Enhancing awareness of STIs and cervical cancer among husbands in an urban slum of Mumbai, India: a comparative study focusing on General, OBC and SC/ST/NT population
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20175842Keywords:
Awareness, Cervical cancer, Intervention strategyAbstract
Background: Globally, cervical cancer is one of the most common cancers among women, 80 percent of cervical cancer cases present with an advanced stage of the disease when cure is impossible. This may be due to lack of awareness and knowledge, and lack of access to proper treatment including screening facility. Involvement of husband for understanding and supporting the wife may be more effective in reproductive health related matters.
Methods: An intervention study was undertaken in an urban slum of Mumbai with the objectives to investigate the awareness, knowledge and perceptions about STIs and cervical cancer and to identify programme strategies contributing to effective participation of husbands in three different categories. Baseline data was obtained from 1020 married men followed by interventions for 18 months and endline data was collected from 1013 married men to evaluate the impact of intervention. Descriptive statistics and Chi-square test was used for data analysis.
Results: The results indicate significant increase in awareness about STIs, cervical cancer and Pap smear with low awareness about symptoms, abnormal discharge from vagina and abnormal vaginal bleeding in all the three groups.
Conclusions: Study concludes that intervention strategy adopted at community as well as clinic level can play better role as a source of information of STIs and cervical cancer. Similar changes observed in all three categories suggest, programmes need to focus on general population rather than specific categories in a metropolitan city like Mumbai as population in urban slums of Mumbai is ethnically mixed in nature.
References
World Health Organization. Human papilloma virus (HPV) and cervical cancer. World Health Organization Fact sheet. 2013:380. Available at http://www.who.int/mediacentre/factsheets/fs380/en/
GLOBOCAN. Cancer incidence, mortality and prevalence worldwide. 2008; Available at: http://globocan.iarc.fr/factsheet.asp. Accessed on 21/01/2017.
ICO Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in India. Summary Report. 2016; Available at http://www.hpvcentre.net/statistics/reports/IND.pdf. Accessed on 21/01/2017.
Williams MS, Amoateng P. Knowledge and beliefs about cervical cancer screening among men in Kumasi, Ghana. Ghana Med J. 2012;46(3):147-51.
McPartland TS, Weaver BA, Lee SK, Koutsky LA. Men’s perceptions and knowledge of human papillomavirus (HPV) infection and cervical cancer. J Am Coll Health. 2005;53(5):225-30.
Trevino M, Jandorf L, Bursac Z, Erwin DO. Cancer screening behaviors among Latina women: the role of the Latino male. J Community Health. 2012;37(3):694-700.
Naik DD, Donta B, Iddya U, Nair S. Awareness of sexually transmitted infections and cervical cancer among husbands in urban slums of Mumbai, India. Int J Community Med Public Health. 2017;4:3261-6.
O’Malley DM, Munkarah AR, Morris RT, Deppe G, Malone JM, Gray N. Reasons for failure to seek cervical cancer screening in non-indigent population. Abstrat 835. In37th Annual Meeting of The American Society of Clinical Oncology. May 2001:12-15.
Mali BN, Hazari KT, Joshi JV. Benefits of the conventional papanicolaou smear. Acta Cyto. 2004;48:466-7.
Eaker S, Adami HO, Sparen P. Attitudes to screening for cervical cancer: a population-based study in Sweden. Cancer Causes Control. 2001;12:519-28.
Agurto I, Sandoval J, De La Rosa M, Guardado ME. Improving cervical cancer prevention in a developing country. International Journal of Quality Health Care. 2006;18(2):81-6.
Wright TC, Blumenthal P, Bradley J, Denny L, Esmy PO, Jayant K et al. Cervical cancer prevention for all the world's women: new approaches offer opportunities and promise. Diagnostic Cytopathol. 2007;35(12):845-8.
Airhihenbuwa CaO T. Toward evidence-based and culturally appropriate models for reducing global health disparities: An Africanist perspective. In: Wallace BC, editor. Toward equity in health: A new global approach to health disparities. New York: Springer Publications. 2008.
Ministry of Health and Family Welfare (MOHFW). Reproductive and child health programme: Schemes for implementation. Department of Family Welfare, New Delhi.1997.
