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Journal of Cancer Education

, Volume 30, Issue 3, pp 567–572 | Cite as

Cervical Cancer Screening Knowledge and Behavior among Women Attending an Urban HIV Clinic in Western Kenya

  • Joelle I. RosserEmail author
  • Betty Njoroge
  • Megan J. Huchko
Article

Abstract

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.

Keywords

HIV/AIDS Cervical cancer screening Knowledge and attitudes Behavior Sub-Saharan Africa 

Notes

Acknowledgments

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.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Joelle I. Rosser
    • 1
    Email author
  • Betty Njoroge
    • 2
  • Megan J. Huchko
    • 3
  1. 1.Department of Internal MedicineUniversity of WashingtonSeattleUSA
  2. 2.Centre for Microbiology ResearchKenya Medical Research Institute (KEMRI)Mbagathi WayKenya
  3. 3.Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive HealthUniversity of CaliforniaSan FranciscoUSA

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