Knowledge and Acceptability of Pap Smears, Self-Sampling and HPV Vaccination among Adult Women in Kenya
Identifieur interne : 003326 ( Main/Merge ); précédent : 003325; suivant : 003327Knowledge and Acceptability of Pap Smears, Self-Sampling and HPV Vaccination among Adult Women in Kenya
Auteurs : Anne F. Rositch [États-Unis] ; Ann Gatuguta [Kenya] ; Robert Y. Choi [États-Unis] ; Brandon L. Guthrie [États-Unis] ; Romel D. Mackelprang [États-Unis] ; Rose Bosire [Kenya] ; Lucy Manyara [Kenya] ; James N. Kiarie [Kenya] ; Jennifer S. Smith [États-Unis] ; Carey Farquhar [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
Our study aimed to assess adult women’s knowledge of human papillomavirus (HPV) and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies.
Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit.
Only 14% of the 409 women (67% HIV-positive; median age 29 years) had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%). Although most women knew that Pap smears detect cervical cancer (69%), very few knew that routine Pap screening is the main way to prevent ICC (18%). Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82%) and would prefer at-home sample collection (84%). Nearly all women (94%) reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost.
These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.
Url:
DOI: 10.1371/journal.pone.0040766
PubMed: 22808257
PubMed Central: 3393696
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<author><name sortKey="Mackelprang, Romel D" sort="Mackelprang, Romel D" uniqKey="Mackelprang R" first="Romel D." last="Mackelprang">Romel D. Mackelprang</name>
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<author><name sortKey="Bosire, Rose" sort="Bosire, Rose" uniqKey="Bosire R" first="Rose" last="Bosire">Rose Bosire</name>
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<author><name sortKey="Manyara, Lucy" sort="Manyara, Lucy" uniqKey="Manyara L" first="Lucy" last="Manyara">Lucy Manyara</name>
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<author><name sortKey="Kiarie, James N" sort="Kiarie, James N" uniqKey="Kiarie J" first="James N." last="Kiarie">James N. Kiarie</name>
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</nlm:aff>
<country xml:lang="fr">Kenya</country>
<wicri:regionArea>Department of Obstetrics and Gynecology, University of Nairobi, Nairobi</wicri:regionArea>
<wicri:noRegion>Nairobi</wicri:noRegion>
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<author><name sortKey="Smith, Jennifer S" sort="Smith, Jennifer S" uniqKey="Smith J" first="Jennifer S." last="Smith">Jennifer S. Smith</name>
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</nlm:aff>
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<author><name sortKey="Farquhar, Carey" sort="Farquhar, Carey" uniqKey="Farquhar C" first="Carey" last="Farquhar">Carey Farquhar</name>
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<wicri:regionArea>Department of Global Health, University of Washington, Seattle, Washington</wicri:regionArea>
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<front><div type="abstract" xml:lang="en"><sec><title>Objectives</title>
<p>Our study aimed to assess adult women’s knowledge of human papillomavirus (HPV) and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies.</p>
</sec>
<sec><title>Methods</title>
<p>Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit.</p>
</sec>
<sec><title>Results</title>
<p>Only 14% of the 409 women (67% HIV-positive; median age 29 years) had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%). Although most women knew that Pap smears detect cervical cancer (69%), very few knew that routine Pap screening is the main way to prevent ICC (18%). Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82%) and would prefer at-home sample collection (84%). Nearly all women (94%) reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost.</p>
</sec>
<sec><title>Conclusions</title>
<p>These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.</p>
</sec>
</div>
</front>
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