Perception and Knowledge of Cancer and Cancer Screening among Staff of Military Hospital Lagos

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DOI: 10.21522/TIJPH.2013.10.01.Art003

Authors : Abiola Ajoke Odeleye Oladiran, Ilesanmi Oluwafemi Temitayo, Caleb Aderemi Adegbenro, Akinyemi Patrick Ayodele

Abstract:

Perception and knowledge of cancer remain poor in developing countries. Problems associated with cancer incidence include late reporting due to fear, ignorance and financial constrains relating to cancer screening. This study sought to determine the perception and knowledge of cancer among health workers in Lagos. Method: A mixed-method study design comprising a qualitative study (Focus Group Discussions and In-depth Interview) and a quantitative study was employed to collect information from the staff of Military Hospital Lagos, southwest Nigeria. 30 Participants for the qualitative study were purposely recruited, while 200 participants for the quantitative study were selected using the proportional probability sampling technique after approval was received from the management of the hospital. Qualitative data was recorded using a recorder, transcribed verbatim, and analyzed thematically. Quantitative data was analyzed using SPSS 25.0 software at 95% CI, alpha set at 5%. Findings: The majority were women, 16(64.0%), with only 8(27%) of them under health insurance, with a minimum qualification of secondary school certificate, and mostly health attendants in the group discussion, while those in the interview group were all health professionals. The quantitative study revealed more males 106(53.0%), 73(36.5%) between 20-30 years, with 114(57.0%) married, over half, 122(61.0%) possessed a college degree, average income being >50-100 thousand naira monthly, 132(66.0%) respondents had health insurance. All cited fear and death sentence on hearing “cancer”, most had limited knowledge about cancer screening, only 5(2.5%) had any screening in the last 6 months.

References:

[1] Globocan 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012 v1.0. IARC CancerBase No. 11. ISBN-13, 978-92-832-2447-1.

[2] Harcourt N, Ghebre RG, Whembolua GL, Zhang Y, Osman SW, & Okuyemi KS. (2014). Factors associated with breast and cervical cancer screening behavior among African immigrant women in Minnesota. Journal of immigrant and minority health, 16(3), 450-456.

[3] Tapera O, Nyakabau A, Simango N, Guzha B, Jombo-Nyakuwa S, Takawira E, Mapanga A, Makosa D, & Madzima B. (2021). Gaps and opportunities for cervical cancer prevention, diagnosis, treatment, and care: evidence from midterm review of the Zimbabwe cervical Cancer prevention and control strategy (2016–2020). BMC Public Health. 21. 10.1186/s12889-021-11532-y.

[4] Silvera, S. A. N., Bandera, E. V., Jones, B. A., Kaplan, A. M., & Demisse, K. (2020). Knowledge of, and beliefs about, access to screening facilities and cervical cancer screening behaviors among low-income women in New Jersey. Cancer Causes & Control, 31(1), 43-49.

[5] Logan L. & Mcilfatrick S. (2011). Exploring women's knowledge, experiences, and perceptions of cervical cancer screening in an area of social deprivation. European Journal of Cancer Care20, 720–727. doi.org/10.1111/j.1365-2354.2011.01254. x.

[6] Sheeran P, Harris PR, Epton T. (2014). Does a heightening risk appraisal change people’s intentions and behavior? A meta-analysis of experimental studies. Psychological bulletin, 140(2), 511–543. https://doi.org/10.1037/a0033065.

[7] Adetona AE, Osungbade KO, Akinyemi OO, Obembe TA (2021). Uptake of Breast Screening Among Female Staff at A Tertiary Health Institution in South-West Nigeria. Journal of Preventive Medicine and Care - 3(2):17-30. Doi 10.14302/issn.2474-3585.jpmc-20-3557.

[8] Keah MM, Kombe Y, & Ngure K. (2020). Factors Influencing the Uptake of Cervical Cancer Screening among Female Doctors and Nurses in Kenyatta National Hospital. Journal of Cancer and Tumor International, 10(3), 31-38. https://doi.org/10.9734/jcti/2020/v10i330131.

[9] Odenusi AO, Oladoyin VO, Asuzu MC (2020). Uptake of cervical cancer screening services and its determinants between health and non-health workers in Ibadan, south-Western Nigeria. Afr. J. Med. Med. Sci. (4) 49, 573-5.

