Lack of understanding of cervical cancer and screening is the leading barrier to screening uptake in women at midlife in Bangladesh: population-based cross-sectional survey

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Abstract

Background. Cervical cancer (CCa) is the second most common cancer among women in Bangladesh. The uptake of CCa screening was less than10 in areas where screening has been offered, so we investigated the awareness of CCa and CCa screening, and factors associated with women?s preparedness to be screened. Methods. A nationally representative, cross-sectional survey of women aged 30-59 years was conducted in 7 districts of the 7 divisions in Bangladesh, using a multistage cluster sampling technique. Factors associated with the awareness of CCa and screening uptake were investigated separately, using multivariable logistic regression. Results. On systematic questioning, 81.3 and 48.6 of the 1,590 participants,whose meanage was42.3 (68.0) years, had ever heard of CCa and CCa screening, respectively. Having heard of CCa was associated with living in a rural area (adjusted odds ratio [OR]: 0.42; 95 confidence interval [CI]: 0.26-0.67), being 40-49 years old (OR: 1.59; 95 CI: 1.15-2.0), having no education (OR: 0.25; 95 CI: 0.16-0.38), and being obese (OR: 2.04; 95 CI: 1.23-3.36). Of the 773 women who had ever heard of CCa screening, 86 reported that they had not been screened because they had no symptoms and 37 did not know screening was needed. Only 8.3 had ever been screened. Having been screened was associated with being 40-49 years old (OR: 2.17; 95 CI: 1.19-3.94) and employed outside the home (OR: 3.83; 95 CI: 1.65-8.9), and inversely associated with rural dwelling (OR: 0.54; 95 CI: 0.30-0.98) and having no education (OR: 0.29; 95 CI: 0.10-0.85). Conclusion. Lack of awareness of CCa and of understanding of the concept of screening are the key barriers to screening up take in women at midlife in Bangladesh. Targeted educational health programs are needed to increase screening in Bangladesh with the view to reducing mortality.
Original languageEnglish
Pages (from-to)1386 - 1392
Number of pages7
JournalOncologist
Volume20
Issue number12
DOIs
Publication statusPublished - 2015

Cite this

@article{247f58d73d834712a5172e5e15fe5076,
title = "Lack of understanding of cervical cancer and screening is the leading barrier to screening uptake in women at midlife in Bangladesh: population-based cross-sectional survey",
abstract = "Background. Cervical cancer (CCa) is the second most common cancer among women in Bangladesh. The uptake of CCa screening was less than10 in areas where screening has been offered, so we investigated the awareness of CCa and CCa screening, and factors associated with women?s preparedness to be screened. Methods. A nationally representative, cross-sectional survey of women aged 30-59 years was conducted in 7 districts of the 7 divisions in Bangladesh, using a multistage cluster sampling technique. Factors associated with the awareness of CCa and screening uptake were investigated separately, using multivariable logistic regression. Results. On systematic questioning, 81.3 and 48.6 of the 1,590 participants,whose meanage was42.3 (68.0) years, had ever heard of CCa and CCa screening, respectively. Having heard of CCa was associated with living in a rural area (adjusted odds ratio [OR]: 0.42; 95 confidence interval [CI]: 0.26-0.67), being 40-49 years old (OR: 1.59; 95 CI: 1.15-2.0), having no education (OR: 0.25; 95 CI: 0.16-0.38), and being obese (OR: 2.04; 95 CI: 1.23-3.36). Of the 773 women who had ever heard of CCa screening, 86 reported that they had not been screened because they had no symptoms and 37 did not know screening was needed. Only 8.3 had ever been screened. Having been screened was associated with being 40-49 years old (OR: 2.17; 95 CI: 1.19-3.94) and employed outside the home (OR: 3.83; 95 CI: 1.65-8.9), and inversely associated with rural dwelling (OR: 0.54; 95 CI: 0.30-0.98) and having no education (OR: 0.29; 95 CI: 0.10-0.85). Conclusion. Lack of awareness of CCa and of understanding of the concept of screening are the key barriers to screening up take in women at midlife in Bangladesh. Targeted educational health programs are needed to increase screening in Bangladesh with the view to reducing mortality.",
author = "Islam, {Md. Rakibul} and Bell, {Robin Jean} and Billah, {Md Baki} and Hossain, {Mohammad Belial} and Davis, {Susan Ruth}",
year = "2015",
doi = "10.1634/theoncologist.2015-0235",
language = "English",
volume = "20",
pages = "1386 -- 1392",
journal = "Oncologist",
issn = "1083-7159",
publisher = "Alphamed Press",
number = "12",

