Poor Cervical Cancer Knowledge and Awareness among Women and Men in the Eastern Cape Province Rural Community
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethical Statement
2.2. Study Setting, Population, and Recruitment
2.3. Data Collection
2.4. Data Analysis
3. Results
3.1. Characteristics of Study Participants
3.2. Knowledge about Cervical Cancer and Its Risk Factors According to Gender
3.3. Knowledge about Cervical Cancer Prevention Methods According to Gender
3.4. Cervical Cancer Knowledge among Women According to Cervical Cancer Screening Status
3.5. Cervical Cancer Knowledge Score among Women and Men
4. Discussion
4.1. Strength of the Study
4.2. Limitations of the Study
4.3. Expected Outcomes and Impact of the Study
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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All Participants, N = 252 | Women, N = 176 | Men, N = 76 | ||||||
---|---|---|---|---|---|---|---|---|
Variable | % | n | % | n | % | n | p-Value | |
Age | 25–34 years | 40.5 | 102 | 40.3 | 71 | 40.8 | 31 | >0.999 |
35–45 years | 28.6 | 72 | 30.1 | 53 | 25.0 | 19 | 0.450 | |
46–82 years | 31.0 | 78 | 29.5 | 52 | 34.2 | 26 | 0.462 | |
Education level | Primary (Grade 0–7) | 26.2 | 66 | 25.6 | 45 | 27.6 | 21 | 0.756 |
Secondary (Grade 8–12) | 50.4 | 127 | 48.9 | 86 | 53.9 | 41 | 0.494 | |
Tertiary | 23.4 | 59 | 25.6 | 45 | 18.4 | 14 | 0.258 | |
Employment status | Employed | 37.7 | 95 | 31.3 | 55 | 52.6 | 40 | 0.002 |
Unemployed | 59.9 | 151 | 66.5 | 117 | 44.7 | 34 | 0.002 | |
Student | 2.4 | 6 | 2.3 | 4 | 2.6 | 2 | >0.999 | |
Household income | <R1999 | 46.0 | 116 | 50.6 | 89 | 35.5 | 27 | 0.039 |
R2000–R5000 | 29.0 | 73 | 29.5 | 52 | 27.6 | 21 | 0.880 | |
R5001–R10000 | 8.7 | 22 | 6.3 | 11 | 14.5 | 11 | 0.050 | |
>R10001 | 12.7 | 32 | 3.4 | 6 | 34.2 | 26 | <0.001 | |
Missing data | 3.6 | 9 | 1.1 | 2 | 9.2 | 7 | 0.004 | |
Done Pap smear? (only females) | Yes | 39.2 | 69 | |||||
No | 60.2 | 106 | ||||||
Missing data | 0.6 | 1 |
Overall | Women | Men | ||||||
---|---|---|---|---|---|---|---|---|
Variable | % | n | % | n | % | n | p-Value * | |
How common is cervical cancer? | Very common to common * | 53.8 | 107 | 52.4 | 77 | 57.7 | 30 | 0.509 |
Very rare to rare | 26.6 | 53 | 29.3 | 43 | 19.2 | 10 | 0.160 | |
Do not know | 19.6 | 39 | 18.4 | 27 | 23.1 | 12 | 0.462 | |
What causes cervical cancer? | HPV * | 43.2 | 86 | 43.4 | 66 | 38.5 | 20 | 0.421 |
HIV | 13.1 | 26 | 13.8 | 21 | 9.6 | 5 | 0.479 | |
TB | 3.0 | 6 | 2.6 | 4 | 3.8 | 2 | 0.381 | |
Bacteria | 13.1 | 26 | 11.8 | 18 | 15.4 | 8 | 0.564 | |
Do not know | 31.7 | 63 | 30.3 | 46 | 32.7 | 17 | 0.852 | |
Early stages of cervical cancer do not have signs/symptoms | Yes | 26.6 | 53 | 27.9 | 41 | 23.1 | 12 | 0.500 |
No * | 20.1 | 40 | 20.4 | 30 | 19.2 | 10 | 0.856 | |
Do not know | 53.3 | 106 | 51.7 | 76 | 57.7 | 30 | 0.246 | |
Signs/symptoms of cervical cancer | Pain during urination * | 43.2 | 86 | 49.0 | 72 | 26.9 | 14 | 0.006 |
Excessive vaginal bleeding after sex * | 32.7 | 65 | 36.1 | 53 | 23.1 | 12 | 0.086 | |
Vaginal itchiness | 20.1 | 52 | 32.0 | 47 | 9.6 | 5 | 0.007 | |
Normal vaginal discharge | 13.1 | 26 | 17.0 | 25 | 1.9 | 1 | 0.006 | |
