Ebu Enyan Nancy Innocentia, Raouna Aigli, King-Okoye Michelle, Ken-Amoah Sebastian, Akakpo Patrick Kafui, Doi Lawrence, Obiri-Yeboah Dorcas
Department of Public Health Nursing, University of Cape Coast, Cape Coast, Ghana
Department of Clinical Psychology, The University of Edinburgh, Edinburgh, UK.
BMJ Open. 2024 Dec 23;14(12):e080416. doi: 10.1136/bmjopen-2023-080416.
Cervical cancer (CC) is a preventable noncommunicable disease if detected early through screening for precancers and appropriately managed. The causal link with high-risk human papillomavirus infection is established, making elimination possible through the WHO multipronged 90:70:90 strategy. However, practical CC elimination efforts need to address issues within the sociocultural context that can facilitate or hinder prevention strategies. In this regard, the role of men in promoting reproductive health, especially in Africa, cannot be overemphasised.
This systematic review examined the extent of involvement of men in CC prevention in Africa and its impact on the WHO CC elimination strategy.
A comprehensive search for relevant literature was conducted from 2008 to 2023 in the following electronic databases: Embase, Medline, Global Health, APA PsycINFO, Scopus, Web of Science, CINAHL Plus and the WHO website. Eligible studies explored the views of n=592 men. Screening of abstracts and titles, data extraction and quality assessment were performed in duplicate. A narrative synthesis was performed, as developed by the Economic and Social Research Council Methods Programme, to synthesise the qualitative data.
Out of the 1961 studies identified through the electronic database search, 16 met all inclusion criteria. This review revealed varying levels of awareness of CC among men; while some had little to no knowledge, others demonstrated a comprehensive understanding. Gaps in knowledge and perception of CC were evident across studies. Both individual and systemic challenges shaped the perspectives of men on screening as a preventive measure, resulting in a range of attitudes and concerns regarding human papillomavirus vaccination. Though male participation in CC prevention was generally low, it was noted that males were willing to play an active role in CC screening and vaccination by supporting the process. Men believed that aggressive education and awareness creation among men were required.
This review highlights the need for targeted interventions to improve awareness, knowledge and perception of CC among men. Such efforts are essential to help men recognise their crucial role in supporting CC elimination within the African context.
The review protocol was registered on 26 June 2023 in PROSPERO with registration number CRD42023437100.
宫颈癌（CC）是一种可预防的非传染性疾病，前提是通过筛查癌前病变并进行适当管理，能在早期发现。与高危型人乳头瘤病毒感染的因果关系已确立，这使得通过世界卫生组织的90:70:90多管齐下战略实现消除成为可能。然而，实际的宫颈癌消除工作需要解决社会文化背景中可能促进或阻碍预防战略的问题。在这方面，男性在促进生殖健康方面的作用，尤其是在非洲，再怎么强调也不为过。
本系统评价考察了非洲男性参与宫颈癌预防的程度及其对世界卫生组织宫颈癌消除战略的影响。
2008年至2023年期间，在以下电子数据库中全面检索相关文献：Embase、Medline、Global Health、APA PsycINFO、Scopus、Web of Science、CINAHL Plus和世界卫生组织网站。符合条件的研究探讨了592名男性的观点。摘要和标题筛选、数据提取和质量评估均进行了重复操作。采用经济和社会研究委员会方法项目制定的叙述性综合方法对定性数据进行综合。
通过电子数据库检索确定的1961项研究中，有16项符合所有纳入标准。本综述揭示了男性对宫颈癌的认知水平各不相同；一些人几乎一无所知，而另一些人则有全面的了解。各项研究中，对宫颈癌的知识和认知差距明显。个人和系统性挑战都影响了男性对筛查作为预防措施的看法，导致了对人乳头瘤病毒疫苗接种的一系列态度和担忧。尽管男性参与宫颈癌预防的程度普遍较低，但值得注意的是，男性愿意通过支持这一过程在宫颈癌筛查和疫苗接种中发挥积极作用。男性认为需要对男性进行积极的教育和提高认识。
本综述强调需要有针对性的干预措施，以提高男性对宫颈癌的认识、知识和认知。这些努力对于帮助男性认识到他们在非洲支持消除宫颈癌方面的关键作用至关重要。
PROSPERO注册号：该综述方案于2023年6月26日在PROSPERO注册，注册号为CRD42023437100。
