Cervical Cancer and Screening Test (PAP Test): Knowledge and Beliefs of Egyptian Women
American Journal of Nursing Science
Volume 5, Issue 5, October 2016, Pages: 175-184
Received: Jul. 30, 2016; Accepted: Aug. 10, 2016; Published: Sep. 5, 2016
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Authors
Sahar M. Yakout, Obstetric and Gynaecological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
Salma Moawed, Maternal and child health Nursing Department, Faculty of Nursing, King Saud University, Riyadh, Saudi Arabia
Essmat M. Gemeay, Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Tanta University, Cairo, Egypt
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Abstract
Cervical cancer is the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases in 2012. In Egypt the incidence of cervical cancer is 866 per year where mortality rate is 373 per year. The current study aims to determine women’s beliefs and knowledge towards cervical cancer and Pap smear. The study was conducted at the outpatient obstetrics clinics of two hospitals namely El- Mainshawy health insurance Hospital, and El – Aiada El- Shamela at Tanta governorate. The study subjects comprised 1000 women attending the above mentioned settings two tools were used: An interview assessment sheet and the Health Believe Model (HBM). Results of the current study illustrated that Out of the 1,000 women interviewed, (68.0%) could know the definition of cervical cancer and related to a virus as its causative agent. About 95% of the women did not have an idea of the risk factors for cervical cancer, the knowledge about Pap test is quite poor, only 13.3% identify Pap smear test while 86.7% had no idea at all. In terms of the perceived benefits of Pap test, about 50.3% of the participants believed that Pap tests are the best way to detect cervical cancer, 42.9% believed that cervical cancer can be cured easily if detected early, and 62% disagree that a Pap test is important for save their health. The present study concluded that inefficient utilization of cervical cancer and its screening test would be affected by poor knowledge and negative beliefs related to cervical cancer screening in women. It was recommended that development of effective intervention programs strategies for Egyptian women and identify those women who are most at risk for cervical cancer and would benefit from intervention programs to increase cervical cancer screening rates.
Keywords
Knowledge, Beliefs, HBM, Papanicolaou Smear (Pap Smear), Benefits, Perceived Risk, Cervical Cancer
To cite this article
Sahar M. Yakout, Salma Moawed, Essmat M. Gemeay, Cervical Cancer and Screening Test (PAP Test): Knowledge and Beliefs of Egyptian Women, American Journal of Nursing Science. Vol. 5, No. 5, 2016, pp. 175-184. doi: 10.11648/j.ajns.20160505.12
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
GLOBOCAN Cancer Fact Sheets: Cervical cancer – iarc. Estimated Incidence, Mortality and Prevalence Worldwide in 2012 Section of Cancer Surveillance (2016).
[2]
Jimoh AS, Abdul IF. A review of one hundred and three (103) histologically confirmed cases of carcinoma of the cervix at the University of Ilorin Teaching Hospital Nigeria. Niger Med Pract. 2004; 45: 55–60.
[3]
Egypt Human ICO Information Centre on HPV and Cancer. Fact Sheet (Feb 4, 2016). Papillomavirus and Related Cancers
[4]
Adefuye PO. Knowledge and practice of cervical cancer screening among female professional health workers in a sub-urban district of Nigeria. Niger Med Pract. 2006; 50(1): 19–22.
[5]
Bosch FX, Lorincz AT, Munoz N, Meijer CJ, Shah KV. The causal relation between human papillomavirus and cervical cancer. J Clin Pathol. 2002; 55: 244–265.
[6]
Muñoz N, Bosch FX, Sanjosé S. The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study. Int J cancer. 2006; 119(5): 1108–1124.
[7]
Schiller JT, Castellsagu X, Villa LL, Hildesheim A. An update of prophylactic human papillomavirus L1 virus-like particle vaccine clinical trial results. Vaccine. 2008; 26 (Suppl 10): K53–K61.
[8]
Redmond O’Neal (2009) Cancer-stricken Farrah Fawcett weighs 86 pounds: Redmond O’Neal.www.thaindian.com/.../cancer-stricken-farrah-fawcett-weighs-86-pounds-redmond-oneal_100181396.htmlUSA
[9]
Giuntoli RL, Bristow RE. Cervical cancer. In: Gibbs RS, Karlan BY, Haney AF, Nygaard I, editors. Danfoth´s Obstetrics and Gynecology. 10th ed. Philadelphia: Lippincott Williams & Wilkins, 2008: 971.
[10]
Miller D, Riddell L, Franks AS, Ceballos K, Ehlen T, Kan L, et al. Screening for cancer of the cervix-anoffice manual for health professionals. British Columbia cancer agency. 2010.
[11]
Bergstrom R, Adami HO. Trends in cancer of the cervix uteri in sweden following cytological screening. Br J Cancer, 1999; 81(1): 159-166.
[12]
Cain JM, Howett MK. Preventing cervical cancer. Science, 2000; 288(5472): 1753-1755.
[13]
Orbell S, Crombe I, Johnston G. Social cognitionand social structure in the prediction of cervical screening uptake. Br J Health Psych, 1996;1:35-50
[14]
Whiteheada D, Russell G. How effective are heal the ducation programmes-resistance, reactance, rationality and risk? Recommendations for effective practice. Int J Nurs Stud 2004; 41: 163-72.
[15]
Becker MH. The health belief model and personalhealth behavior. Health Education. Monograph, 1974; 2.Gakidou, E., Nordhagen, S., Obermeyer, Z. (2008).Coverage of Cervical Cancer Screening in57 Countries: Low Average Levels and Large Inequalities. PLoS Medicine, Vol. 5, No. 6, (June 2008), e132.
[16]
Ben-Natan, M., & Adir, O. (2009). Screening for cervical cancer among Israeli women. International Nursing Review, Vol. 56, No.4, (Dec 2009), pp.433–441.
