Awareness and Beliefs About Cervical Cancer, the HPV Vaccine, and Cervical Cancer Screening Among Ghanaian Women with Diverse Education Levels
- 4 July 2018
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of Cancer Education
- Vol. 34 (5), 897-903
- https://doi.org/10.1007/s13187-018-1392-y
Abstract
Cervical cancer is the leading cause of cancer death among women in Ghana. Cost-effective tools for the primary and secondary prevention of cervical cancer, such as the Pap test, the HPV DNA test, and the HPV vaccine, are available in hospitals and clinics throughout Ghana. However, participation in cervical cancer prevention behaviors is low among Ghanaian women. Our objective was to determine if there were significant differences in cervical cancer awareness and stigmatizing beliefs about women with cervical cancer between Ghanaian women of different education levels. We surveyed 288 Ghanaian women who were at least 18 years old. Data on the participants’ demographic characteristics, awareness of cervical cancer, cervical cancer screening, and the HPV vaccine, beliefs about cervical cancer screening, and stigmatizing beliefs about women with cervical cancer was collected. Chi-square tests for independence and Fisher’s exact test of independence were preformed to determine if education level was associated with those factors. Participation in cervical cancer screening and uptake of the HPV vaccine was significantly lower among women with less than a senior high school education. Awareness about cervical cancer, cervical cancer screening, and the HPV vaccine was lower among women with less education. Women with lower levels of education were more likely to agree with the negative statements about cervical cancer screening and stigmatizing beliefs about women with cervical cancer. Cervical cancer education interventions that are tailored for Ghanaian women with different educational levels are needed to increase awareness of and participation in cervical cancer prevention strategies.Keywords
Funding Information
- Office of Postdoctoral Education, University of Alabama at Birmingham (Career Enhancement Award)
This publication has 19 references indexed in Scilit:
- A qualitative assessment of the social cultural factors that influence cervical cancer screening behaviors and the health communication preferences of women in Kumasi, Ghana.Journal of Cancer Education, 2014
- Safety and immunogenicity of the HPV-16/18 AS04-adjuvanted vaccine in HIV-positive women in South Africa: A partially-blind randomised placebo-controlled studyVaccine, 2013
- Assessment of knowledge and stigmatizing attitudes related to human papillomavirus among Hong Kong Chinese healthcare providersInternational Journal of Gynecology & Obstetrics, 2011
- HPV vaccine acceptability in Ghana, West AfricaVaccine, 2011
- Costs of cervical cancer screening and treatment using visual inspection with acetic acid (VIA) and cryotherapy in Ghana: the importance of scaleTropical Medicine & International Health, 2011
- Epidemiological Transition and the Double Burden of Disease in Accra, GhanaJournal of Urban Health, 2010
- Cervical Cancer Screening Among College Students in Ghana: Knowledge and Health BeliefsInternational Journal of Gynecologic Cancer, 2009
- Health and economic outcomes of HPV 16,18 vaccination in 72 GAVI-eligible countriesVaccine, 2008
- Coverage of Cervical Cancer Screening in 57 Countries: Low Average Levels and Large InequalitiesPLoS Medicine, 2008
- Cervical cancer prevention: safety, acceptability, and feasibility of a single-visit approach in Accra, GhanaAmerican Journal of Obstetrics and Gynecology, 2007