Men’s Misconception as barrier to and predominant enhancing factors for spouses cervical screening
Screening Uptake in a Sub-Urban Area of Nigeria, West Africa
Bilah Samping Artikel
Isi Artikel Utama
Abstrak
Cervical cancer remains the second leading cause of cancer-related deaths among women in Nigeria, despite being largely preventable through early detection and treatment. This study assessed men’s misconceptions and factors influencing their support for spouses’ cervical cancer screening in a sub-urban area of Nigeria. A descriptive cross-sectional design was adopted. Data were collected using a structured interviewer-administered questionnaire from 312 men aged 20–69 years selected through multistage sampling across 12 wards of the Local Government Area. Findings revealed that 35.5% of respondents perceived cervical cancer as a curse associated with promiscuity, while 40.5% believed their spouses were not at risk and therefore did not require screening. However, 89.6% indicated that awareness creation would improve their support for screening, while 29.4% identified community-based screening services as important. Free or subsidized screening was also frequently suggested. The study concludes that men’s misconceptions remain barriers to screening uptake, while health education, accessible services, and cost reduction can significantly enhance spousal support for cervical cancer screening.
Rincian Artikel
Artikel ini berlisensiCreative Commons Attribution-ShareAlike 4.0 International License.
Referensi
Adewole, I., Denny, L., Anorlu, R., Dreyer, G., Moodley, M., Smith, T., Snyman, L., Wiredu, E., Molijn, A., Quint, W., Ramakrishnan, G. and Schmidt, J. (2013). Human papillomavirus prevalence and type distribution in invasive cervical cancer in sub-Saharan Africa. International Journal of Cancer, 134(6), pp.1389–1398. doi:https://doi.org/10.1002/ijc.28425.
Airede, L., Onakewhor, J., Aziken, M., Ande, A. and Aligbe, J. (2008). Carcinoma Of The Uterine Cervix In Nigerian Women: The Need to Adopt a National Prevention Strategy. Sahel Medical Journal, 11(1). doi:https://doi.org/10.4314/smj2.v11i1.12957.
Ajayi, I.O. and Adewole, I.F. (1998). Knowledge and attitude of general outpatient attendants in Nigeria to cervical cancer. PubMed, 44(2), pp.41–3.
Al Sairafi, M. and Mohamed, F.A. (2009). Knowledge, Attitudes, and Practice Related to Cervical Cancer Screening among Kuwaiti Women. Medical Principles and Practice, 18(1), pp.35–42. doi:https://doi.org/10.1159/000163044.
Bedell, S.L., Goldstein, L.S., Goldstein, A.R. and Goldstein, A.T. (2020). Cervical Cancer Screening: Past, Present, and Future. Sexual Medicine Reviews, [online] 8(1), pp.28–37. doi:https://doi.org/10.1016/j.sxmr.2019.09.005.
Chigozie, Nkwonta, Hilfinger Messiaa, D.K., Adebola, A. and Ojiegbe, T. (2021). Men’s willingness to support HPV vaccination and cervical cancer screening in Nigeria. Health Promotion International. doi:https://doi.org/10.1093/heapro/daab056.
De Martel, C., Plummer, M., Vignat, J. and Franceschi, S. (2017). Worldwide burden of cancer attributable to HPV by site, country and HPV type. International Journal of Cancer, 141(4), pp.664–670. doi:https://doi.org/10.1002/ijc.30716.
Dzinamarira, T., Moyo, E., Dzobo, M., Mbunge, E. and Murewanhema, G. (2023). Cervical cancer in sub-Saharan Africa: an urgent call for improving accessibility and use of preventive services. International Journal of Gynecologic Cancer, [online] 33(4). doi:https://doi.org/10.1136/ijgc-2022-003957.
Fidler, M.M., Soerjomataram, I. and Bray, F. (2016). A global view on cancer incidence and national levels of the human development index. International Journal of Cancer, 139(11), pp.2436–2446. doi:https://doi.org/10.1002/ijc.30382.
Gakidou Emmanuela, Nordhagen Sven, & Obermeyer Carla Makhlouf. (2008). Coverage of cervical cancer screening in 57 countries: Low average levels and large inequalities. PLoS Medicine, 5(6), e132. https://doi.org/10.1371/journal.pmed.0050132
Isa Modibbo, F., Dareng, E., Bamisaye, P., Jedy-Agba, E., Adewole, A., Oyeneyin, L., Olaniyan, O. and Adebamowo, C. (2016). Qualitative study of barriers to cervical cancer screening among Nigerian women. BMJ Open, [online] 6(1), p.e008533. doi:https://doi.org/10.1136/bmjopen-2015-008533.
Jemal, A., Bray, F., Center, M.M., Ferlay, J., Ward, E. and Forman, D. (2011). Global cancer statistics. CA: a cancer journal for clinicians, 61(2), pp.69–90. doi:https://doi.org/10.3322/caac.20107.
Jemal, A., Bray, F., Forman, D., O’Brien, M., Ferlay, J., Center, M. and Parkin, D.M. (2012). Cancer burden in Africa and opportunities for prevention. Cancer, [online] 118(18), pp.4372–4384. doi:https://doi.org/10.1002/cncr.27410.
