Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, Epidemiology and Applied Research Branch, Atlanta, Georgia, USA
Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, Epidemiology and Applied Research Branch, Atlanta, Georgia, USA.
Oncologist. 2018 Jan;23(1):35-43. doi: 10.1634/theoncologist.2017-0053. Epub 2017 Aug 10.
Cervical cancer is the leading cause of female cancer mortality in Kenya. Kenya's National Cervical Cancer Prevention Program Strategic Plan outlines efforts to reduce the burden; however, treatment services remain limited. This study identified male and female perspectives regarding benefits, facilitators, and barriers to treatment for precancerous lesions and cervical cancer.
Ten focus groups were conducted in Nairobi and Nyanza in 2014 with females aged 25-49 years ( = 60) and male partners ( = 40). Participants were divided into groups dependent on screening status, sex, language, and geographic location. Qualitative analytic software was used to analyze transcribed and translated data.
Treatment was endorsed as beneficial for the prevention of death and the improvement of wellness, quality of life, symptoms, and family life. Barriers reported by males and females included the following: (a) concerns about side effects; (b) treatment-related fear and stigma; (c) marital discord; (d) financial and access issues; (e) religious and cultural beliefs; and (f) limited knowledge. Male endorsement of wanting to improve knowledge and communication with their partners, in spite of stigmatizing beliefs and misperceptions regarding females with abnormal screening results or those who have been diagnosed with cancer, was novel.
Incorporating qualitative data on benefits of and barriers to treatment for precancerous lesions and cervical cancer into Kenya's national priorities and activities is important. These findings can be used to inform the development and successful implementation of targeted, region-specific community outreach and health messaging campaigns focused on alleviating the country's cervical cancer burden.
This article provides important insight into female and male partner perspectives regarding benefits, facilitators, and barriers to treatment for precancerous lesions and cervical cancer. These novel research findings can inform the development of targeted community health interventions, educational messages, and resources and aid stakeholders in strengthening strategic plans regarding treatment coverage and cervical cancer prevention. Because several treatment barriers identified in this study are similar to barriers associated with cervical cancer screening in low- and middle-resourced countries, effective messaging interventions could address barriers to receipt of both screening and treatment.
宫颈癌是肯尼亚女性癌症死亡的主要原因。肯尼亚国家宫颈癌预防计划战略计划概述了减轻负担的努力；然而，治疗服务仍然有限。本研究确定了男性和女性对癌前病变和宫颈癌治疗的益处、促进因素和障碍的看法。
2014 年在内罗毕和 Nyanza 进行了 10 个焦点小组，参与者为 25-49 岁的女性（=60）和男性伴侣（=40）。参与者根据筛查状况、性别、语言和地理位置分为不同的小组。使用定性分析软件对转录和翻译数据进行分析。
治疗被认为对预防死亡和改善健康、生活质量、症状和家庭生活有益。男性和女性报告的障碍包括以下几个方面：（a）对副作用的担忧；（b）与治疗相关的恐惧和耻辱感；（c）婚姻不和；（d）财务和获得问题；（e）宗教和文化信仰；（f）知识有限。男性表示希望提高对伴侣的了解并加强与伴侣的沟通，尽管对异常筛查结果或被诊断患有癌症的女性存在污名化的观念和误解，这是一个新颖的发现。
将关于癌前病变和宫颈癌治疗的益处和障碍的定性数据纳入肯尼亚的国家优先事项和活动中非常重要。这些发现可用于为有针对性的、特定于区域的社区外展和健康信息宣传活动提供信息，以减轻该国的宫颈癌负担。
本文提供了有关女性和男性伴侣对癌前病变和宫颈癌治疗的益处、促进因素和障碍看法的重要见解。这些新的研究结果可以为有针对性的社区卫生干预措施、教育信息和资源的开发提供信息，并帮助利益相关者加强有关治疗覆盖范围和宫颈癌预防的战略计划。由于本研究中确定的一些治疗障碍与低收入和中等收入国家的宫颈癌筛查障碍相似，因此有效的信息传递干预措施可以解决接受筛查和治疗的障碍。