Missing menstruation | 9.5 | 19 | 10.2 | 15 | 7.7 | 4 | 0.596 | |
Don’t know | 39.2 | 78 | 32.0 | 47 | 40.4 | 21 | 0.272 | |
Which of the following increases the risk of cervical cancer? | HPV infection * | 46.2 | 92 | 50.3 | 74 | 34.6 | 18 | 0.032 |
Tuberculosis | 7.5 | 15 | 6.8 | 10 | 9.6 | 5 | 0.509 | |
Frequent sex with one man | 13.1 | 26 | 13.6 | 20 | 11.5 | 6 | 0.704 | |
Giving birth to one child | 3.5 | 7 | 4.8 | 7 | 0.0 | 0 | … | |
Smoking * | 24.6 | 49 | 25.9 | 38 | 21.2 | 11 | 0.500 | |
Family history of CC * | 10.1 | 20 | 10.9 | 16 | 7.7 | 4 | 0.511 | |
HIV and other STIs * | 31.7 | 63 | 33.3 | 49 | 26.9 | 14 | 0.393 | |
Early sexual activity * | 24.1 | 48 | 25.2 | 37 | 21.2 | 11 | 0.561 | |
How common is HPV infection? | Very common * | 42.7 | 85 | 46.3 | 68 | 32.7 | 17 | 0.089 |
Very rare | 26.6 | 53 | 25.9 | 38 | 28.8 | 15 | 0.675 | |
Do not know | 30.7 | 61 | 27.9 | 41 | 38.5 | 20 | 0.155 | |
HPV is transmitted by… | Sexual intercourse * | 61.8 | 123 | 65.3 | 96 | 51.9 | 27 | 0.089 |
Skin-to-skin contact * | 1.5 | 3 | 0.7 | 1 | 3.8 | 2 | 0.168 | |
Droplets or sneezing | 2.0 | 4 | 2.7 | 4 | 0.0 | 0 | … | |
Contaminated surfaces | 5.0 | 10 | 5.4 | 8 | 3.8 | 2 | >0.999 | |
By any forms | 0.5 | 1 | 0.7 | 1 | 0.0 | 0 | … | |
Do not know | 29.6 | 59 | 25.9 | 38 | 40.4 | 21 | 0.049 | |
Is smoking a risk factor for cervical cancer? | Yes * | 53.3 | 106 | 52.4 | 77 | 55.8 | 29 | 0.674 |
No | 11.6 | 23 | 14.3 | 21 | 3.8 | 2 | 0.043 | |
Do not know | 35.2 | 70 | 33.3 | 49 | 40.4 | 21 | 0.360 | |
Is having multiple sexual partners a risk factor for cervical cancer? | Yes * | 77.9 | 155 | 74.8 | 110 | 86.5 | 45 | 0.080 |
No | 3.0 | 6 | 4.1 | 6 | 0.0 | 0 | … | |
Do not know | 19.1 | 38 | 21.1 | 31 | 13.5 | 7 | 0.229 |
Overall | Women | Men | ||||||
---|---|---|---|---|---|---|---|---|
Variable | % | n | % | n | % | n | p-Value * | |
What test is used for cervical cancer screening? | Pap smear * | 53.8 | 107 | 58.5 | 86 | 40.4 | 21 | 0.024 |
Urine test | 4.5 | 9 | 4.8 | 7 | 3.8 | 2 | >0.999 | |
X-ray | 6.5 | 13 | 6.8 | 10 | 5.8 | 3 | >0.999 | |
There is no test to screen for CC | 1.0 | 2 | 1.4 | 2 | 0.0 | 0 | … | |
Do not know | 20.1 | 40 | 15.0 | 22 | 34.6 | 18 | 0.002 | |
How can cervical cancer be prevented? | HPV vaccination * | 46.7 | 93 | 49.0 | 72 | 40.4 | 21 | 0.286 |
Abstinence | 16.1 | 32 | 17.0 | 25 | 13.5 | 7 | 0.550 | |
Healthy diet | 10.6 | 21 | 10.7 | 16 | 9.6 | 5 | 0.798 | |
Exercise | 1.5 | 3 | 1.4 | 2 | 1.9 | 1 | >0.999 | |
Screening using Pap smear * | 13.1 | 26 | 17.0 | 25 | 1.9 | 1 | 0.004 | |
Don’t know | 24.6 | 49 | 21.1 | 31 | 34.6 | 18 | 0.052 | |
Cervical cancer cannot be prevented | True | 34.2 | 68 | 33.3 | 49 | 36.5 | 19 | 0.675 |
False * | 64.3 | 128 | 64.6 | 95 | 63.5 | 33 | 0.880 | |
Don’t know | 1.5 | 3 | 2.0 | 3 | 0.0 | 0 | … | |
Screening can detect cervical lesions so they do not develop into cancer | True * | 79.9 | 159 | 81.0 | 119 | 76.9 | 40 | 0.533 |
False | 191 | 38 | 17.7 | 26 | 23.1 | 12 | 0.395 | |
Don’t know | 1.0 | 2 | 1.4 | 2 | 0.0 | 0 | … | |
HPV vaccine can prevent cervical cancer | True * | 76.4 | 152 | 76.2 | 112 | 76.9 | 40 | 0.915 |
False | 21.6 | 43 | 21.1 | 31 | 23.1 | 12 | 0.847 | |
Don’t know | 2.0 | 4 | 2.7 | 4 | 0.0 | 0 | … | |
