Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

PATIENT EDUCATION AND COUNSELING

卷:98

Article

Rosser, Joelle I.¹  Njoroge, Betty²  Huchko, Megan J.³ 

[1] Univ Washington, Dept Internal Med, Seattle, WA 98195 USA

[2] Kenya Med Res Inst KEMRI, Ctr Microbiol Res, Nairobi, Kenya

[3] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, Bixby Ctr Global Reprod Hlth, San Francisco, CA USA

关键词: Cervical cancer screening;    Knowledge;    Risk perception;    Behavior;    Health education;    Sub-Saharan Africa;   

DOI  :  10.1016/j.pec.2015.03.017

来源: Elsevier

【 摘 要 】

Objective: Cervical cancer screening uptake may be influenced by inadequate knowledge in resource-limited settings. This randomized trial evaluated a health talk's impact on cervical cancer knowledge, attitudes, and screening rates in rural Kenya. Methods: 419 women attending government clinics were randomized to an intervention (N = 207) or control (N = 212) group. The intervention was a brief health talk on cervical cancer. Participants completed surveys at enrollment (all), immediately after the talk (intervention arm), and at three-months follow-up (all). The primary outcomes were the change in knowledge scores and the final screening rates at three-months follow-up. Secondary outcomes were changes in awareness about cervical cancer screening, perception of personal cervical cancer risk, cervical cancer and HIV stigma, and screening acceptability. Results: Mean Knowledge Scores increased by 26.4% (8.7 points increased to 11.0 points) in the intervention arm compared to only 17.6% (8.5 points increased to 10.0 points) in the control arm (p < 0.01). Screening uptake was moderate in both the intervention (58.9%; N = 122) and control (60.9%; N = 129) arms, with no difference between the groups (p = 0.60). Conclusion: A brief health talk increased cervical cancer knowledge, although it did not increase screening over simply informing women about free screening. Practical implications: Screening programs can increase patient understanding with just a brief educational intervention. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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