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LETTER TO EDITOR
Year : 2019  |  Volume : 8  |  Issue : 10  |  Page : 3452-3453  

Level of cervical cancer awareness among hospital visitors


1 Department of Medicine, Chandra Laxmi Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
2 Department of Obstetrics and Gynaecology, Chandra Laxmi Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

Date of Submission16-Sep-2019
Date of Decision17-Sep-2019
Date of Acceptance26-Sep-2019
Date of Web Publication31-Oct-2019

Correspondence Address:
Dr. Ritika Agarwal
Plot No 336, 337, Sector 4, Vaishali, Ghaziabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_780_19

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How to cite this article:
Agarwal R, Sharma M. Level of cervical cancer awareness among hospital visitors. J Family Med Prim Care 2019;8:3452-3

How to cite this URL:
Agarwal R, Sharma M. Level of cervical cancer awareness among hospital visitors. J Family Med Prim Care [serial online] 2019 [cited 2019 Nov 22];8:3452-3. Available from: http://www.jfmpc.com/text.asp?2019/8/10/3452/270031



Dear Editor,

Cervical cancer is the seventh most common cancer in the world and it has the highest burden in India. It is the second largest killer in India (after cardiovascular disease). Every year, approximately 2,000 new cases are diagnosed in India at the last stage of cervical cancer and 1,200 new cases in the early stage of cancer.[1] Screening has been launched at a national level in all sectors as a public health program to control and prevent the increasing burden of this disease. Despite having access to early detection and basic treatments which make this type of cancer preventable at earlier stages, less than 10% women undergo screening.[2],[3] Not much research has been done pertaining to the factors that hinder Indian women from undergoing screening for cervical cancer.

This study was conducted with the aim of finding out the knowledge, attitude, and practice among the hospital visiting females in order to shed some light on the challenges faced by cervical cancer screening programs in India. Understanding the reasons that hinder Indian women from undergoing cervical cancer screening is paramount to improving the overall screening rate, and to halt the rising death toll.

The study was conducted as a descriptive cross-sectional study. All females visiting the hospital above the age of 18 years were included in the study. Doctors and nurses were excluded from the study population. Data was collected through survey forms. A questionnaire composed of four sections: demographic details, questions regarding knowledge, practice, and attitude was used. A total of 406 females aged between 18 and 68 years were included in this study. The detailed purpose and procedure of the study was explained to them and a signed consent form was obtained. All of the participants were assured confidentiality of the collected data.

Of the respondents, 303 (74.6%) were married, while 103 (25.4%) were single. We found that 339 (83.5%) of the participants were aware of cervical cancer as a disease, while only 200 (49.3%) were aware of available screening methods. Most of the respondents had heard about cervical cancer from print media. Their sources of knowledge were healthcare personnel (28.8%), print media (41.8%), television (34%), friends (25.5%), and the internet (20.9%). Those who were aware were more likely to be educated. Out of participants who were aware of cervical cancer as a disease, 82.3% were aware of at least one sign or symptom. It was quite alarming that only 27.3% knew about HPV infection being a risk factor for the development of cervical cancer and only 37% even knew about the HPV vaccine. Knowledge is essential in order to develop a behavior. However, attitude plays a pivotal role in formulating a behavior. Only 44.1% felt the need for screening; most of them had no particular reason for not undertaking any screening [Table 1]. Only 23.5% of the study population underwent screening for cervical cancer. It was found that patients with a higher literacy status underwent testing.
Table 1: Knowledge, attitude and practice regarding cervical cancer and screening (n=406)

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Though women from our research have approached doctors in the last 2 years, very few women were educated about cervical cancer screening. The second most common reason for not being screened was “not suggested by a doctor.” This indicates that healthcare professionals did not educate their patients. This might have deprived their patients the benefit of an early diagnosis of cervical cancer. A similar finding was observed regarding HPV vaccination which showed that adolescents who were not suggested vaccination by their physicians were less likely to get vaccinated.[4] Primary care physicians act as the first line of information about cancer and assessment of individual risk. Therefore, they become a public health liaison by educating and recommending screening to women. Physicians should focus on making women aware about cervical cancer, with an emphasis on the benefits of screening and vaccination. Physicians should try to get into the habit of asking every female patient in the appropriate age group if they have undergone cervical cancer screening. If the patient has not undergone screening, the doctor should provide a brief explanation of cervical cancer and its screening so that the patient can undergo the same. The emotional toll of cancer and fears associated with screening can prevent patients from obtaining earlier treatment. It is important as physicians that we make sure that the patients feel supported as they might be experiencing fear and anxiety about undergoing the screening test or waiting for the results.

Financial support and sponsorship

Nil.

Conflict of interest

There is no conflict of interest.



 
  References Top

1.
Bhushan S. The invisible killer: How cancer is eating up Indian women. News18 2018. Available from: https://www.news18.com/news/lifestyle/health-and-fitness-the-invisible-killer-how-cancer is eating-up-indian-women-1828273.html.  Back to cited text no. 1
    
2.
Khanna D, Khargekar N, Budukh A. Knowledge, attitude, and practice about cervical cancer and its screening among community healthcare workers of Varanasi district, Uttar Pradesh, India. J Family Med Prim Care 2019;8:1715-9.  Back to cited text no. 2
[PUBMED]  [Full text]  
3.
Siddharthar J, Rajkumar B, Deivasigamani K. Knowledge, awareness and prevention of cervical cancer among women attending a tertiary care hospital in Puducherry, India. J Clin Diagn Res 2014;8:OC01-3.  Back to cited text no. 3
    
4.
Sriram S, Ranganathan R. Why human papilloma virus vaccination coverage is low among adolescents in the US? A study of barriers for vaccination uptake. J Family Med Prim Care 2019;8:866-70.  Back to cited text no. 4
[PUBMED]  [Full text]  



 
 
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