Department of Gynaecology, Leiden University Medical Centre, Leiden, The Netherlands.
Department of Technologies for Rural Transformation, African Rural University, Kagadi, Uganda.
PLoS One. 2023 Jan 27;18(1):e0280052. doi: 10.1371/journal.pone.0280052. eCollection 2023.
INTRODUCTION: Evidence-based preventive strategies for cervical cancer in low-resource setting have been developed, but implementation is challenged, and uptake remains low. Women and girls experience social and economic barriers to attend screening and human papillomavirus (HPV) vaccination programs. Male support has been proven successful in uptake of other reproductive healthcare services. This qualitative study with focus groups aimed to understand the perspectives of males on cervical cancer screening and HPV vaccination in Western-Uganda This knowledge could be integrated into awareness activities to increase the attendance of cervical cancer screening and HPV vaccination programs. MATERIALS AND METHODS: Focus group discussions were conducted with men aged 25 to 60 years, who were married and/or had daughters, in Kagadi district, Mid-Western Uganda. All interviews were transcribed verbatim and thematically analyzed using an inductive approach. RESULTS: Eleven focus group discussions were conducted with 67 men. Men were willing to support their wives for screening and their daughters for HPV vaccination. Misperceptions such as family planning and poor personal hygiene leading to cervical cancer, and misperception of the preventative aspect of screening and vaccination were common. Women with cervical cancer suffer from stigmatization and family problems due to loss of fertility, less marital sexual activity, domestic violence and decreased economic productivity. CONCLUSIONS: Ugandan men were willing to support cervical cancer prevention for their wives and daughters after being informed about cervical cancer. Limited knowledge among men about the risk factors and causes of cervical cancer, and about the preventative aspect of HPV vaccination and screening and their respective target groups, can limit uptake of both services. Screening and vaccination programs should actively involve men in creating awareness to increase uptake and acceptance of prevention.
引言:在资源匮乏的环境中,已经制定了针对宫颈癌的循证预防策略,但实施面临挑战,且普及率仍然较低。女性和女孩在接受筛查和人乳头瘤病毒(HPV)疫苗接种计划方面面临社会和经济障碍。男性支持已被证明在其他生殖保健服务的接受度方面取得了成功。这项在乌干达西部进行的焦点小组研究旨在了解男性对宫颈癌筛查和 HPV 疫苗接种的看法。这些知识可以纳入提高宫颈癌筛查和 HPV 疫苗接种参与度的宣传活动中。
材料与方法:在乌干达西部卡加迪区,对年龄在 25 至 60 岁之间、已婚和/或有女儿的男性进行了焦点小组讨论。所有访谈均逐字记录,并采用归纳法进行主题分析。
结果:共进行了 11 次焦点小组讨论,有 67 名男性参加。男性愿意支持他们的妻子进行筛查,支持他们的女儿接种 HPV 疫苗。常见的误解包括认为计划生育和个人卫生不良会导致宫颈癌,以及对筛查和疫苗接种的预防作用存在误解。宫颈癌患者会因丧失生育能力、夫妻性生活减少、家庭暴力和经济生产力下降而遭受污名化和家庭问题。
结论:在了解宫颈癌后,乌干达男性愿意支持其妻子和女儿进行宫颈癌预防。男性对宫颈癌的风险因素和病因、HPV 疫苗接种和筛查的预防作用以及各自的目标人群的了解有限,这可能会限制这两项服务的普及率。筛查和疫苗接种计划应积极让男性参与宣传,以提高服务的接受度和普及率。
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