Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men

Anayawa Nyambe, Jarl K. Kampen, Stridutt K. Baboo, Guido Van Hal

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: In Zambia, cervical cancer screening was started in 2006 and the human papillomavirus vaccine was piloted in 2013. Nevertheless, cervical cancer remains the leading cancer. It is assumed that knowledge, social interaction, health behaviors and religion are factors that can influence screening and vaccination practices. This study addresses the question, what is the relationship between knowledge about cervical cancer, attitudes, self-reported behavior, and immediate support system, towards screening and vaccination of cervical cancer of Zambian women and men. The results of this study serve as a basis for future research, an input for improvement and adjustment of the existing prevention program and build on documented health behavior frameworks. Methods: A cross-sectional mixed methods study was conducted from February to May 2016. Two separate questionnaires were used to collect data from women (N = 300) and men (N = 300) residing in Chilenje and Kanyama (two townships in the capital city Lusaka). Respondent's knowledge of cervical cancer was operationalized by grading their ability to correctly identify causes and protective factors if they were aware of cervical cancer. Besides providing descriptive statistics of all study variables, we tested four research hypotheses concerning the link between knowledge, attitudes and practices suggested by the literature, by applying appropriate statistical tests (chi square test, analysis of variance, logistic regression). Results: Less than half of the respondents (36.8%) had heard of cervical cancer, 20.7% of women had attended screening and 6.7% of the total sample had vaccinated their daughter. Knowledge of causes and prevention was very low. There was a strong association between having awareness of cervical cancer and practicing screening (odds ratio = 20.5, 95% confidence interval = [9.214, 45.516]) and vaccination (odds ratio = 5.1, 95% confidence interval = [2.473, 10.423]). Social interactions were also found to greatly influence screening and vaccination behaviors. Conclusions: The low level of knowledge of causes and prevention of cervical cancer suggests a need to increase knowledge and awareness among both women and men. Interpersonal interactions have great impact on practicing prevention behaviors, for instance, vaccination of daughters.

LanguageEnglish
Article number508
JournalBMC Public Health
Volume19
Issue number1
DOIs
Publication statusPublished - 4 May 2019

Fingerprint

Health Knowledge, Attitudes, Practice
Uterine Cervical Neoplasms
Vaccination
Health Behavior
Interpersonal Relations
Nuclear Family
Early Detection of Cancer
Odds Ratio
Confidence Intervals
Zambia
Social Adjustment
Papillomavirus Vaccines
Aptitude
Religion
Chi-Square Distribution
Analysis of Variance
Logistic Models

Keywords

  • Attitude
  • Cervical cancer
  • Knowledge
  • Practices
  • Screening
  • Social ecological model
  • Theory of triadic influence
  • Vaccination
  • Zambia

Cite this

Nyambe, Anayawa ; Kampen, Jarl K. ; Baboo, Stridutt K. ; Van Hal, Guido. / Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men. In: BMC Public Health. 2019 ; Vol. 19, No. 1.
@article{3b0f72e43348407cbe60db2b8e7ec0c6,
title = "Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men",
abstract = "Background: In Zambia, cervical cancer screening was started in 2006 and the human papillomavirus vaccine was piloted in 2013. Nevertheless, cervical cancer remains the leading cancer. It is assumed that knowledge, social interaction, health behaviors and religion are factors that can influence screening and vaccination practices. This study addresses the question, what is the relationship between knowledge about cervical cancer, attitudes, self-reported behavior, and immediate support system, towards screening and vaccination of cervical cancer of Zambian women and men. The results of this study serve as a basis for future research, an input for improvement and adjustment of the existing prevention program and build on documented health behavior frameworks. Methods: A cross-sectional mixed methods study was conducted from February to May 2016. Two separate questionnaires were used to collect data from women (N = 300) and men (N = 300) residing in Chilenje and Kanyama (two townships in the capital city Lusaka). Respondent's knowledge of cervical cancer was operationalized by grading their ability to correctly identify causes and protective factors if they were aware of cervical cancer. Besides providing descriptive statistics of all study variables, we tested four research hypotheses concerning the link between knowledge, attitudes and practices suggested by the literature, by applying appropriate statistical tests (chi square test, analysis of variance, logistic regression). Results: Less than half of the respondents (36.8{\%}) had heard of cervical cancer, 20.7{\%} of women had attended screening and 6.7{\%} of the total sample had vaccinated their daughter. Knowledge of causes and prevention was very low. There was a strong association between having awareness of cervical cancer and practicing screening (odds ratio = 20.5, 95{\%} confidence interval = [9.214, 45.516]) and vaccination (odds ratio = 5.1, 95{\%} confidence interval = [2.473, 10.423]). Social interactions were also found to greatly influence screening and vaccination behaviors. Conclusions: The low level of knowledge of causes and prevention of cervical cancer suggests a need to increase knowledge and awareness among both women and men. Interpersonal interactions have great impact on practicing prevention behaviors, for instance, vaccination of daughters.",
keywords = "Attitude, Cervical cancer, Knowledge, Practices, Screening, Social ecological model, Theory of triadic influence, Vaccination, Zambia",
author = "Anayawa Nyambe and Kampen, {Jarl K.} and Baboo, {Stridutt K.} and {Van Hal}, Guido",
year = "2019",
month = "5",
day = "4",
doi = "10.1186/s12889-019-6874-2",
language = "English",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men. / Nyambe, Anayawa; Kampen, Jarl K.; Baboo, Stridutt K.; Van Hal, Guido.