Rejoice PR, Ravishankar AK. A cross-sectional study of knowledge, perceptions and misconceptions about RTIs, STIs and HIV/AIDS among young married rural women in Tamilnadu State, India. World Appl Sci J. 2014;31(1):84-90.
Radhakrishnan T, Saravana A, Babu PK. Awareness of RTI/STI and HIV/AIDS among women in Kerala: A district level analysis based on DLHS-4. IJCMPH. 2017; 4(6):2124-31.
Nanda S and Tripathy M. Reproductive morbidity, treatment seeking behaviour and fertility: a study of scheduled caste and tribe women. J Hum Ecol. 2005;18(1):77-83.
Saslow D, Solomon D, Lawson HW, Killackey M, Kulasingam SL, Cain J, Garcia FA, et al. American cancer society, American society for colposcopy and cervical pathology and American society for clinical pathology screening guidelines for the prevention and early detection of cervical cancer. CA Cancer J Clin. 2012;62:147-72.
Basu P, Sarkar S, Mukherjee S, Ghoshal M, Mittal S, Biswas S, et al. Women’s perceptions and social barriers determine compliance to cervical screening: results from a population based study in India. Cancer Detect Prev. 2006;30:369-74.
Nene B, Jayant K, Arrossi S, Shastri S, Budukh A, Hingmire S et al. Determinants of women’s participation in cervical cancer screening trial, Maharashtra, India. Bull World Health Organization. 2007;85:264-72.
Ramachandrappa S. Schedule caste women and family planning in Karnataka-A critical analysis. Int J Humanities Soc Sci Invent. 2012;1(1):45-49.
Naik E, Karpur A, Taylor R, Ramaswami B, Ramachandra S, Balasubramaniam B, et al. Rural Indian tribal communities: an emerging high-risk group for HIV/AIDS. BMC Int Health Hum Rights. 2005;5:1.
World Vision. An exploratory study of sexual networking patterns of tribals, Navapur, Maharashtra. 1997;13.
Tapase P, Naik DD, Iddya U, Donta B. Knowledge, perceptions and practices of reproductive health issues among SC/ST/Minorities and Hindus in slum Areas of Mumbai. Asian J Multidiscipl Studies. 2016;4(13):85-92.
Amooti-Kaguna B, Nuwaha F. Factors influencing choice of delivery sites in Rakai district of Uganda. Soc Sci Med. 2000;50(2):203-13.
Blanc AK. The effect of power in sexual relationships on sexual and reproductive health: an examination of the evidence. Studies Fam Plann. 2001;32(3):189-213.
Farquhar C, Kiarie JN, Richardson BA, Kabura MN, John FN, Nduati RW, et al. Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission. J Acquir Immune Defic Syndr. 2004;37(5):1620-6.
International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS- 3). Mumbai: IIPS, India, 2007. 2005-06;1.
Bingham A, Bishop A, Coffey P. Factors affecting utilization of cervical cancer prevention services. Salud Publica Mex. 2013;45:408-16.
Wright KO, Kuyinu YA, Faduyile FA. Community education on cervical cancer amongst market women in an urban area of Lagos, Nigeria. Asian Pacific J Cancer Prev. 2010;11:137-40.
Naik DD, Donta B, Nair S. Enhancing awareness of STIs and cervical cancer among women in an urban slum of Mumbai: A comparative study focusing on General, OBC and SC/ST Population. Asian J Multidiscip Studies. 2016;4(10):29-35.
Roy B, Tang TS. Cervical cancer screening in Kolkata, India: beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. J Cancer Edn. 2008;23:253-9.
Joy T, Sathian B, Bhattarai C, Chacko J. Awareness of cervix cancer risk factors in educated youth: a cross-sectional, questionnaire based survey in India, Nepal, and Sri Lanka. Asian Pac J Cancer Prev. 2011;12:1707-12.
Saha A, Chaudhury AN, Bhowmik P, Chatterjee R. Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pac J Cancer Prev. 2010;11:1085-90.
Rahangdale L. Pap tests every 3-5 years what happens to the annual examination? Obstet Gynecol. 2012;120:9.