Knowledge, attitude, and practice towards cervical cancer screening and hpv vaccination among women in passo community, abuja, nigeria

  • Yalma RM Department of Community Medicine, College of Health Sciences, University of Abuja
    jyrmsheliza@yahoo.com
  • Okafor Ebuka Department of Community Medicine, College of Health Sciences, University of Abuja

Abstract

Cervical cancer is a common cancer among women globally. In Nigeria, it is the second most prevalent cancer among women aged 15–44 years. Persistent infection with high-risk human papillomavirus (HPV) types, particularly HPV 16 and 18, is the primary cause. Despite effective prevention strategies such as HPV vaccination and routine screening, uptake in low- and middle-income countries (LMICs) remains poor due to low awareness, socioeconomic barriers, and inadequate health infrastructure. This study assessed the knowledge, attitude, and practice (KAP) towards cervical cancer screening and HPV vaccination among women in Passo Community, Gwagwalada Area Council, Abuja, Nigeria.A descriptive cross-sectional study was conducted among 217 adolescent and adult females (15–65 years) using a cluster sampling technique. Data were collected using a pre-tested, semi-structured questionnaire and analyzed using SPSS version 24. Categorical variables were summarized as frequencies and percentages. Associations between variables were tested using Pearson’s Chi-square, with p<0.05 considered statistically significant.Awareness of cervical cancer was 45.5%, while only 13.4% were aware of HPV and 14.3% knew about HPV vaccination. Good knowledge of cervical cancer was found in 31.3% of respondents, and of screening in 30.0%. Most respondents (75.1%) displayed a positive attitude towards screening; however, only 9.7% had ever undergone screening, and none had received HPV vaccination. The most cited barriers were lack of awareness and uncertainty about where to access services.Despite a generally positive attitude towards screening, knowledge and practice of cervical cancer prevention in this community were low. Public health interventions should focus on awareness creation, accessible screening services, and HPV vaccination programs to reduce the burden of cervical cancer.

Keywords: Cervical cancer, HPV, Screening, Vaccination, Knowledge, Attitude, Practice, Nigeria

Downloads

Download data is not yet available.

