Owoeye Gani Olugbenga, Nwaogwugwu Joy Chinyere, Ehinze Ewere Scholastica
Department of Obstetrics and Gynecology, Lagos State Health Service Commission, Lagos Island, Lagos.
Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Idi-Araba Lagos. 3Department of Community Health & Primary Care, College of Medicine, University of Lagos.
Niger Med J. 2022 Sep 12;63(3):236-247. eCollection 2022 May-Jun.
In Nigeria, inadequate regular screening services for cervical cancer as well as poor uptake of available cervical cancer screening modalities continue to challenge cervical cancer prevention. This study seeks to assess the knowledge, attitude and practices of cervical cancer screening among female secondary school teachers whose effective role in the communication and motivation of young students have been largely documented in literature.
This was a descriptive cross-sectional study conducted among 273 female teachers in Oshodi-Isolo Local Government Area of Lagos State selected by the multi-stage sampling method. Data was collected using self-administered questionnaire and analyzed using Epi info 7.2 statistical software. The Chi-square tests was used to determine statistical associations. A p-value of <0.05 was considered statistically significant.
The mean age of the respondents was 39.7 ± 8.6. Respondents were mostly married 219(80.2%) in monogamous family setting 175(64.1%). Majority 224(80.2%) had an overall poor knowledge of cervical cancer and only 73(26.7%) could correctly link HPV as a cause of cervical cancer. Multiple sexual partners 52(19.1%), and early sexual onset 45(16.5%) were the commonest risk factors known by respondents. Although majority had a positive attitude 249(91.2%) towards cervical cancer screening, overall practice was however majorly poor 246(90.1%).
Our result demonstrates an overwhelming majority of female teachers had poor knowledge and poor cervical cancer screening practices. This highlights the need for effective dissemination of information on cervical cancer and screening to teachers to foster effective transmission of accurate information about cervical cancer to young students.
在尼日利亚，宫颈癌定期筛查服务不足以及现有宫颈癌筛查方式的接受度较低，仍然是宫颈癌预防面临的挑战。本研究旨在评估女中学教师对宫颈癌筛查的知识、态度和实践情况，其在与年轻学生沟通和激励方面的有效作用在文献中已有大量记载。
这是一项描述性横断面研究，采用多阶段抽样方法，在拉各斯州奥肖迪 - 伊索洛地方政府辖区的273名女教师中进行。使用自填式问卷收集数据，并使用Epi info 7.2统计软件进行分析。采用卡方检验确定统计关联。p值<0.05被认为具有统计学意义。
受访者的平均年龄为39.7±8.6岁。大多数受访者已婚，有219人（80.2%），处于一夫一妻制家庭环境的有175人（64.1%）。大多数人（224人，80.2%）对宫颈癌的总体了解较差，只有73人（26.7%）能够正确将人乳头瘤病毒（HPV）与宫颈癌病因联系起来。多个性伴侣（52人，19.1%）和过早开始性行为（45人，16.5%）是受访者所知的最常见危险因素。尽管大多数人（249人，91.2%）对宫颈癌筛查持积极态度，但总体实践情况却很差，有246人（90.1%）。
我们的结果表明，绝大多数女教师对宫颈癌的知识了解不足，宫颈癌筛查实践也较差。这凸显了有必要向教师有效传播有关宫颈癌和筛查的信息，以促进向年轻学生准确传播关于宫颈癌的信息。
