Cervical Cancer Screening Knowledge and Behavior among Women Attending an Urban HIV Clinic in Western Kenya
- 305 Downloads
Cervical cancer is a highly preventable disease that disproportionately affects women in developing countries and women with HIV. As integrated HIV and cervical cancer screening programs in Sub-Saharan Africa mature, we have an opportunity to measure the impact of outreach and education efforts and identify areas for future improvement. We conducted a cross-sectional survey of 106 women enrolled in care at an integrated HIV clinic in the Nyanza Province of Kenya 5 years after the start of a cervical cancer screening program. Female clinic attendees who met clinic criteria for cervical cancer screening were asked to complete an oral questionnaire assessing their cervical cancer knowledge, attitudes, and screening history. Ninety-nine percent of women had heard of screening, 70 % felt at risk, and 84 % had been screened. Increased duration of HIV diagnosis was associated with feeling at risk and with a screening history. Nearly half (48 %) of women said they would not get screened if they had to pay for it.
KeywordsHIV/AIDS Cervical cancer screening Knowledge and attitudes Behavior Sub-Saharan Africa
This work was supported by a grant from the Doris Duke Charitable Foundation to the University of California, San Francisco to fund Clinical Research Fellow Joelle Rosser. While working on this project, M.J.H. was supported through a National Institutes of Health career development award (KL2 RR024130-04).
Conflict of Interest
The authors have no conflicts of interest.
- 3.Ntekim A (2012) Cervical Cancer in Sub Sahara Africa, Topics on Cervical Cancer With an Advocacy for Prevention. Available from: http://www.intechopen.com/books/topics-on-cervical-cancer-with-an-advocacy-for-prevention/cervical-cancer-in-sub-sahara-africa
- 9.WHO. Cervical cancer screening in developing countries: report of a WHO consultation 2002. http://whqlibdoc.who.int/publications/2002/9241545720.pdf
- 10.Kimanga DO, Ogola S, Umuro M, et al (2014) Prevalence and incidence of HIV infection, trends, and risk factors among persons aged 15–64 years in Kenya: results from a nationally representative study. J Acquir Immune Defic SyndrGoogle Scholar
- 16.Rosser JI, Njoroge B, Huchko MJ (2014) Knowledge about cervical cancer screening and perception of risk among women attending outpatient clinics in rural Kenya. Int J Gynaecol ObstetGoogle Scholar