2020, Number 1
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Revista Habanera de Ciencias Médicas 2020; 19 (1)
Knowledge, attitudes and practices on cervical cytology in a Peruvian rural population
Luna-Abanto J, Gil-Olivares F, Deza MÁ
Language: Spanish
References: 31
Page: 112-124
PDF size: 755.86 Kb.
ABSTRACT
Introduction: Cervical cytology is the main tool
for the detection and treatment of cervical
cancer. Some studies carried out in the urban
population have associated the realization and
adherence with knowledge, attitudes and
favorable practices of women with respect to this
test.
Objective: The aim of this study was to determine
the level of knowledge, attitudes and practices
towards cervical cytology in women of
childbearing age in a rural Peruvian province.
Material and Methods: A cross-sectional
analytical study was conducted in a population of
approximately 3148 women of childbearing age,
a representative sample was obtained. An
anonymous, validated, directed survey was used;
it was applied by trained health personnel
working in health centers of the primary care
level in the districts of the province of Bolívar, La
Libertad.
Results: A total of 400 surveys were carried out.
The results showed that 80 % of the women
surveyed had high and intermediate levels of
knowledge, 70 % had a favorable attitude, while
44 % reported correct practices related to the
cervical cytology test. The high and intermediate
levels of knowledge were associated with age
over 30 years (p: 0.02), married marital status (p:
0.05), the highest level of instruction (p: 0.00) and
the use of contraceptive methods (p: 0.01); no
relationship was found with the age of onset of
sexual intercourse (p: 0.98).
Conclusions: There is a high level of knowledge,
attitudes and correct practices towards cervical cytology in the rural population of the province of
Bolívar, but a low adherence to it.
REFERENCES
Capote Negrin L. Epidemiology of cervical cancer in Latin America. Ecancermedicalscience [Internet]. 2015 Oct 8 [citado: 06/11/2019] ;9:577. Disponible en: https://bit.ly/2NM5pK6
Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. [Internet]. Lyon, France: International Agency for Research on Cancer; 2013 [citado: 06/11/2019]. Disponible en: https://bit.ly/2NO2Bfu
Perú, Ministerio de Salud. Análisis de la Situación del Cáncer en el Perú, 2013. Lima: Dirección General de Epidemiología, MINSA; 2013.
Bosch FX. Eradication of cervical cancer in Latin America. Salud Publica Mex. 2016 Apr;58(2):97- 100.
Abdullah F, O'Rorke M, Murray L, Su TT. Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial. Biomed Res Int [Internet]. 2013 [citado: 06/11/2019] ;2013:572126. Disponible en: https://bit.ly/36FjTnr
Vedham V, Verma M, Mahabir S. Early-life exposures to infectious agents and later cancer development. Cancer Med. 2015 Dec;4(12):1908- 22.
Final Update Summary: Cervical Cancer: Screening. U.S. Preventive Services Task Force [Internet]. 2016. [citado: 06/11/2019]. Disponible en: https://bit.ly/2JWHPZU
Bazán F, Posso M, Gutiérrez C. Conocimientos, actitudes y prácticas sobre la prueba de Papanicolaou. An Fac Med Lima [Internet]. 2007 [citado: 06/11/2019] ; 68(1). Disponible en: https://bit.ly/2NrILYB
Di Mario S, Basevi V, Lopalco PL, Balduzzi S, D'Amico R, Magrini N. Are the Two Human Papillomavirus Vaccines Really Similar? A Systematic Review of Available Evidence: Efficacy of the Two Vaccines against HPV. J Immunol Res. 2015. [Internet]. 2015 [citado: 06/11/2019];2015:435141. Disponible en: https://bit.ly/32luOiL
Catarino R, Vassilakos P, Scaringella S, Undurraga- Malinverno M, Meyer-Hamme U, RicardGauthier D, et al. Smartphone Use for Cervical Cancer Screening in Low-Resource Countries: A Pilot Study Conducted in Madagascar. PLoS ONE [Internet]. 2015 [citado: 06/11/2019]; 10(7): e0134309. Disponible en: https://bit.ly/33vmNJO
Terrazas S, Ibáñez C, Lagos M, Pogg H, Brañes J, Barriga M, et al. Examen de detección de virus papiloma humano en el tamizaje de cáncer cervicouterino en un Servicio de Salud de Santiago, Chile. Rev Med Chile 2015 [citado: 06/11/2019] ; 143: 56-62. Disponible en: https://bit.ly/2rl3YL3
Schlichte M, Guidry J. Current Cervical Carcinoma Screening Guidelines. J Clin Med. [Internet]. 2015 May [citado: 06/11/2019] ; 4(5): 918–932. Disponible en: https://bit.ly/2Cjpima
Percac-Lima S, Aldrich LS, Gamba GB, Bearse AM, Atlas SJ. Barriers to follow-up of an abnormal Pap smear in Latina women referred for colposcopy. J Gen Intern Med. [Internet]. 2010 Nov [citado: 06/11/2019] ;25(11):1198-204. Disponible en: https://bit.ly/2WR2qUB
