Institute of Epidemiology, Disease Control and Research (IEDCR), Mohakhali, Dhaka, Bangladesh.
CDC, US, Bangladesh.
Asian Pac J Cancer Prev. 2022 Dec 1;23(12):4085-4092. doi: 10.31557/APJCP.2022.23.12.4085.
Background: Cervical cancer is the second most common cancer in females in Bangladesh. This is caused by Human Papilloma Virus (HPV). Multiple sex partners, HIV infection, smoking, using birth control pills, and having more than three children are risk factors of cervical cancer. Hence, female sex workers have a high prevalence of infection with high risk HPV genotypes which eventually may causes cervical cancer. Unfortunately, the status of knowledge, attitude and practice among female sex workers regarding cervical cancer is mostly unknown. The aim of the study was to assess the knowledge, attitude and practice of women living in Daulatdia brothel regarding cervical cancer and its screening. Methods: A cross-sectional knowledge-practice survey was conducted among 400 female sex workers in Daulatdia Brothel, Rajbari District, Bangladesh. The women’s total score on knowledge, and practice were categorized as sufficient or insufficient. We calculated frequencies and used binary logistic regression to describe and assess the association between scores and socio-demographic characteristics of respondents. Results: Most sex workers (61%) were between 29 to 35 years, married at 13 to 15 years of age, and divorced (91%). Middle aged sex workers were more likely have a VIA test than women in the 29 to 35 years group (18%, OR:5.2; CI: 2.0, 13.5). Less than half of the studied women (40%) had sufficient knowledge regarding cervical cancer and 12% knew that infection by HPV is a risk factor. Respondents with primary and secondary education were more likely to have sufficient knowledge than the illiterate (42%, OR: 1.32; CI: 0.82, 2.12). Practices to prevent cervical cancer were very poor. Nearly all women (99%) would recommend other women to have a VIA test. There were only 7% who had a VIA test and 2% were vaccinated against HPV. Unmarried sex workers were more likely to take action to prevent cervical cancer. Sex workers educated up to the primary level were more likely to have a VIA or other tests than the illiterate sex workers (10%, OR: 1.3; CI: 0.6, 3.2). Conclusion: Sex workers in Daulatdia brothel were less knowledgeable about cervical cancer and less likely to have a VIA test and poor practices towards preventing cervical cancer. The sex workers underutilized the VIA test and HPV vaccine.
宫颈癌是孟加拉国女性中第二大常见癌症。它是由人乳头瘤病毒（HPV）引起的。多个性伴侣、HIV 感染、吸烟、使用避孕药和生育超过三个孩子是宫颈癌的危险因素。因此，性工作者感染高危 HPV 基因型的患病率很高，最终可能导致宫颈癌。不幸的是，性工作者对宫颈癌的知识、态度和实践状况在很大程度上尚不清楚。本研究旨在评估达拉图迪亚妓院女性对宫颈癌及其筛查的知识、态度和实践。
在孟加拉国拉杰巴里区达拉图迪亚妓院，对 400 名性工作者进行了横断面知识-实践调查。根据知识和实践的总分，将妇女的总分分为充足或不足。我们计算了频率，并使用二项逻辑回归来描述和评估得分与受访者社会人口特征之间的关联。
大多数性工作者（61%）年龄在 29 至 35 岁之间，13 至 15 岁结婚，91%离婚。中年性工作者比 29 至 35 岁组的女性更有可能进行 VIA 检测（18%，OR：5.2；CI：2.0，13.5）。研究中不到一半的女性（40%）对宫颈癌有足够的认识，12%的人知道 HPV 感染是一个危险因素。接受过小学和中学教育的受访者比文盲更有可能有足够的知识（42%，OR：1.32；CI：0.82，2.12）。预防宫颈癌的做法非常差。几乎所有女性（99%）都会建议其他女性进行 VIA 检测。只有 7%的人接受了 VIA 检测，2%的人接种了 HPV 疫苗。未婚性工作者更有可能采取行动预防宫颈癌。接受过小学教育的性工作者比文盲性工作者更有可能进行 VIA 或其他检测（10%，OR：1.3；CI：0.6，3.2）。
达拉图迪亚妓院的性工作者对宫颈癌的了解较少，不太可能进行 VIA 检测，也不太可能采取预防宫颈癌的措施。性工作者对 VIA 检测和 HPV 疫苗的利用率较低。