In: BMC Public Health, Vol. 19, No. 1, 508, 04.05.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Knowledge, attitudes and practices of cervical cancer prevention among Zambian women and men

AU - Nyambe, Anayawa

AU - Kampen, Jarl K.

AU - Baboo, Stridutt K.

AU - Van Hal, Guido

PY - 2019/5/4

Y1 - 2019/5/4

N2 - Background: In Zambia, cervical cancer screening was started in 2006 and the human papillomavirus vaccine was piloted in 2013. Nevertheless, cervical cancer remains the leading cancer. It is assumed that knowledge, social interaction, health behaviors and religion are factors that can influence screening and vaccination practices. This study addresses the question, what is the relationship between knowledge about cervical cancer, attitudes, self-reported behavior, and immediate support system, towards screening and vaccination of cervical cancer of Zambian women and men. The results of this study serve as a basis for future research, an input for improvement and adjustment of the existing prevention program and build on documented health behavior frameworks. Methods: A cross-sectional mixed methods study was conducted from February to May 2016. Two separate questionnaires were used to collect data from women (N = 300) and men (N = 300) residing in Chilenje and Kanyama (two townships in the capital city Lusaka). Respondent's knowledge of cervical cancer was operationalized by grading their ability to correctly identify causes and protective factors if they were aware of cervical cancer. Besides providing descriptive statistics of all study variables, we tested four research hypotheses concerning the link between knowledge, attitudes and practices suggested by the literature, by applying appropriate statistical tests (chi square test, analysis of variance, logistic regression). Results: Less than half of the respondents (36.8%) had heard of cervical cancer, 20.7% of women had attended screening and 6.7% of the total sample had vaccinated their daughter. Knowledge of causes and prevention was very low. There was a strong association between having awareness of cervical cancer and practicing screening (odds ratio = 20.5, 95% confidence interval = [9.214, 45.516]) and vaccination (odds ratio = 5.1, 95% confidence interval = [2.473, 10.423]). Social interactions were also found to greatly influence screening and vaccination behaviors. Conclusions: The low level of knowledge of causes and prevention of cervical cancer suggests a need to increase knowledge and awareness among both women and men. Interpersonal interactions have great impact on practicing prevention behaviors, for instance, vaccination of daughters.

AB - Background: In Zambia, cervical cancer screening was started in 2006 and the human papillomavirus vaccine was piloted in 2013. Nevertheless, cervical cancer remains the leading cancer. It is assumed that knowledge, social interaction, health behaviors and religion are factors that can influence screening and vaccination practices. This study addresses the question, what is the relationship between knowledge about cervical cancer, attitudes, self-reported behavior, and immediate support system, towards screening and vaccination of cervical cancer of Zambian women and men. The results of this study serve as a basis for future research, an input for improvement and adjustment of the existing prevention program and build on documented health behavior frameworks. Methods: A cross-sectional mixed methods study was conducted from February to May 2016. Two separate questionnaires were used to collect data from women (N = 300) and men (N = 300) residing in Chilenje and Kanyama (two townships in the capital city Lusaka). Respondent's knowledge of cervical cancer was operationalized by grading their ability to correctly identify causes and protective factors if they were aware of cervical cancer. Besides providing descriptive statistics of all study variables, we tested four research hypotheses concerning the link between knowledge, attitudes and practices suggested by the literature, by applying appropriate statistical tests (chi square test, analysis of variance, logistic regression). Results: Less than half of the respondents (36.8%) had heard of cervical cancer, 20.7% of women had attended screening and 6.7% of the total sample had vaccinated their daughter. Knowledge of causes and prevention was very low. There was a strong association between having awareness of cervical cancer and practicing screening (odds ratio = 20.5, 95% confidence interval = [9.214, 45.516]) and vaccination (odds ratio = 5.1, 95% confidence interval = [2.473, 10.423]). Social interactions were also found to greatly influence screening and vaccination behaviors. Conclusions: The low level of knowledge of causes and prevention of cervical cancer suggests a need to increase knowledge and awareness among both women and men. Interpersonal interactions have great impact on practicing prevention behaviors, for instance, vaccination of daughters.

KW - Attitude

KW - Cervical cancer

KW - Knowledge

KW - Practices

KW - Screening

KW - Social ecological model

KW - Theory of triadic influence

KW - Vaccination

KW - Zambia

U2 - 10.1186/s12889-019-6874-2

DO - 10.1186/s12889-019-6874-2

M3 - Article

VL - 19

JO - BMC Public Health

T2 - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 508

ER -