia M, Gajardo M. Adherencia al tamizaje de cáncer cérvicouterino: Una mirada desde el modelo de determinantes sociales de la salud. REV CHIL OBSTET GINECOL [Internet]. 2015 [citado: 06/11/2019] ; 80(2): 101 - 110. Disponible en: https://bit.ly/2NM8gmi
24. Gangane N, Nawi N, San Sebastián M. Women’s Knowledge, Attitudes, and Practices about Breast Cancer in a Rural District of Central India. Asian Pac J Cancer Prev. [Internet]. 2015 [citado: 06/11/2019] ;16(16):6863-70. Disponible en: https://bit.ly/2JYJ62u
25. Barrios-García L, Benedetti-Padrón I, lvis-Estrada L, Salamanca-Manjarrez M. Conocimientos, actitudes y prácticas sobre citología cérvico-uterina por mujeres de una población rural en colombia. Rev cienc biomed. [Internet]. 2013. [citado: 06/11/2019] ;4(1):54-59. Disponible en: https://bit.ly/36GHG6z
26. Campos N, Castle P, Wright T, Kim J. Cervical cancer screening in low-resource settings: A cost-effectiveness framework for valuing tradeoffs between test performance and program coverage. Int. J. Cancer [Internet]. 2015 [citado: 06/11/2019]; 137: 2208-19. Disponible en: https://bit.ly/2WUrESi
27. Valdez M, Jeronimo J, Bansil P, Qiao Y, Zhao F, Chen W, et al. Effectiveness of novel, lower-cost molecular human papillomavirus-based tests for cervical cancer screening in rural China. Int J Cancer. [Internet]. 2016 Mar 15. [citado: 06/11/2019] ;138(6):1453-61. Disponible en: https://bit.ly/34DAK8C
28. Ingledue K; Cottrell R; Bernard A. College women's knowledge, perceptions, and preventive behaviors regarding human papillomavirus infection and cervical cancer. American Journal of Health Studies [Internet]. 2004 [citado: 06/11/2019];19(1):28-34. Disponible en: https://bit.ly/2CjqjdY
29. Ramírez E. Conocimientos, actitudes y prácticas frente a la toma de papanicolaou en la población de mujeres trabajadoras de la facultad de ciencias médicas de la universidad nacional de la plata. [Internet]. Argentina: Universidad nacional de la plata centro inus maestría en salud pública. [Internet]. 2014. [citado: 06/11/2019]. Disponible en: https://bit.ly/33n4Gp6
30. Sawaya GF, Kulasingam S, Denberg TD, Qaseem A; Clinical Guidelines Committee of American College of Physicians. Cervical Cancer Screening in Average-Risk Women: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians. Ann Intern Med. [Internet]. 2015 Jun 16. [citado: 06/11/2019];162(12):851-9. Disponible en: https://bit.ly/2WR488t
31. Denny L, Prendiville W. Cancer of the cervix: Early detection and cost-effective solutions. International Journal of Gynecology and Obstetrics [Internet]. 2015 [citado: 06/11/2019]; 131: S28–S32. Disponible en: https://bit.ly/2CinxG0
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