[17]
Champion V.L., & Skinner C.S. (2008). The Health belief model, In: Health behavior and health education, Glanz K, Rimer B. K, & Viswanath, K pp45- 66.
[18]
Lee, M. C. (2000) Knowledge, barriers and motivators related to cervical cancer screening among Korean-American women: a focus group approach. Cancer Nursing, Vol. 23, No. 3 (June 2000), pp.168–175.
[19]
Becker MH. Thorofare, NJ: Slack; 1974. The health belief model and personal health behavior.
[20]
Rosenstock IM. Strecher VJ. Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988; 15: 175–83.
[21]
.Guvenc G. Akyuz A. Ikel CH. Health belief model scale for cervical cancer and Pap smear test: Psychometric testing. J Adv Nurs. 2011; 67: 428–437. [PubMed]
[22]
Holroyd W, Twinn, Adab P (2004). Social-cultural influences on Chinese women’s attendance for cervical screening. J Adv Nursing, 46, 42-52.
[23]
Jandorf L, Bursac Z, Pulley L, et al (2008). Breast and cervical cancer screening among Latinas attending culturally specific
[24]
Hacihasanoğlu R, Gozum S (2008). The effect of training on the knowledge levels and beliefs regarding breast selfexamination on women attending a public education centre. Eur J Oncol Nursing, 12, 58-64.
[25]
Grace X., Wanzhen Gao, Carolyn Y. Fang, Yin Tan, Ziding Feng, Shaokui Ge, and Joseph An Nguyen J Womens Health (Larchmt). 2013 Mar; 22(3): 276–288. Health Beliefs Associated with Cervical Cancer Screening Among Vietnamese Americans.
[26]
Bandura, A. (1986). The explanatory and predictive scope of self-efficacy theory. Journal of Clinical and Social Psychology, 4, 359-373.
[27]
Champion, V. L. (1984). Instrument development for health belief model constructs, Advances in Nursing Science, 6, 73-85.
[28]
Champion VL (1993). Instrument refinement for breast cancer screening behaviors. Nursing Res, 42, 139-43.
[29]
Ackerson K, Gretebeck K (2007). Factors influencing cancer screening practices of underserved women. J Am Acad Nurse Pract, 19, 591-601.
[30]
Akyüz A, Güvenç G, Yavan T, et al (2006). Kadınların Pap smearyaptırma durumları ile bunu etkileyen faktörlerin belirlenmesi. [Determining the women’s to have Pap smear test and factors affecting to obtain Pap smear test]. Gulhane Med J, 48, 25-9.
[31]
Khalid H., Attitudes, knowledge, and practices in relation to cervical cancer and its screening among women in Saudi Arabia. Saudi Med J, 30(9), 2009 1208-12.
[32]
Roberts AA, Ayankogbe OO, Osisanya TF, Bamgbala AO, Ajekigbe AT, Olatunji BS. Knowledge of cervical cancers risk factors among refugee women in Oru camp. Nigerian Medical Practitioner 2004; 46: 67-70.
[33]
Shin-Y L. Cultural Factors Associated with Breast and Cervical Cancer Screening in Korean American Women in the US: An Integrative Literature Review. Asian nursing research 2015; 9: Pages 81–90.
[34]
Tanner-Smith EE. Brown TN. Evaluating the health belief model: A critical review of studies predicting mammographic and pap screening. Soc Theory Health. 2010; 8: 95–125.
[35]
Zakia Metwali, Fatima Al Kindi, Sawsan Shanbleh, Sarah Al Akshar, Fadi Sarhan. (Evaluating awareness and screening of cervical cancer among women in Sharjah, United Arab Emirates) IOSR Journal Of Pharmacy; 5: (February 2015), PP. 57-64.
[36]
Ho V. Yamal JM. Atkinson EN. Predictors of breast and cervical screening in Vietnamese women in Harris County, Houston, Texas. Cancer Nurs. 2005; 28: 119–129. [Pub Med]
[37]
Wang JH. Sheppard VB. Schwartz MD. Liang W. Mandelblatt JS. Disparities in cervical cancer screening between Asian American and non-Hispanic white women. Cancer Epidemiol Biomarkers Prev. 2008; 17: 1968–1973. [PubMed]
[38]
Fang CY. Ma GX. Tan Y. Overcoming barriers to cervical cancer screening among Asian American women. N A J Med Sci. 2011; 4: 77–83. [PMC free article] [Pub Med]
[39]
Ma G. Toubbeh J. Wang M. Shive S. Cooper L. Pham A. Factors associated with cervical cancer screening compliance and noncompliance among Chinese, Korean, Vietnamese, and Cambodian women. J Natl Med Assoc. 2009; 101: 541–51. [PubMed]
[40]
Gor B. Chilton J. Camingue P. Hajek R. Young Asian Americans' knowledge and perceptions of cervical cancer and the human papillomavirus. J Immigr Minor Health. 2011; 13: 81–86. [Pub Med]
[41]
Lee MC. Knowledge, barriers, and motivators related to cervical cancer screening among Korean-American women: A focus group approach. Cancer Nurs. 2000; 23: 168–75. [Pub Med]
[42]
Taylor VM. Yasui Y. Burke N, et al. Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev. 2004; 13: 613–619. [PubMed]
[43]
Lee-Lin F. Pett M. Menon U, et al. Cervical cancer beliefs and pap test screening practices among Chinese American immigrants. Oncol Nurs Forum. 2007; 34: 1203–1209. [Pub Med]
[44]
Tanner-Smith EE, Brown TN. Evaluating the health belief model: A critical review of studies predicting mammographic and pap screening. Soc Theory Health 2010; 8: 95–125.]
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