Kilimanjaro Christian Medical Centre, Cancer Care Centre , Moshi, Tanzania.
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin , Berlin, Germany.
Glob Health Action. 2021 Jan 1;14(1):1852780. doi: 10.1080/16549716.2020.1852780.
: 14.9 million women (≥15 years) in Tanzania are at risk of developing cervical cancer. Limited cancer care facilities, prevention programs and sparse knowledge among community members and healthcare workers contribute to late-stage presentation leading to a high mortality rate. : This study aims to scientifically accompany prevention and awareness campaigns (PrevACamp) in northern Tanzania in its real-world settings to obtain (1) a better understanding about cervical cancer and HPV knowledge amongst female PrevACamp participants and (2) to determine the prevalence of pre-cancerous lesions among women undergoing cervical cancer VIA screening. : Cross-sectional survey among PrevACamp attendees in two regions in Northern Tanzania. Two data collections tools were used: Questionnaires and clinical data from VIA screening. Data were collected from October 2017 to March 2019. : 2,192 PrevACamp attendees were interviewed and 2,224 received VIA screening. There was significant nescience on cervical cancer regardless of education level, resident status, or number of children as well as nescience on HPV in all age groups, especially in urban areas and misconceptions about cancer. Screening revealed VIA positivity rate of 3.1%. : There is an alarming lack of knowledge about cervical cancer and, to a lesser Extent, about HPV among the study participants. Having health insurance influenced the level of knowledge significantly. Outreach programs in rural areas appear to target the population in need of health education. Low positive VIA screening results are paralleled with lower HIV rates among the women. We assume that the high density of primary health care coverage in northern Tanzania contributes to these findings..
坦桑尼亚有 1490 万(≥15 岁)名女性面临宫颈癌风险。癌症治疗设施有限、预防计划有限、社区成员和医疗保健工作者知识匮乏,导致癌症晚期就诊,死亡率较高。本研究旨在科学地为坦桑尼亚北部的预防和宣传活动(PrevACamp)提供支持,以了解(1)女性 PrevACamp 参与者对宫颈癌和 HPV 的认知程度,以及(2)接受宫颈癌 VIA 筛查的女性中癌前病变的流行率。在坦桑尼亚北部的两个地区进行了 PrevACamp 参与者的横断面调查。使用了两种数据收集工具:问卷调查和 VIA 筛查的临床数据。数据收集时间为 2017 年 10 月至 2019 年 3 月。共有 2192 名 PrevACamp 参与者接受了访谈,2224 名参与者接受了 VIA 筛查。无论教育水平、居住状况或子女数量如何,所有年龄段的人对宫颈癌都知之甚少,对 HPV 的认知也很少,尤其是在城市地区,而且对癌症存在误解。筛查显示 VIA 阳性率为 3.1%。研究参与者对宫颈癌和 HPV 的知识明显匮乏。是否有医疗保险显著影响知识水平。农村地区的外展项目似乎针对需要健康教育的人群。VIA 筛查阳性率较低与女性 HIV 感染率较低相平行。我们假设,坦桑尼亚北部初级保健的高度覆盖有助于得出这些发现。