Lim, J.N.W. and Ojo, A.A. (2016). Barriers to utilisation of cervical cancer screening in Sub Sahara Africa: a Systematic review. European Journal of Cancer Care, [online] 26(1), p.e12444. doi:https://doi.org/10.1111/ecc.12444.
Lyimo, F.S. and Beran, T.N. (2012). Demographic, knowledge, attitudinal, and accessibility factors associated with uptake of cervical cancer screening among women in a rural district of Tanzania: Three public policy implications. BMC Public Health, [online] 12(1). doi:https://doi.org/10.1186/1471-2458-12-22.
Ndikom C. M., & Ofi B. A.. (2012). Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria: A qualitative study. Reproductive Health, 9(11). https://doi.org/10.1186/1742-4755-9-11
Obiageli Nnodu, Layi Erinosho, Mustapha Jamda, O Olaniyi, Rabi Adelaiye, Lawson, L., Folakemi Odedina, Shuaibu, F., Odumuh, T., Nnenaya Isu, Imam, H., Owolabi, O., Yaqub, N. and Zamani, A. (2010). Knowledge and attitudes towards cervical cancer and human papillomavirus: a Nigerian pilot study. PubMed, 14(1), pp.95–108.
Oche M. O., Kaoje A. U., Gana G., & Ango J. T.. (2013). Cancer of the cervix and cervical screening: Current knowledge, attitude and practices of female health workers in Sokoto, Nigeria. International Journal of Medicine and Medical Sciences, 5(4), 184–190.
Parkin, D.M., Bray, F., Ferlay, J. and Pisani, P. (2005). Global Cancer Statistics, 2002. CA: A Cancer Journal for Clinicians, 55(2), pp.74–108. doi:https://doi.org/10.3322/canjclin.55.2.74.
Rawat, A., Mithani, N., Sanders, C., Namugosa, R., Payne, B., Mitchell-Foster, S., Orem, J., Ogilvie, G. and Nakisige, C. (2022). ‘We Shall tell them with Love, Inform them what we have Learnt and then Allow them to go’ - Men’s Perspectives of Self-Collected Cervical Cancer Screening in Rural Uganda: A Qualitative Inquiry. Journal of Cancer Education. doi:https://doi.org/10.1007/s13187-022-02163-x.
Sankaranarayanan, R., Swaminathan, R., Brenner, H., Chen, K., Chia, K.S., Chen, J.G., Law, S.C., Ahn, Y.-O., Xiang, Y.B., Yeole, B.B., Shin, H.R., Shanta, V., Woo, Z.H., Martin, N., Sumitsawan, Y., Sriplung, H., Barboza, A.O., Eser, S., Nene, B.M. and Suwanrungruang, K. (2010). Cancer survival in Africa, Asia, and Central America: a population-based study. The Lancet Oncology, [online] 11(2), pp.165–173. doi:https://doi.org/10.1016/s1470-2045(09)70335-3.
Seow, A., Wong, M.L., Smith, W.C.S. and Lee, H.P. (1995a). Beliefs and Attitudes as Determinants of Cervical Cancer Screening: A Community-Based Study in Singapore. Preventive Medicine, 24(2), pp.134–141. doi:https://doi.org/10.1006/pmed.1995.1026.
Tadesse, S.K. (2015). Socio-economic and cultural vulnerabilities to cervical cancer and challenges faced by patients attending care at Tikur Anbessa Hospital: a cross sectional and qualitative study. BMC Women’s Health, 15(1). doi:https://doi.org/10.1186/s12905-015-0231-0.
Thomas, J.O., Babarinsa, I.A., Ajayi, I.O., O Fawole, Ojemakinde, K.O. and Omigbodun, A.O. (2005). Mobilization for cervical cancer screening: lessons from a poor-urban Yoruba community in Nigeria. PubMed, 34(1), pp.81–5.
Tomás, C.C., Oliveira, E., Sousa, D., Uba-Chupel, M., Furtado, G., Rocha, C., Teixeira, A., Ferreira, P., Alves, C., Gisin, S., Catarino, E., Carvalho, N., Coucelo, T., Bonfim, L., Silva, C., Franco, D., González, J.A., Jardim, H.G., Silva, R. and Baixinho, C.L. (2016). Proceedings of the 3rd IPLeiria’s International Health Congress. BMC Health Services Research, 16(S3). doi:https://doi.org/10.1186/s12913-016-1423-5.
Torre, L.A., Bray, F., Siegel, R.L., Ferlay, J., Lortet-Tieulent, J. and Jemal, A. (2015). Global cancer statistics, 2012. CA: A Cancer Journal for Clinicians, [online] 65(2), pp.87–108. doi:https://doi.org/10.3322/caac.21262.
World Health Organization. (2021). WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention (2nd ed.). World Health Organization. https://www.who.int/publications
Wright, K.O., Aiyedehin, O., Akinyinka, M.R. and Ilozumba, O. (2014). Cervical Cancer: Community Perception and Preventive Practices in an Urban Neighborhood of Lagos (Nigeria). ISRN Preventive Medicine, 2014, pp.1–9. doi:https://doi.org/10.1155/2014/950534.
Zeller, M. (1998). Determinants of Repayment Performance in Credit Groups: The Role of Program Design, Intragroup Risk Pooling, and Social Cohesion. Economic Development and Cultural Change, 46(3), pp.599–620. doi:https://doi.org/10.1086/452360.