[10] Bukowska-Durawa A, & Luszczynska A. (2014). Cervical cancer screening and psychosocial barriers perceived by patients. A systematic review. Contemporary oncology (Poznan, Poland), 18(3), 153–159. https://doi.org/10.5114/wo.2014.43158.

[11] Bradley DT, Treanor C, McMullan C, et al. Reasons for non-participation in the Northern Ireland Bowel Cancer Screening Programme: a qualitative study. BMJ Open 2015;5: e008266. doi:10.1136/ bmjopen-2015-008266.

[12] Marlow LAV, Waller J, & Wardle J. (2015). Barriers to cervical cancer screening among ethnic minority women: a qualitative study. The journal of family planning and reproductive health care, 41(4), 248–254. https://doi.org/10.1136/jfprhc-2014-101082.

[13] Marlow LAV, Wardle J & Waller J. (2015). Understanding cervical screening non-attendance among ethnic minority women in England. Br J Cancer 2015;113(5):833–839. Doi:10.1038/bjc.2015.248.

[14] Chorley AJ, Marlow LAV, Forster AS, Haddrell JB & Waller J. (2016). Experiences of cervical screening and barriers to participation in the context of an organized program: a systematic review and thematic synthesis. Psycho-Oncology 26: 161–172. Doi: 10.1002/pon.4126.

[15] Wright KO, Faseru B, Kuyinu YA, Faduyile FA. (2011). Awareness and uptake of the Pap smear among market women in Lagos, Nigeria. J Public Health Afr; 2(e14): 58-62. https://doi.org/10.4081/jphia.2011.e14.

[16] Vrinten C, McGregor LM, Heinrich M, von Wagner C, Waller J, Wardle J, Black GB. (2017). What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population. Psycho-oncology 26(8):1070-1079. doi: 10.1002/pon.4287.

[17] Vrinten C, Waller J, von Wagner C, Wardle J. (2015). Cancer fear: facilitator and deterrent to participation in colorectal cancer screening. Cancer Epidemiol Biomarkers Prev; 24(2):400-5. doi: 10.1158/1055-9965.EPI-14-0967.

[18] Licqurish S, Phillipson L, Chiang P, Walker J, Walter F & Emery J. (2017). Cancer beliefs in ethnic minority populations: a review and meta-synthesis of qualitative studies. European journal of cancer care, 26(1), 10.1111/ecc.12556. https://doi.org/10.1111/ecc.12556.


[19] Dim CC, Ekwe E, Madubuko T, Dim NR, Ezegwui HU. (2009). Improved awareness of Pap smear may not affect its use in Nigeria: a case study of female medical practitioners in Enugu, southeastern Nigeria. Trans R Soc Trop Med Hyg. 103(8): 852-854.

[20] Dim C C. (2012). Towards improving cervical cancer screening in Nigeria: A review of the basics of cervical neoplasm and cytology. Niger J Clin Pract 15:247-52.

https://www.njcponline.com/text.asp?2012/15/3/247/100615.

[21] Dim CC, Nwagha UI, Ezegwui HU & Dim NR. (2009). The need to incorporate routine cervical cancer counseling and screening in the management of women at the outpatient clinics in Nigeria, Journal of Obstetrics and Gynaecology; 29:8, 754-756, Doi: 10.3109/01443610903225323.

[22] Jensen LA, Allen MN. (1996). Meta-synthesis of qualitative findings. Qual Health Res;6 (4):553–560. Doi:10.1177/10497323960060 040.

[23] Dharni N, Armstrong D, Chung-Faye G, & Wright AJ (2017). Factors influencing participation in colorectal cancer screening - a qualitative study in an ethnic and socio-economically diverse inner-city population. Health expectations: an international journal of public participation in health care and health policy, 20(4), 608–617. https://doi.org/10.1111/hex.12489.

[24] Hewitson P, Ward AM, Heneghan C, Halloran SP & Mant D. (2011). Primary care endorsement letter and a patient leaflet to improve participation in colorectal cancer screening: results of a factorial randomized trial. British journal of cancer, 105(4), 475–480. https://doi.org/10.1038/bjc.2011.255.