Assessing the impact of cervical cancer education in two high schools in Ghana.

IF 3.4 2区 医学 Q2 ONCOLOGY BMC Cancer Pub Date : 2024-11-06 DOI:10.1186/s12885-024-13134-4
Florence Dedey, Josephine Nsaful, Edmund Nartey, Juliana Labi, Nii Armah Adu-Aryee, Christine Kuti, Joe-Nat Clegg-Lamptey
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Abstract

Background: Cervical cancer is one of the commonest female cancers in Ghana. However, it is preventable. Prevention through Human Papilloma Virus immunization and early detection by screening have their foundation in awareness and a good knowledge about the disease. Acquiring the right knowledge about cervical cancer should be earlier rather than later while mindsets are still being formed to translate into the right attitudes and behaviours later in life.

Methodology: An unpaired pre- and post-test quasi experimental study was conducted at two Ghanaian senior high schools. An educational intervention was carried out comprising a drama, PowerPoint lecture, question and answer session and cervical cancer information leaflet distribution. A self-administered questionnaire was given as a pre-test and repeated as a post-test after 3 months. The total score for each domain of knowledge tested was categorized into adequate knowledge (≥ 50%) and inadequate knowledge (< 50%).

Results: The number of participants in the pre- and post-test were 1,107 and 1,276 girls respectively, with average age of 16 years. General knowledge on cervical cancer improved to 94.4% from 73% following the intervention, but only 46.2% said cervical cancer was curable following the education. Knowledge on symptoms improved from 78 to 87.1% and risk factor knowledge improved from 81.8 to 89.3%. After the intervention, 37% from an initial 42% still thought that having sex at a young age (adolescence) was not a risk factor. Screening and prevention knowledge improved from 82.9 to 91% but only 37.2% knew the recommended age to begin screening with pap smears, even after the education. Overall knowledge on cervical cancer after the education significantly improved from 79.1 to 92.3%.

Conclusion: Knowledge of cervical cancer among young girls in two High Schools, improved with the educational intervention. Areas of education to be emphasized are: cervical cancer is curable if diagnosed early, increased risk with early onset of sexual activity, and recommended age to start screening. Educating young girls on cervical cancer increases their awareness and gives them adequate knowledge which should influence their attitudes and behaviour towards cervical cancer in the future. It should be considered for adoption into high school curricula.

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评估宫颈癌教育对加纳两所高中的影响。
背景:宫颈癌是加纳最常见的女性癌症之一:宫颈癌是加纳最常见的女性癌症之一。然而,宫颈癌是可以预防的。通过人乳头瘤病毒免疫接种和筛查早期发现来预防,其基础是对该疾病的认识和良好知识。正确了解宫颈癌知识的时机应早而不是晚,因为人们的观念仍在形成之中,并将转化为日后生活中的正确态度和行为:在加纳的两所高中开展了一项无配对前后测试的准实验研究。教育干预包括戏剧表演、PowerPoint 讲座、问答环节和宫颈癌宣传单的分发。自填问卷作为前测,3 个月后重复作为后测。每个测试知识领域的总分被分为充分了解(≥ 50%)和不充分了解(结果:参加前测和后测的女孩人数分别为 1 107 人和 1 276 人,平均年龄为 16 岁。干预后,宫颈癌常识知晓率从 73%提高到 94.4%,但只有 46.2%的人在教育后表示宫颈癌是可以治愈的。对症状的了解从 78% 提高到 87.1%,对风险因素的了解从 81.8% 提高到 89.3%。干预后,37%的人仍然认为年轻时(青春期)发生性行为不是风险因素,而最初的这一比例为 42%。筛查和预防知识从 82.9%提高到 91%,但只有 37.2%的人知道开始进行子宫颈抹片筛查的建议年龄,即使在教育之后也是如此。接受教育后,宫颈癌的总体知识水平从 79.1% 显著提高到 92.3%:结论:通过教育干预,两所高中女生对宫颈癌的认识有所提高。需要强调的教育领域包括:宫颈癌如果及早诊断是可以治愈的、过早开始性活动会增加患病风险,以及建议开始筛查的年龄。对少女进行宫颈癌教育,可以提高她们对宫颈癌的认识,使她们获得足够的知识,从而影响她们今后对宫颈癌的态度和行为。应考虑将其纳入高中课程。
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来源期刊
BMC Cancer
BMC Cancer 医学-肿瘤学
CiteScore
6.00
自引率
2.60%
发文量
1204
审稿时长
6.8 months
期刊介绍: BMC Cancer is an open access, peer-reviewed journal that considers articles on all aspects of cancer research, including the pathophysiology, prevention, diagnosis and treatment of cancers. The journal welcomes submissions concerning molecular and cellular biology, genetics, epidemiology, and clinical trials.
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