Awareness and knowledge regarding cervical cancer and screening practices among women attending a tertiary care center in Bhavnagar, Gujarat: a prospective observational study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20262095Keywords:
Awareness, Cervical cancer, Pap smear, Screening, Women’s healthAbstract
Background: Cervical cancer remains one of the leading causes of cancer-related mortality among women in developing countries, particularly in India. Despite being preventable through effective screening methods like the Pap smear, lack of awareness leads to late-stage presentation and poor outcomes. Objective was to assess the awareness and knowledge of cervical cancer and its screening methods among women attending a tertiary care center.
Methods: This prospective observational study was conducted among 100 women aged 30-60 years attending Gopinath Maternity Home and Sir T. Hospital, Bhavnagar. From January 2025 to March 2025, data were collected using a structured questionnaire assessing socio-demographic variables and knowledge regarding cervical cancer and screening.
Results: The majority of participants were in the 36-40 years age group and were married. Most women had limited knowledge regarding symptoms, risk factors, and screening methods. Only a small proportion correctly identified Pap smear as a screening tool and understood its significance.
Conclusions: Awareness regarding cervical cancer and its screening remains inadequate. There is a need for targeted educational programs to improve knowledge and promote early detection practices.
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References
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide. Int J Cancer. 2015;136:E359-86. DOI: https://doi.org/10.1002/ijc.29210
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018. CA Cancer J Clin. 2018;68:394-424. DOI: https://doi.org/10.3322/caac.21492
ICO Information Centre on HPV and Cancer. Human papillomavirus and related diseases report. Available from: https://hpvcentre.net/statistics/reports/IND.pdf. Accessed on 22 February 2026.
Saslow D, Solomon D, Lawson HW, Killackey M, Kulasingam SL, Cain J, et al. Cervical cancer screening guidelines. CA Cancer J Clin. 2012;62:147-72. DOI: https://doi.org/10.3322/caac.21139
Bal MS, Goyal R, Suri AK, Mohi MK. Detection of abnormal cervical cytology. J Cytol. 2012;29:45-7. DOI: https://doi.org/10.4103/0970-9371.93222
Patel MM, Pandya AN, Modi J. Pap smear study in cancer screening. Nat J Community Med. 2011;2:49-51.
Gupta K, Malik NP, Sharma VK, Verma N, Gupta A, Sharma R, et al. Prevalence of cervical dysplasia. J Cytol. 2013;30:257-62. DOI: https://doi.org/10.4103/0970-9371.126659
Ansari M, Mehdi G, Arif SH, Ansari H, Khan T, Smail M, et al. Cervical epithelial lesions study. Diagn Cytopathol. 2012;40:976-83. DOI: https://doi.org/10.1002/dc.21708
Sankaranarayanan R, Nene BM, Shastri SS, Jayant K, Muwonge R, Budukh AM, et al. HPV screening in India. N Engl J Med. 2009;360:1385-94. DOI: https://doi.org/10.1056/NEJMoa0808516
Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality. Lancet Glob Health. 2020;8:e191-203. DOI: https://doi.org/10.1016/S2214-109X(19)30482-6
World Health Organization. Cervical cancer. Geneva: World Health Organization; 2024.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. DOI: https://doi.org/10.3322/caac.21660
Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, et al. Human papillomavirus and related diseases in India. ICO/IARC Information Centre on HPV and Cancer; 2023.
Basu P, Mittal S, Banerjee D, Singh P, Panda C, Dutta S, et al. Diagnostic accuracy of VIA and cytology in cervical cancer screening among Indian women. Int J Cancer. 2019;145(5):1273-81.
Bhatla N, Aoki D, Sharma DN, Sankaranarayanan R. Cancer of the cervix uteri: 2021 update. Int J Gynecol Obstet. 2021;155(Suppl 1):28-44. DOI: https://doi.org/10.1002/ijgo.13865
Arbyn M, Smith SB, Temin S, Sultana F, Castle P. Detecting cervical precancer and reaching underscreened women by using HPV testing on self-samples: updated meta-analyses. BMJ. 2018;363:k4823. DOI: https://doi.org/10.1136/bmj.k4823
Gupta S, Palmer C, Bik EM, Cardenas JP, Nuñez H, Kraal L, et al. Self-sampling for HPV testing: increased cervical cancer screening participation and incorporation in international screening programs. Front Public Health. 2018;6:77. DOI: https://doi.org/10.3389/fpubh.2018.00077
Mishra GA, Pimple SA, Shastri SS. Prevention of cervical cancer in India. Oncology. 2016;91(Suppl 1):1-7. DOI: https://doi.org/10.1159/000447575
Singh E, Seth S, Rani V, Srivastava DK. Awareness of cervical cancer screening among women in a rural population of India. Int J Community Med Public Health. 2017;4(6):2003-7.
Dhendup T, Tshering P. Cervical cancer knowledge and screening behaviors among female university graduates of Bhutan. BMC Womens Health. 2014;14:44. DOI: https://doi.org/10.1186/1472-6874-14-44
Gakidou E, Nordhagen S, Obermeyer Z. Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities. PLoS Med. 2008;5(6):e132. DOI: https://doi.org/10.1371/journal.pmed.0050132
Perkins RB, Guido RS, Castle PE, Chelmow D, Einstein MH, Garcia F, et al. 2019 ASCCP risk-based management consensus guidelines. J Low Genit Tract Dis. 2020;24(2):102-31. DOI: https://doi.org/10.1097/LGT.0000000000000525
Canfell K, Kim JJ, Brisson M, Keane A, Simms KT, Caruana M, et al. Mortality impact of achieving WHO cervical cancer elimination targets. Lancet. 2020;395(10224):591-603. DOI: https://doi.org/10.1016/S0140-6736(20)30157-4
Schiffman M, Castle PE, Jeronimo J, Rodriguez AC, Wacholder S. Human papillomavirus and cervical cancer. Lancet. 2007;370(9590):890-907. DOI: https://doi.org/10.1016/S0140-6736(07)61416-0
Denny L, Herrero R, Levin C, Kim JJ. Cervical cancer. In: Disease Control Priorities. 3rd ed. Washington (DC): World Bank; 2015:69-84. DOI: https://doi.org/10.1596/978-1-4648-0349-9_ch4