The use of condoms can help prevent HPV infection | True * | 85.4 | 170 | 85.7 | 126 | 84.6 | 44 | 0.847 |
False | 13.1 | 26 | 12.2 | 18 | 15.4 | 8 | 0.564 | |
Don’t know | 1.5 | 3 | 2.0 | 3 | 0.0 | 0 | … | |
Is there a treatment for cervical cancer? | Yes * | 61.3 | 122 | 63.3 | 93 | 55.8 | 29 | 0.340 |
No | 11.6 | 23 | 10.2 | 15 | 9.6 | 5 | 0.903 | |
Maybe | 10.6 | 21 | 8.8 | 13 | 15.4 | 8 | 0.187 | |
Do not know | 16.6 | 33 | 17.7 | 26 | 13.5 | 7 | 0.481 |
Screened Women, N = 68 | Unscreened Women, N = 79 | ||||
---|---|---|---|---|---|
% | n | % | n | p-Value | |
HPV causes cervical cancer. | 58.8 | 40 | 32.9 | 26 | 0.003 |
Early stages of cervical cancer do not have signs/symptoms. | 35.3 | 24 | 21.5 | 17 | 0.068 |
HPV infection increases the risk of cervical cancer. | 63.2 | 43 | 39.2 | 31 | 0.005 |
Smoking increases the risk of cervical cancer. | 22.1 | 15 | 27.8 | 22 | 0.451 |
HIV and other STIs increases cervical cancer risk. | 35.3 | 24 | 32.9 | 26 | 0.862 |
Early sexual debut increases the risk of cervical cancer. | 16.2 | 11 | 32.9 | 26 | 0.023 |
HPV infection is common. | 51.5 | 35 | 41.8 | 33 | 0.251 |
HPV is sexually transmitted. | 72.1 | 49 | 59.5 | 47 | 0.121 |
Having multiple sexual partners a risk factor for cervical cancer. | 79.4 | 54 | 70.9 | 56 | 0.258 |
Pap smear is used for cervical cancer screening. | 79.4 | 54 | 40.5 | 32 | <0.001 |
Cervical cancer can be prevented by screening using a Pap smear. | 16.2 | 11 | 12.7 | 10 | 0.639 |
Cervical cancer can be prevented by HPV vaccination. | 55.9 | 38 | 44.3 | 35 | 0.187 |
Cervical cancer can be prevented. | 72.1 | 49 | 58.2 | 46 | 0.087 |
Screening can detect cervical lesions so they do not develop into cancer. | 83.8 | 57 | 78.5 | 62 | 0.528 |
The HPV vaccine can prevent cervical cancer. | 77.9 | 53 | 74.7 | 59 | 0.700 |
The use of condoms can help prevent HPV infection. | 89.7 | 61 | 82.3 | 65 | 0.242 |
There is treatment for cervical cancer. | 60.3 | 41 | 65.8 | 52 | 0.498 |
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Share and Cite
Mbulawa, Z.Z.A.; Mahlangu, L.L.; Makhabane, E.; Mavivane, S.; Nongcula, S.; Phafa, A.; Sihlobo, A.; Zide, M.; Mkiva, A.; Ngobe, T.N.; et al. Poor Cervical Cancer Knowledge and Awareness among Women and Men in the Eastern Cape Province Rural Community. Int. J. Environ. Res. Public Health 2023, 20, 6916. https://doi.org/10.3390/ijerph20206916
Mbulawa ZZA, Mahlangu LL, Makhabane E, Mavivane S, Nongcula S, Phafa A, Sihlobo A, Zide M, Mkiva A, Ngobe TN, et al. Poor Cervical Cancer Knowledge and Awareness among Women and Men in the Eastern Cape Province Rural Community. International Journal of Environmental Research and Public Health. 2023; 20(20):6916. https://doi.org/10.3390/ijerph20206916
Chicago/Turabian StyleMbulawa, Zizipho Z. A., Lindelo L. Mahlangu, Esihle Makhabane, Sisanda Mavivane, Sindisiwe Nongcula, Anathi Phafa, Ayabonga Sihlobo, Mbalentle Zide, Athenkosi Mkiva, Thembeka N. Ngobe, and et al. 2023. "Poor Cervical Cancer Knowledge and Awareness among Women and Men in the Eastern Cape Province Rural Community" International Journal of Environmental Research and Public Health 20, no. 20: 6916. https://doi.org/10.3390/ijerph20206916