Cervical Cancer Prevention Knowledge and Practices Among Reproductive-Age Women
A Cross-Sectional Study at a Tertiary Hospital in Dhaka
Keywords:
cervical cancer, female, human papillomavirus, knowledge, uterine cervical neoplasmsAbstract
While cervical cancer is both preventable and curable if detected early, knowledge and preventive practices among reproductive-age women in Bangladesh remain largely underexplored, particularly in urban settings. This study aims to address this gap through an assessment of cervical cancer prevention knowledge and practices among female patients at a tertiary hospital in Dhaka. A cross-sectional survey was conducted at Dhaka Medical College Hospital over a one-month period, with data collected from 205 women using a semi-structured questionnaire. SPSS version 23 was utilized for data analysis, including Pearson correlation, two-sample t-test, and one-way ANOVA. The results showed that 52.7 percent of participants had high knowledge of cervical cancer prevention, while 56.1 percent exhibited poor preventive practices. A significant correlation (r = 0.52, p < 0.001) was found between knowledge and practice. Additionally, factors like level of secondary education (F = 10.52, p < 0.001), employment status (F = 10.26, p < 0.001), and monthly income (r = 0.27, p < 0.001) were significantly associated with knowledge. The findings indicate that, despite high levels of knowledge, preventive practices remain poor, highlighting the need for enhanced awareness initiatives and behavior change interventions aimed at improving cervical cancer prevention. This disconnect between awareness and practice underscores the importance of designing culturally sensitive and accessible behavior change interventions, particularly targeting populations with lower educational attainment and those who are unemployed, to translate knowledge into sustained preventive practices.
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Aldohaian, A. I., Alshammari, S. A., & Arafah, D. M. (2019). Using the health belief model to assess beliefs and behaviors regarding cervical cancer screening among Saudi women: A cross-sectional observational study. BMC Women's Health, 19, 1–12. https://doi.org/10.1186/s12905-019-0721-7
Austin, L. T., Ahmad, F., McNally, M. J., & Stewart, D. E. (2002). Breast and cervical cancer screening in Hispanic women: A literature review using the health belief model. Women's Health Issues, 12(3), 122–128. https://doi.org/10.1016/S1049-3867(02)00132-9
Banik, S., Sahu, D. P., & Bhattacharjya, H. (2022). Knowledge and practice regarding cervical cancer prevention among women in a rural area of Tripura, India. International Journal of Community Medicine and Public Health, 9(2), 763–768. https://doi.org/10.18203/2394-6040.ijcmph20220230
Bencherit, D., Kidar, R., Otmani, S., Sallam, M., Samara, K., Barqawi, H. J., & Lounis, M. (2022). Knowledge and awareness of Algerian students about cervical cancer, HPV, and HPV vaccines: A cross-sectional study. Vaccines, 10(9), 1420. https://doi.org/10.3390/vaccines10091420
Chen, H., Zhou, J., Huang, Q., Si, M. Y., Su, X. Y., & Li, J. (2021). Status of human papillomavirus vaccination and knowledge, attitudes, and influencing factors towards human papillomavirus and its vaccines among university students in Western China. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae, 43(4), 545–550. https://doi.org/10.3881/j.issn.1000-503X.2021.08.05
Deeba, I. M., & Hossain, M. S. (n.d.). Cervical cancer screening and prevention in low-and middle-income countries: A perspective from Bangladesh.
Hoque, E., & Hoque, M. (2009). Knowledge of and attitude towards cervical cancer among female university students in South Africa. Southern African Journal of Epidemiology and Infection, 24(1), 21–24.
Hu, S., Xu, X., Zhang, Y., Liu, Y., Yang, C., Wang, Y., & Zhao, F. (2021). A nationwide post-marketing survey of knowledge, attitude, and practice toward human papillomavirus vaccine in the general population: Implications for vaccine roll-out in mainland China. Vaccine, 39(1), 35–44. https://doi.org/10.1016/j.vaccine.2020.10.027
Jibat, N., Ali, R., Adissu, W., Buruh, G., Abdissa, A., Goba, G. K., & Amenu, D. (2024). Less known but greatly feared: Cervical cancer in Ethiopia, community awareness. Heliyon, 10(7), e17664. https://doi.org/10.1016/j.heliyon.2024.e17664
Kadian, L., Gulshan, G., Sharma, S., Kumari, I., Yadav, C., Nanda, S., & Yadav, R. (2021). A study on knowledge and awareness of cervical cancer among females of rural and urban areas of Haryana, North India. Journal of Cancer Education, 36(4), 844–849. https://doi.org/10.1007/s13187-020-01791-3
Koshy, G., Gangadharan, V., & Naidu, A. (2017). A study to assess the knowledge and attitude of female graduate students on cervical cancer. International Journal of Research in Medical Sciences, 5(10), 4545–4550.
Moudatsou, M., Vouyiouka, P., Karagianni-Hatziskou, E., Rovithis, M., Stavropoulou, A., & Koukouli, S. (2022, June). Knowledge and use of cervical cancer prevention services among social work and nursing university students. Healthcare, 10(6), 1140. https://doi.org/10.3390/healthcare10061140
Mruts, K. B., & Gebremariam, T. B. (2018). Knowledge and perception towards cervical cancer among female Debre Berhan University students. Asian Pacific Journal of Cancer Prevention: APJCP, 19(7), 1771–1777. https://doi.org/10.22034/APJCP.2018.19.7.1771
Mustari, S., Hossain, B., Diah, N. M., & Kar, S. (2019). Opinions of urban women on Pap test: Evidence from Bangladesh. Asian Pacific Journal of Cancer Prevention: APJCP, 20(6), 1613–1618. https://doi.org/10.31557/APJCP.2019.20.6.1613
Nelson, S. B., Viswanathan, N., Jenifer, N. A., & Piranha, B. (2018). A cross-sectional study on cervical cancer and its prevention among women of age group 25–50 years in a rural area of South Tamil Nadu, India. International Journal of Community Medicine and Public Health, 5(6), 2536–2541.
Nyambe, A., Kampen, J. K., Baboo, S. K., & Van Hal, G. (2019). Knowledge, attitudes, and practices of cervical cancer prevention among Zambian women and men. BMC Public Health, 19, 1–15. https://doi.org/10.1186/s12889-019-7780-2
Papri, F. S., Khanam, Z., Islam, F., & Hakim, M. M. (2015). Knowledge and awareness about risk factors of cervical cancer, its screening, and vaccination among women attending Chittagong Medical College Hospital. Chattagram Maa-O-Shishu Hospital Medical College Journal, 14(2), 57–60.
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Copyright (c) 2025 Fatema Khatun, Ismail Hosen, Laila Sharmin Lipi, Pilot Hossen, Fardina Rahman Omi
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