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The Knowledge of South African Men Relating to Cervical Cancer and Cervical Cancer Screening

Abstract

Cervical cancer is the second most common cancer in South African women, but the most common cancer in Black women. Despite having a national cervical cancer screening programme, most women present with advanced disease. Men play a role in cervical cancer as the HPV, the major cause of cervical cancer, is sexually transmitted. The purpose of our study was to describe the knowledge men, living in Muldersdrift, had about cervical cancer, cervical cancer screening and the cervical cancer screening programme and how they preferred to be taught about these health issues. We used a survey design and convenience sampling to select 101 men older than 18 years (n = 101). A pretested self-developed questionnaire was used as the data collection instrument, and the data were analyzed using the SPSS version 22-computer program and quantitative content analyses. The Fischer’s exact test measured associations between variables (p = 0.05). The ages of the sample (n = 101) ranged from 18 to 92 years; most were from the Zulu cultural group, unemployed and unmarried. The majority (66.3%, n = 67) had not heard of cervical cancer, the cervical cancer screening programme (60.4%, n = 61) or the Pap smear (67.3%, n = 68). Age and educational level did not influence having ever heard of these health issues. HPV infection was the most well-known risk factor, and the very late symptoms of cervical cancer were the least known. Most men preferred to be educated in a group, which provided a practical, feasible and cost effective way of educating men living in this community about these health issues.

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References

  1. International Agency for Research on Cancer and World Health Organization. GLOBOCAN 2012: Estimated cancer incidence, Mortality and Prevalence Worldwide in 2012. 2014. http://globocan.iarc.fr/Pages/Map.aspx. Accessed 24 Feb 2017

  2. National Institute for Occupational Health. National Cancer Registry, 2012: National Health Laboratory Services; 2017. http://www.nioh.ac.za/assets/files/NCR%202012%20results.pdf. Accessed 29 April 2017

  3. Denny L (2012) Cervical cancer: prevention and treatment. Discov Med 14(75):125–131

    PubMed  Google Scholar 

  4. Snyman L (2013) Prevention of cervical cancer-how long before we get it right? S Afr J Obstet Gynaecol 19(1):2

    Google Scholar 

  5. Denny L (2015) Control of cancer of the cervix in low-and middle-income countries. Ann Surg Oncol 22(3):728–733

    Article  Google Scholar 

  6. Snyman LC, Herbst U (2013) Reasons why unscreened patients with cervical cancer present with advanced stage disease. S Afr J Gynaecol Oncol 5(1):16–20

    Google Scholar 

  7. World Health Organization (2006) Comprehensive cervical cancer control: a guide to essential practice. World Health Organization, Geneva

  8. Mamahlodi MT, Kuonza LR, Candy S (2013) Cervical cancer screening program in Limpopo province: January 2007 to December 2010. S Afr J Gynaecol Oncol 5(1):4–10

    Google Scholar 

  9. National Department of Health. National Guideline for Cervical Cancer Screening Program S.A. http://www.kznhealth.gov.za/cervicalcancer.pdf. Accessed 29 April 2017

  10. McFarland DM, Gueldner SM, Mogobe KD (2016) Integrated review of barriers to cervical cancer screening in sub-Saharan Africa. J Nurs Scholarsh 48(5):490–498

    Article  Google Scholar 

  11. Maree JE, Kaila I (2014) Zambian women’s experiences and understanding of cervical cancer: a qualitative study. Int J Gynecol Cancer 24(6):1065–1071

    Article  Google Scholar 

  12. Maree JE (2010) No condom, no sex’: easy to say, but not possible for all South African women. Health SA Gesondheid 15(1)

  13. Kjaer SK, Chackerian B, van den Brule AJ, Svare EI, Paull G, Walbomers JM et al (2001) High-risk human papillomavirus is sexually transmitted: evidence from a follow-up study of virgins starting sexual activity (intercourse). Cancer Epidemiol Prev Biomarkers 10(2):101–106

    CAS  Google Scholar 

  14. Chelimo C, Wouldes TA, Cameron LD, Elwood JM (2013) Risk factors for and prevention of human papillomaviruses (HPV), genital warts and cervical cancer. J Infect 66(3):207–217

    Article  Google Scholar 

  15. Mogale City Local Municipality. 2009. Mogale City Draft Precinct Plan for Muldersdrift www.muldersdrift.org.za/.../2009/.../mogale-city-draft-precinct-plan-for-muldersdrift

  16. Rosser JI, Zakaras JM, Hamisi S, Huchko MJ (2014) Men’s knowledge and attitudes about cervical cancer screening in Kenya. BMC Womens Health 14(1):138

    Article  Google Scholar 

  17. Mwaka AD, Orach CG, Were EM, Lyratzopoulos G, Wabinga H, Roland M (2015) Awareness of cervical cancer risk factors and symptoms: cross-sectional community survey in post-conflict northern Uganda. Health Expect 2015

  18. Maree J, Wright S, Makua T (2011) Men’s lack of knowledge adds to the cervical cancer burden in South Africa. Eur J Cancer Care 20(5):662–668

    CAS  Article  Google Scholar 

  19. Williams M, Amoateng P (2012) Knowledge and beliefs about cervical cancer screening among men in Kumasi, Ghana. Ghana Med J 46(3):147–151

    CAS  PubMed  PubMed Central  Google Scholar 

  20. Maharaj P, Cleland J (2005) Risk perception and condom use among married or cohabiting couples in KwaZulu-Natal, South Africa. Int Fam Plan Perspect 31(1):24–29

    Article  Google Scholar 

  21. Pitts M, Smith A, Croy S, Lyons A, Ryall R, Garland S et al (2009) Singaporean men’s knowledge of cervical cancer and human papillomavirus (HPV) and their attitudes towards HPV vaccination. Vaccine 27(22):2989–2993

    Article  Google Scholar 

  22. McPartland TS, Weaver BA, Lee S-K, Koutsky LA (2005) Men’s perceptions and knowledge of human papillomavirus (HPV) infection and cervical cancer. J Am Coll Heal 53(5):225–230

    Article  Google Scholar 

  23. Waller J, McCaffery K, Wardle J (2004) Beliefs about the risk factors for cervical cancer in a British population sample. Prev Med 38(6):745–753

    Article  Google Scholar 

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Correspondence to Johanna E. Maree.

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Rwamugira, J., Maree, J.E. & Mafutha, N. The Knowledge of South African Men Relating to Cervical Cancer and Cervical Cancer Screening. J Canc Educ 34, 130–136 (2019). https://doi.org/10.1007/s13187-017-1278-4

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  • DOI: https://doi.org/10.1007/s13187-017-1278-4

Keywords

  • Cervical cancer
  • Cervical cancer screening
  • Knowledge
  • Men
  • South Africa