Cervical cancer knowledge, attitudes, beliefs and practices of women aged at least 25 years in Harare, Zimbabwe

dc.contributor.authorTapera, Oscar
dc.contributor.authorDreyer, Greta
dc.contributor.authorKadzatsa, W.
dc.contributor.authorNyakabau, A.M.
dc.contributor.authorStray-Pedersen, B.
dc.contributor.authorHendricks, S.J.H.
dc.date.accessioned2020-07-16T14:55:13Z
dc.date.available2020-07-16T14:55:13Z
dc.date.issued2019-07-08
dc.descriptionAdditional file 1: Key informant interview guideen_ZA
dc.description.abstractBACKGROUND : Cervical cancer is the most common cancer and a major cause of morbidity and mortality among women in Zimbabwe yet it is preventable, early detectable and highly curable. The objective of this study was to investigate knowledge, attitudes, beliefs and practices towards cervical cancer, its prevention and treatment in Harare, Zimbabwe. METHODS : Sequential explanatory mixed methods approach consisting of analytical cross sectional survey and a qualitative inquiry was used. Study population consisted of women with cervical cancer, health workers and other stakeholders who are involved in cancer control programmes. Patient survey data were collected using validated structured questionnaire in Surveytogo software in an android tablet. Qualitative study used key informant interviews to understand survey findings better. Data analyses for the survey involved univariate and multivariate analyses using STATA version 14. For qualitative study, themes in transcripts were coded and analyzed using Dedoose software to generate evidence for the study. RESULTS : Participants reported different levels of knowledge of causes (23%), risk factors (71%), prevention (72%), screening (73%) and treatment (80%) of cervical cancer. Knowledge of causes of cervical cancer were negatively associated with: being aged 45 or more years (OR = 0.02; p = 0.004), having no household income (OR = 0.02;p = 0.007), household income <US$600 per month (OR = 0.02; p = 0.015), middle class wealth (OR = 0.01;p = 0.032), watching TV daily (OR = 0.01;p = 0.007) and 1–6 times per week (OR = 0.02; p=0.045). Knowledge of causes of cervical cancer were also positively associated with listening to radio daily (OR = 394, CI: 11.02–1406) (p = 0.001) and 1–6 times a week (OR = 100, CI: 2.95–3364) (p = 0.010). Knowledge of prevention was only positively associated with listening to the radio daily (OR = 77, CI: 1.89–3114) (p = 0.022) and 1–6 times a week (OR = 174, CI: 2.42–1255) (p = 0.018). Major drivers of lack of knowledge for cervical cancer were: limited awareness programmes, lack of knowledge among health workers, donor prioritization of infectious diseases, infancy of cervical cancer interventions, negative attitudes towards cervical cancer and misconceptions. CONCLUSIONS : This study revealed that knowledge of causes and prevention of cervical cancer was associated with frequent radio listenership. Strengthening of health education through the packaging of messages targeting the wider society using different delivery channels is thus recommended.en_ZA
dc.description.departmentObstetrics and Gynaecologyen_ZA
dc.description.departmentSchool of Health Systems and Public Health (SHSPH)en_ZA
dc.description.librarianam2020en_ZA
dc.description.sponsorshipLetten Foundation, Norwayen_ZA
dc.description.urihttps://bmcwomenshealth.biomedcentral.comen_ZA
dc.identifier.citationTapera, O., Dreyer, G., Kadzatsa, W. et al. 2019, 'Cervical cancer knowledge, attitudes, beliefs and practices of women aged at least 25 years in Harare, Zimbabwe', BMC Women's Health, vol. 19, art. 91, pp. 1-10.en_ZA
dc.identifier.issn1472-6874 (online)
dc.identifier.other10.1186/s12905-019-0790-6
dc.identifier.urihttp://hdl.handle.net/2263/75330
dc.language.isoenen_ZA
dc.publisherBioMed Centralen_ZA
dc.rights© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.en_ZA
dc.subjectCervical canceren_ZA
dc.subjectAttitudesen_ZA
dc.subjectBeliefsen_ZA
dc.subjectPracticesen_ZA
dc.subjectKnowledgeen_ZA
dc.subjectPreventionen_ZA
dc.subjectRisk factorsen_ZA
dc.subjectTreatmenten_ZA
dc.subjectSequential explanatory mixed methodsen_ZA
dc.subjectHarare, Zimbabween_ZA
dc.titleCervical cancer knowledge, attitudes, beliefs and practices of women aged at least 25 years in Harare, Zimbabween_ZA
dc.typeArticleen_ZA

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