Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, 113092University of Ibadan, Ibadan, Nigeria.
Department of Nursing, College of Medicine, 113092University of Ibadan, Ibadan, Nigeria.
Cancer Control. 2022 Jan-Dec;29:10732748221130180. doi: 10.1177/10732748221130180.
This review evaluated the knowledge, utilisation, prevention education, and policy response across the six geopolitical regions of Nigeria to inform national efforts for the prevention and control of cervical cancer.
A keyword-based systematic search was conducted in PubMed/MEDLINE (NCBI), Google Scholar, and AJOL electronic databases, including a manual scan of papers, journals and websites to identify relevant peer-reviewed studies. Articles were screened and assessed for eligibility.
Many (158) articles were downloaded and after duplicates were removed, 110 articles were included in the final analysis. These were made up of qualitative, quantitative (cross-sectional), intervention and policy studies. Studies have generally reported poor knowledge and awareness of cervical cancer screening but those carried out in urban areas demonstrated a slightly higher level of awareness of Human Papilloma Virus (HPV) vaccine, HPV vaccination uptake and utilization of cervical cancer preventive services than the rural studies. The studies did not show strong government support or policies in relation to cervical cancer control.
Knowledge and uptake of cervical cancer preventive services across diverse groups in Nigeria remain poor. These could be linked to socio-cultural factors, the lack of an organised cervical cancer screening programme and low financial resource pool for cervical cancer prevention. Therefore, it is necessary to increase government, donor prioritisation and political support in order to ensure increased investment and commitment to cervical cancer elimination in Nigeria.
本综述评估了尼日利亚六个地缘政治区域在知识、利用、预防教育和政策应对方面的情况，为该国预防和控制宫颈癌的工作提供信息。
在 PubMed/MEDLINE（NCBI）、谷歌学术和 AJOL 电子数据库中进行了基于关键词的系统搜索，并对论文、期刊和网站进行了手动扫描，以确定相关的同行评议研究。对文章进行筛选和合格评估。
共下载了 158 篇文章，去除重复后，有 110 篇文章纳入最终分析。这些文章包括定性、定量（横断面）、干预和政策研究。研究普遍报告了对宫颈癌筛查的知识和认识不足，但在城市地区进行的研究显示，对人乳头瘤病毒（HPV）疫苗、HPV 疫苗接种率以及宫颈癌预防服务的利用情况的认识略高于农村研究。这些研究并没有显示出政府在宫颈癌控制方面的大力支持或政策。
在尼日利亚的不同群体中，宫颈癌预防服务的知识和利用率仍然很低。这可能与社会文化因素、缺乏有组织的宫颈癌筛查计划以及宫颈癌预防的资金资源不足有关。因此，有必要增加政府、捐助者的重视和政治支持，以确保在尼日利亚增加对宫颈癌消除的投资和承诺。
