Department of Behavioral and Environmental Health, College of Health Sciences, School of Public Health, Jackson State University.
Medical School of the City University of New York.
Afr J Reprod Health. 2022 Nov;26(11):47-55. doi: 10.29063/ajrh2022/v26i11.5.
To characterize cervical cancer screening knowledge, beliefs, behaviors, and sociodemographic factors among women aged 25-45 years who access and utilize prenatal care services in Nairobi, Kenya. A descriptive cross-sectional design using a convenience sample of pregnant women receiving prenatal health services at a public and a private hospital in Nairobi, Kenya. Constructs from the Health Belief Model (HBM) guided the design, interpretation of the results, and recommendations. Data were analyzed using SPSS version 24. Bivariate analyses were conducted to examine associations between variables. There was a significant association (p=0.001) between knowledge and screening behaviors. There was no association (p=0.066) between cervical cancer beliefs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy) and screening behaviors. Knowledge and beliefs influence cervical cancer screening behavior. Low cervical cancer screening uptake substantiates the need for tailoring culturally specific health behavior change communication to address misconceptions about cervical cancer screening in Kenya.
为了描述在肯尼亚内罗毕，利用产前保健服务的 25-45 岁女性的宫颈癌筛查知识、信念、行为和社会人口学因素。采用便利抽样方法，选取在肯尼亚内罗毕的一家公立和一家私立医院接受产前保健服务的孕妇，进行描述性横断面设计。健康信念模型（HBM）的构建指导了设计、结果解释和建议。使用 SPSS 版本 24 进行数据分析。进行了双变量分析，以检查变量之间的关联。知识与筛查行为之间存在显著关联（p=0.001）。宫颈癌信念（感知易感性、感知严重性、感知益处、感知障碍和自我效能）与筛查行为之间无关联（p=0.066）。知识和信念影响宫颈癌筛查行为。宫颈癌筛查率低证实了需要针对肯尼亚的宫颈癌筛查的误解，制定具有文化针对性的健康行为改变沟通方式。
