Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria
Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria
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DOI：
10.1186/1471-2458-14-814
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发表时间：
2014-08-07
影响因子：
4.5
通讯作者：
Oluwole, Francis A.
中科院分区：
文献类型：
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作者：
Abiodun, Olumide A.;Olu-Abiodun, Oluwatosin O.;Oluwole, Francis A.
背景：宫颈癌是一种影响许多妇女的重要公共卫生疾病，并导致尼日利亚可避免的高癌症死亡率。尽管预防相对容易，但发病率仍在上升。本研究旨在确定健康教育对尼日利亚农村社区妇女对宫颈癌的认识、知识和认知以及筛查的影响。方法：采用准实验设计。该研究是在奥贡州Odogbolu（干预）和Ikenne（控制）地方政府地区（LGA）的成年妇女中进行的。采用多阶段随机抽样技术，每组抽取350名妇女。数据收集采用半结构化访谈法，辅以问卷调查。干预包括以电影为基础的结构化健康教育。结果：干预后宫颈癌知知率和筛查率提高到100% （p < 0.0001）。对宫颈癌及筛查有良好认识的妇女比例由2%上升至70.5% (X-2 = 503.7, p < 0.0001)，对宫颈癌有良好认识的妇女比例由5.1%上升至95.1% （p < 0.0001）。平均知识和平均感知得分也有所提高（p < 0.0001）。接受子宫颈检查的妇女比例从4.3%增加到8.3% （p = 0.038）。妇女没有做子宫颈检查的主要原因是缺乏对子宫颈癌和检查的认识。干预组与对照组对子宫颈筛查的知识、态度和行为干预后差异有统计学意义（p < 0.05）。结论：以电影为载体的多媒体健康教育能有效提高成年妇女对宫颈癌及其筛查的认识和认知。此外，普查亦有助市民接受子宫颈癌普查。提高认识对宫颈癌预防方案的成功至关重要。
Background: Cervical cancer is a disease of public health importance affecting many women and contributing to avoidably high levels of cancer deaths in Nigeria. In spite of the relative ease of prevention, the incidence is on the increase. This study aimed to determine the effect of health education on the awareness, knowledge and perception of cervical cancer and screening among women in rural Nigerian communities.Methods: The study design was quasi-experimental. The study was carried out among adult women in Odogbolu (intervention) and Ikenne (control) local government areas (LGA) of Ogun state. Three hundred and fifty (350) women were selected per group by multistage random sampling technique. Data was collected by semi structured interviews with the aid of questionnaire. The intervention consisted of structured health education based on a movie.Result: The intervention raised the level of awareness of cervical cancer and screening to 100% (p < 0.0001). The proportion of women with very good knowledge of cervical cancer and screening rose from 2% to 70.5% (X-2 = 503.7, p < 0.0001) while the proportion of those with good perception rose from 5.1% to 95.1% (p < 0.0001). The mean knowledge and mean perception scores were also increased (p < 0.0001). There was increase in the proportion of women who had undertaken cervical screening from 4.3% to 8.3% (p = 0.038). The major reason stated by the women for not having had cervical screening done was lack of awareness about cervical cancer and screening. There was statistically significant difference between the intervention and control groups concerning their knowledge attitude and practice towards cervical and screening (p < 0.05) after the intervention.Conclusion: Multiple media health education based on a movie is effective in creating awareness for and improving the knowledge and perception of adult women about cervical cancer and screening. It also improves the uptake of cervical cancer screening. The creation of awareness is very crucial to the success of a cervical cancer prevention programme.