}

TY - JOUR

T1 - Lack of understanding of cervical cancer and screening is the leading barrier to screening uptake in women at midlife in Bangladesh: population-based cross-sectional survey

AU - Islam, Md. Rakibul

AU - Bell, Robin Jean

AU - Billah, Md Baki

AU - Hossain, Mohammad Belial

AU - Davis, Susan Ruth

PY - 2015

Y1 - 2015

N2 - Background. Cervical cancer (CCa) is the second most common cancer among women in Bangladesh. The uptake of CCa screening was less than10 in areas where screening has been offered, so we investigated the awareness of CCa and CCa screening, and factors associated with women?s preparedness to be screened. Methods. A nationally representative, cross-sectional survey of women aged 30-59 years was conducted in 7 districts of the 7 divisions in Bangladesh, using a multistage cluster sampling technique. Factors associated with the awareness of CCa and screening uptake were investigated separately, using multivariable logistic regression. Results. On systematic questioning, 81.3 and 48.6 of the 1,590 participants,whose meanage was42.3 (68.0) years, had ever heard of CCa and CCa screening, respectively. Having heard of CCa was associated with living in a rural area (adjusted odds ratio [OR]: 0.42; 95 confidence interval [CI]: 0.26-0.67), being 40-49 years old (OR: 1.59; 95 CI: 1.15-2.0), having no education (OR: 0.25; 95 CI: 0.16-0.38), and being obese (OR: 2.04; 95 CI: 1.23-3.36). Of the 773 women who had ever heard of CCa screening, 86 reported that they had not been screened because they had no symptoms and 37 did not know screening was needed. Only 8.3 had ever been screened. Having been screened was associated with being 40-49 years old (OR: 2.17; 95 CI: 1.19-3.94) and employed outside the home (OR: 3.83; 95 CI: 1.65-8.9), and inversely associated with rural dwelling (OR: 0.54; 95 CI: 0.30-0.98) and having no education (OR: 0.29; 95 CI: 0.10-0.85). Conclusion. Lack of awareness of CCa and of understanding of the concept of screening are the key barriers to screening up take in women at midlife in Bangladesh. Targeted educational health programs are needed to increase screening in Bangladesh with the view to reducing mortality.

AB - Background. Cervical cancer (CCa) is the second most common cancer among women in Bangladesh. The uptake of CCa screening was less than10 in areas where screening has been offered, so we investigated the awareness of CCa and CCa screening, and factors associated with women?s preparedness to be screened. Methods. A nationally representative, cross-sectional survey of women aged 30-59 years was conducted in 7 districts of the 7 divisions in Bangladesh, using a multistage cluster sampling technique. Factors associated with the awareness of CCa and screening uptake were investigated separately, using multivariable logistic regression. Results. On systematic questioning, 81.3 and 48.6 of the 1,590 participants,whose meanage was42.3 (68.0) years, had ever heard of CCa and CCa screening, respectively. Having heard of CCa was associated with living in a rural area (adjusted odds ratio [OR]: 0.42; 95 confidence interval [CI]: 0.26-0.67), being 40-49 years old (OR: 1.59; 95 CI: 1.15-2.0), having no education (OR: 0.25; 95 CI: 0.16-0.38), and being obese (OR: 2.04; 95 CI: 1.23-3.36). Of the 773 women who had ever heard of CCa screening, 86 reported that they had not been screened because they had no symptoms and 37 did not know screening was needed. Only 8.3 had ever been screened. Having been screened was associated with being 40-49 years old (OR: 2.17; 95 CI: 1.19-3.94) and employed outside the home (OR: 3.83; 95 CI: 1.65-8.9), and inversely associated with rural dwelling (OR: 0.54; 95 CI: 0.30-0.98) and having no education (OR: 0.29; 95 CI: 0.10-0.85). Conclusion. Lack of awareness of CCa and of understanding of the concept of screening are the key barriers to screening up take in women at midlife in Bangladesh. Targeted educational health programs are needed to increase screening in Bangladesh with the view to reducing mortality.

UR - http://theoncologist.alphamedpress.org/content/20/12/1386.full.pdf+html

U2 - 10.1634/theoncologist.2015-0235

DO - 10.1634/theoncologist.2015-0235

M3 - Article

VL - 20

SP - 1386

EP - 1392

JO - Oncologist

JF - Oncologist

SN - 1083-7159

IS - 12

ER -