Effect of Health Education on Cervical Cancer Screening Uptake and Knowledge among Target Women in Addis Ababa: A Randomized Controlled Trial.
Gespeichert in:
| Titel: | Effect of Health Education on Cervical Cancer Screening Uptake and Knowledge among Target Women in Addis Ababa: A Randomized Controlled Trial. |
|---|---|
| Autoren: | Mohammed E; Department of Reproductive, Family and Population Health, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.; Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia., Taye G; Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia., Assefa M; Department of Oncology, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia., Adamu Addissie; Department of Epidemiology and Biostatistics, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia., Jemal A; Surveillance & Health Equity Science, American Cancer Society, Atlanta, Georgia. |
| Quelle: | Cancer prevention research (Philadelphia, Pa.) [Cancer Prev Res (Phila)] 2025 Dec 02; Vol. 18 (12), pp. 769-779. |
| Publikationsart: | Journal Article; Randomized Controlled Trial |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: American Association for Cancer Research Country of Publication: United States NLM ID: 101479409 Publication Model: Print Cited Medium: Internet ISSN: 1940-6215 (Electronic) Linking ISSN: 19406215 NLM ISO Abbreviation: Cancer Prev Res (Phila) Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Philadelphia, PA : American Association for Cancer Research |
| MeSH-Schlagworte: | Uterine Cervical Neoplasms*/diagnosis , Uterine Cervical Neoplasms*/prevention & control , Uterine Cervical Neoplasms*/epidemiology , Early Detection of Cancer*/statistics & numerical data , Early Detection of Cancer*/psychology , Health Knowledge, Attitudes, Practice* , Health Education*/methods , Patient Acceptance of Health Care*/statistics & numerical data, Humans ; Female ; Adult ; Middle Aged ; Ethiopia/epidemiology ; Follow-Up Studies |
| Abstract: | Health education can improve cervical cancer screening uptake; however, evidence from randomized controlled trials in the general population of Addis Ababa is limited. The aim of this study is to assess the effect of health education on screening uptake and knowledge among women aged 30 to 49 years in Addis Ababa, Ethiopia. A randomized controlled trial was conducted involving 1,300 women who had never been screened before. The intervention group received home-based health education about cervical cancer, supplemented by brochures. The χ2 test, independent sample t test, and paired t tests were used to assess pre- and pos-tintervention differences. The impact of the intervention was measured using the differences-in-differences approach. Three months after the intervention, 1,154 (88.8%) were interviewed. Screening uptake was significantly higher in the intervention group, with 241 (41.8%) of women screened compared with 93 (16.1%) in the control group. After the intervention, awareness increased by 42.2%, knowledge of symptoms increased by 23.1%, knowledge of risk factors increased by 15.2%, positive attitudes improved by 26.7%, and overall knowledge increased by 19.5% among the intervention group, indicating that the change is statistically significant. The differences-in-differences analysis indicated that 51% of the change in overall knowledge was due to the intervention. Age, occupation, and income were significantly associated with the uptake of screening, whereas the lack of time was a common barrier. Structured home-based education significantly increases cervical cancer knowledge and screening uptake. Scaling up home-based health education can significantly improve screening uptake. Prevention Relevance: Cervical cancer is the second leading cause of cancer-related morbidity and mortality among women in Ethiopia. Increasing awareness, improving access to screening, and promoting timely preventive interventions are critical to reducing the disease burden and increases life saving among women. (©2025 The Authors; Published by the American Association for Cancer Research.) |
| References: | BMC Public Health. 2014 Aug 07;14:814. (PMID: 25103189) PLoS One. 2020 Sep 18;15(9):e0238869. (PMID: 32946461) Int J Gynecol Cancer. 2020 Apr;30(4):426-427. (PMID: 32122950) BMC Womens Health. 2021 Jan 28;21(1):41. (PMID: 33509175) Front Oncol. 2024 Oct 23;14:1424810. (PMID: 39507761) Sci Rep. 2024 May 31;14(1):12557. (PMID: 38822038) Ann Fam Med. 2004 May-Jun;2(3):204-8. (PMID: 15209195) Cancer Epidemiol Biomarkers Prev. 2025 May 2;34(5):691-697. (PMID: 40036054) BMC Womens Health. 2017 Jun 9;17(1):41. (PMID: 28599635) PLoS One. 2020 Oct 7;15(10):e0239580. (PMID: 33027267) Int J Gynaecol Obstet. 2021 Oct;155 Suppl 1:102-106. (PMID: 34669201) Front Oncol. 2023 Oct 27;13:1249151. (PMID: 37965474) PLoS One. 2019 May 10;14(5):e0216522. (PMID: 31075122) Trials. 2022 Oct 1;23(1):834. (PMID: 36182909) BMJ Public Health. 2024 Oct 22;2(2):e001511. (PMID: 40018583) Innov Aging. 2019 Sep 04;3(4):igz036. (PMID: 31528719) BMC Public Health. 2019 Nov 11;19(1):1505. (PMID: 31711469) PLoS One. 2020 Dec 3;15(12):e0243281. (PMID: 33270792) Front Public Health. 2021 Jul 01;9:670032. (PMID: 34277540) Front Oncol. 2025 Apr 02;15:1456804. (PMID: 40242249) Cancer Manag Res. 2020 Dec 03;12:12429-12437. (PMID: 33299351) Public Health. 2021 Jun;195:105-111. (PMID: 34082174) Int J Gynecol Cancer. 2023 Apr 3;33(4):592-597. (PMID: 36368710) |
| Entry Date(s): | Date Created: 20250829 Date Completed: 20251202 Latest Revision: 20251204 |
| Update Code: | 20251204 |
| PubMed Central ID: | PMC12670070 |
| DOI: | 10.1158/1940-6207.CAPR-25-0188 |
| PMID: | 40878788 |
| Datenbank: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Health education can improve cervical cancer screening uptake; however, evidence from randomized controlled trials in the general population of Addis Ababa is limited. The aim of this study is to assess the effect of health education on screening uptake and knowledge among women aged 30 to 49 years in Addis Ababa, Ethiopia. A randomized controlled trial was conducted involving 1,300 women who had never been screened before. The intervention group received home-based health education about cervical cancer, supplemented by brochures. The χ2 test, independent sample t test, and paired t tests were used to assess pre- and pos-tintervention differences. The impact of the intervention was measured using the differences-in-differences approach. Three months after the intervention, 1,154 (88.8%) were interviewed. Screening uptake was significantly higher in the intervention group, with 241 (41.8%) of women screened compared with 93 (16.1%) in the control group. After the intervention, awareness increased by 42.2%, knowledge of symptoms increased by 23.1%, knowledge of risk factors increased by 15.2%, positive attitudes improved by 26.7%, and overall knowledge increased by 19.5% among the intervention group, indicating that the change is statistically significant. The differences-in-differences analysis indicated that 51% of the change in overall knowledge was due to the intervention. Age, occupation, and income were significantly associated with the uptake of screening, whereas the lack of time was a common barrier. Structured home-based education significantly increases cervical cancer knowledge and screening uptake. Scaling up home-based health education can significantly improve screening uptake.<br />Prevention Relevance: Cervical cancer is the second leading cause of cancer-related morbidity and mortality among women in Ethiopia. Increasing awareness, improving access to screening, and promoting timely preventive interventions are critical to reducing the disease burden and increases life saving among women.<br /> (©2025 The Authors; Published by the American Association for Cancer Research.) |
|---|---|
| ISSN: | 1940-6215 |
| DOI: | 10.1158/1940-6207.CAPR-25-0188 |