References

1. Schiffman M, Doorbar J, Wentzensen N, de Sanjosé S, Fakhry C, Monk BJ, et al. Carcinogenic human papillomavirus infection. Nat Rev Dis Primers. 2016;2(1):16086.
2. Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8(2):e191–203.
3. Mattiuzzi C, Lippi G. Cancer statistics: a comparison between World Health Organization (WHO) and Global Burden of Disease (GBD). Eur J Public Health. 2019;29(5):929–34.
4. World Health Organization. WHO guidance note: Comprehensive cervical cancer prevention and control: a healthier future for girls and women. Geneva: WHO; 2013.
5. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.
6. Denny LA, Franceschi S, de Sanjosé S, Heard I, Moscicki AB, Palefsky J. Human papillomavirus, human immunodeficiency virus and immunosuppression. Vaccine. 2012;30Suppl 5:F168–74.
7. ICO/IARC HPV Information Centre. Nigeria: Human papillomavirus and related cancers, fact sheet 2023. Barcelona: HPV Centre; 2023 [cited 2023 Apr 19]. Available from: https://hpvcentre.net/statistics/reports/NGA_FS.pdf
8. Nyengidiki TK. Screening methods for gynaecological cancers. In: Contemporary gynecologic practice. London: IntechOpen; 2015.
9. Zhang S, Xu H, Zhang L, Qiao Y. Cervical cancer: epidemiology, risk factors and screening. Chin J Cancer Res. 2020;32(6):720–8.
10. Centers for Disease Control and Prevention. HPV vaccine: Six reasons to get HPV vaccine for your child. Atlanta: CDC; 2019. Available from: https://www.cdc.gov/hpv/parents/vaccine/six-reasons.html
11. Yu FQ, Murugiah MK, Khan AH, Mehmood T. Meta-synthesis exploring barriers to health seeking behaviour among Malaysian breast cancer patients. Asian Pac J Cancer Prev. 2015;16(1):145–52.
12. Olubodun T, Odukoya OO, Balogun MR, Ajogwu A, Olatona FA. Awareness and perception of cervical cancer among women in an urban slum in Lagos, Nigeria. Afr J Reprod Health. 2019;23(2):17–26.
13. Getaneh T, Derseh BT, Asmare B, Yimer T, Ayele G, Biresaw H. Knowledge, attitude and practice of cervical cancer screening among female undergraduates in Gondar, Ethiopia. BMC Public Health. 2022;22(1):496.
14. McFarland DM. Cervical cancer and Pap smear screening in Botswana: knowledge and perceptions. IntNurs Rev. 2003;50(3):167–75.
15. Al-Shaikh GK, Almussaed EM, Fayed AA, Khan FH, Syed SB, Al-Tamimi TN, et al. Knowledge of Saudi female university students about cervical cancer and its preventive measures. East Mediterr Health J. 2014;20(11):748–54.
16. Kabir M, Abubakar AA, Abdullahi H, Abubakar SM, Aliyu HB, Owonikoko KM. Knowledge, attitude and practice of cervical smear as a screening procedure for cervical cancer among female health workers in a secondary health institution in Zaria, northern Nigeria. Niger Med J. 2011;52(1):20–3.
17. Singh E, Seth S, Rani V, Srivastava DK. Awareness of cervical cancer screening among nursing staff in a tertiary institution of rural India. J GynecolOncol. 2012;23(3):141–6.
18. Tefera F, Mitiku I. Uptake of cervical cancer screening and associated factors among 15–49-year-old women in Adama town, Oromia region, Ethiopia. J Womens Health Care. 2016;5(318):2167–420.
19. Tekle T, Woldeamanuel Y, Hailemariam M. Knowledge, attitude and practice of cervical cancer screening among women in Wolaita Zone, Southern Ethiopia: a community-based cross-sectional study. BMC Cancer. 2022;22(1):973.
20. brahim A, Rasch V, Pukkala E, Aro AR. Predictors of cervical cancer screening uptake among women in the rural area of Gombe, Nigeria. Cancer Epidemiol. 2011;35(2):182–8.
21. Shankar A, Rath GK, Roy S, Malik A, Julka PK, Das BK. HPV infection and prevention: knowledge, attitude and awareness among female students and health care providers in Delhi. Asian Pac J Cancer Prev. 2016;17(4):1737–43.
22. Nivedita K, Shanthini F. Knowledge, attitude and practice about cervical cancer screening among rural married women of Tamil Nadu, India. Int J Curr Res Aca Rev. 2015;3(6):182–7.
23. Gatumo M, Gacheri S, Sayed AR, Scheibe A. Women’s knowledge and attitudes related to cervical cancer and cervical cancer screening in Isiolo and TharakaNithi counties, Kenya: a cross-sectional study. BMC Cancer. 2018;18(1):745.
24. Modibbo FI, Dareng E, Bamisaye P, Jedy-Agba E, Adewole A, Oyeneyin L, et al. Qualitative study of barriers to cervical cancer screening among Nigerian women. BMJ Open. 2016;6(1):e008533.
25. [25] Ezenwa BN, Balogun MR, Okafor IP. Mothers’ human papillomavirus knowledge and willingness to vaccinate their adolescent daughters in Lagos, Nigeria. Int J Womens Health. 2013;5:371–7.
26. Dewi NP, Nuryunarsih I, Rahmadi FA, Lestari AA. Knowledge, attitudes and practices of mothers towards human papillomavirus vaccination in Denpasar, Bali, Indonesia. Public Health Indonesia. 2018;4(2):55–63.
27. Rama CH, Villa LL, Pagliusi S, Andreoli MA, Costa MC, Aoki AL, et al. Awareness and knowledge of HPV, cervical cancer, and HPV vaccine in Brazilian women aged 16 to 25 years: a national survey. Vaccine. 2010;28(47):8060–7.
Statistics
145 Views | 68 Downloads
How to Cite
RM, Y., & Ebuka, O. (2025). Knowledge, attitude, and practice towards cervical cancer screening and hpv vaccination among women in passo community, abuja, nigeria. Asian Journal of Hospital Pharmacy, 5(3), 13-17. https://doi.org/10.38022/ajhp.v5i3.106
Section
Research Articles