Huamaní C, Hurtado-Ortega A, Guardia-Ricra M, RocaMendoza J. Conocimientos y actitudes sobre la toma de papanicolaou en mujeres de lima, perú 2007. Rev Peru Med Exp Salud Publica. [Internet]. 2008 [citado: 06/11/2019] ; 25(1): 44-50. Disponible en: https://bit.ly/2NR7Vyw
Instituto nacional de Estadística e Informática. Censos Nacionales 2017: XII de Población, VII de Vivienda y III de Comunidades Indígenas. [Internet]. 2017. [citado: 06/11/2019]. Disponible en: https://bit.ly/2rduaaf
CIOMS. International ethical guidelines for healthrelated research involving humans. CIOMS licence for electronic versions of its publications. [Internet]. 2016. [citado: 06/11/2019]. Disponible en: https://bit.ly/2rdDTgK
Grigore M, Popovici R, Pristavu A, Grigore AM, Matei M, Gafitanu D. Perception and use of Pap smear screening among rural and urban women in Romania. Eur J Public Health. [Internet]. 2017 Dec 1 [citado: 06/11/2019] ;27(6):1084-1088. Disponible en: https://bit.ly/2WUsZIO
Manica ST, Drachler Mde L, Teixeira LB, Ferla AA, Gouveia HG, Anschau F, et al. Socioeconomic and regional inequalities of pap smear coverage. Rev Gaucha Enferm. [Internet]. 2016 Mar [citado: 06/11/2019] ;37(1):e52287. Disponible en: https://bit.ly/2NMsjkz
Pryor RJ, Masroor N, Stevens M, Sanogo K, Hernández O'Hagan PJ, Bearman G. Cervical cancer screening in rural mountainous Honduras: knowledge, attitudes and barriers. Rural Remote Health. [Internet]. 2017 Apr-Jun [citado: 06/11/2019] ;17(2):3820. Disponible en: https://bit.ly/2WOXKPa
Jain SM, Bagde MN, Bagde ND. Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India. Indian J Cancer. [Internet]. 2016 Jan-Mar [citado: 06/11/2019] ;53(1):63-6. Disponible en: https://bit.ly/36GQfOQ
Thapa N, Maharjan M, Petrini MA, Shah R, Shah S, Maharjan N, et al. Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal. J Gynecol Oncol. [Internet]. 2018 Jul [citado: 06/11/2019]; 29(4):e57. Disponible en: https://bit.ly/33qJK0t
Srivastava AN, Misra JS, Srivastava S, Das BC, Gupta S. Cervical cancer screening in rural India: Status & current concepts. Indian J Med Res. [Internet]. 2018 Dec [citado: 06/11/2019] ;148(6):687-696. Disponible en: https://bit.ly/2Clb6cz
Urrutia M, Gajardo M. Adherencia al tamizaje de cáncer cérvicouterino: Una mirada desde el modelo de determinantes sociales de la salud. REV CHIL OBSTET GINECOL [Internet]. 2015 [citado: 06/11/2019] ; 80(2): 101 - 110. Disponible en: https://bit.ly/2NM8gmi
Gangane N, Nawi N, San Sebastián M. Women’s Knowledge, Attitudes, and Practices about Breast Cancer in a Rural District of Central India. Asian Pac J Cancer Prev. [Internet]. 2015 [citado: 06/11/2019] ;16(16):6863-70. Disponible en: https://bit.ly/2JYJ62u
Barrios-García L, Benedetti-Padrón I, lvis-Estrada L, Salamanca-Manjarrez M. Conocimientos, actitudes y prácticas sobre citología cérvicouterina por mujeres de una población rural en colombia. Rev cienc biomed. [Internet]. 2013. [citado: 06/11/2019] ;4(1):54-59. Disponible en: https://bit.ly/36GHG6z
Campos N, Castle P, Wright T, Kim J. Cervical cancer screening in low-resource settings: A costeffectiveness framework for valuing tradeoffs between test performance and program coverage. Int. J. Cancer [Internet]. 2015 [citado: 06/11/2019]; 137: 2208-19. Disponible en: https://bit.ly/2WUrESi
Valdez M, Jeronimo J, Bansil P, Qiao Y, Zhao F, Chen W, et al. Effectiveness of novel, lower-cost molecular human papillomavirus-based tests for cervical cancer screening in rural China. Int J Cancer. [Internet]. 2016 Mar 15. [citado: 06/11/2019] ;138(6):1453-61. Disponible en: https://bit.ly/34DAK8C
Ingledue K; Cottrell R; Bernard A. College women's knowledge, perceptions, and preventive behaviors regarding human papillomavirus infection and cervical cancer. American Journal of Health Studies [Internet]. 2004 [citado: 06/11/2019];19(1):28-34. Disponible en: https://bit.ly/2CjqjdY
Ramírez E. Conocimientos, actitudes y prácticas frente a la toma de papanicolaou en la población de mujeres trabajadoras de la facultad de ciencias médicas de la universidad nacional de la plata. [Internet]. Argentina: Universidad nacional de la plata centro inus maestría en salud pública. [Internet]. 2014. [citado: 06/11/2019]. Disponible en: https://bit.ly/33n4Gp6
Sawaya GF, Kulasingam S, Denberg TD, Qaseem A; Clinical Guidelines Committee of American College of Physicians. Cervical Cancer Screening in Average-Risk Women: Best Practice Advice From the Clinical Guidelines Committee of the American College of Physicians. Ann Intern Med. [Internet]. 2015 Jun 16. [citado: 06/11/2019];162(12):851-9. Disponible en: https://bit.ly/2WR488t
Denny L, Prendiville W. Cancer of the cervix: Early detection and cost-effective solutions. International Journal of Gynecology and Obstetrics [Internet]. 2015 [citado: 06/11/2019]; 131: S28–S32. Disponible en: https://bit.ly/2CinxG0