TY - JOUR
T1 - Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen among Women in Haiti
AU - McCarthy, Schatzi H.
AU - Walmer, Kathy A.
AU - Boggan, Joel C.
AU - Gichane, Margaret W.
AU - Calo, William A.
AU - Beauvais, Harry A.
AU - Brewer, Noel T.
N1 - Funding Information:
W.A.C. was supported by the National Cancer Institute-sponsored Cancer Care Quality Training Program (R25 CA116339). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute.
Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objectives Cervical cancer is the leading cause of cancer deaths among women in Haiti. Given this high disease burden, we sought to better understand women's knowledge of its causes and the sociodemographic and health correlates of cervical cancer screening. Materials and Methods Participants were 410 adult women presenting at clinics in Léogâne and Port-au-Prince, Haiti. We used bivariate and multivariate logic regression to identify correlates of Pap smear receipt. Results Only 29% of respondents had heard of human papillomavirus (HPV), whereas 98% were aware of cervical cancer. Of those aware of cervical cancer, 12% believed that sexually transmitted infections (STIs) cause it, and only 4% identified HPV infection as the cause. Women with a previous sexually transmitted infection were more likely to have had Pap smear (34% vs 71%, odds ratio = 3.45; 95% CI = 1.57-7.59). Screening was also more likely among women who were older than the age of 39 years, better educated, and employed (all p <.05). Almost all women (97%) were willing to undergo cervical cancer screening. Conclusions This sample of Haitian women had limited awareness of HPV and cervical cancer causes; but when provided with health information, they saw the benefits of cancer screening. Future initiatives should provide health education messages, with efforts targeting young and at-risk women.
AB - Objectives Cervical cancer is the leading cause of cancer deaths among women in Haiti. Given this high disease burden, we sought to better understand women's knowledge of its causes and the sociodemographic and health correlates of cervical cancer screening. Materials and Methods Participants were 410 adult women presenting at clinics in Léogâne and Port-au-Prince, Haiti. We used bivariate and multivariate logic regression to identify correlates of Pap smear receipt. Results Only 29% of respondents had heard of human papillomavirus (HPV), whereas 98% were aware of cervical cancer. Of those aware of cervical cancer, 12% believed that sexually transmitted infections (STIs) cause it, and only 4% identified HPV infection as the cause. Women with a previous sexually transmitted infection were more likely to have had Pap smear (34% vs 71%, odds ratio = 3.45; 95% CI = 1.57-7.59). Screening was also more likely among women who were older than the age of 39 years, better educated, and employed (all p <.05). Almost all women (97%) were willing to undergo cervical cancer screening. Conclusions This sample of Haitian women had limited awareness of HPV and cervical cancer causes; but when provided with health information, they saw the benefits of cancer screening. Future initiatives should provide health education messages, with efforts targeting young and at-risk women.
UR - http://www.scopus.com/inward/record.url?scp=85001064845&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85001064845&partnerID=8YFLogxK
U2 - 10.1097/LGT.0000000000000281
DO - 10.1097/LGT.0000000000000281
M3 - Article
C2 - 27906806
AN - SCOPUS:85001064845
VL - 21
SP - 37
EP - 41
JO - Journal of Lower Genital Tract Disease
JF - Journal of Lower Genital Tract Disease
SN - 1089-2591
IS - 1
ER -