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Low level of knowledge about cervical cancer among Ethiopian women: a systematic review and meta-analysis
Infectious Agents and Cancer ( IF 3.7 ) Pub Date : 2021-02-10 , DOI: 10.1186/s13027-021-00350-x
Awoke Derbie , Daniel Mekonnen , Eyaya Misgan , Yihun Mulugeta Alemu , Yimtubezinash Woldeamanuel , Tamrat Abebe

Cervical cancer is one of the leading causes of malignancies among women in Ethiopia. Knowing the disease could empower women to make an informed decision regarding participation with cervical cancer prevention strategies. There is scarcity of compiled data in the field. Therefore, this systematic review aimed to provide an overview of knowledge about cervical cancer among Ethiopian women. We conducted a systematic review of peer-reviewed articles on the knowledge of cervical cancer. Articles were systematically searched using comprehensive search strings from PubMed/Medline, SCOPUS, and grey literature from Google Scholar. Two reviewers assessed study eligibility, extracted data, and the risk of bias independently. Meta-analysis was performed using STATA v 14 to pool the overall knowledge of the women about cervical cancer. We included 26 articles published between 2013 and 2020 covering a total of 14,549 participants. All the included articles had good methodological quality. The proportion of participants who had heard of cervical cancer varied from 4.6 to 87.7% with the pooled estimate at 56% (95% CI: 47–66). Similarly, the proportion of participants who knew that HPV is the main cause of cervical cancer lied between 0 and 49.7% with the pooled result at 21% (95% CI: 13–30). Likewise, the pooled prevalence to identify at least one risk factor, one symptom of cervical cancer and ever heard of cervical cancer screening was gauged at 52% (95% CI: 39–64), 43% (95% CI: 26–60), and 39% (95% CI: 24–55), respectively. The overall pooled prevalence of good knowledge about cervical cancer was at 43% (95% CI: 33–53). On top of this, the prevalence of previous screening practice among the participants was at 14% (95% CI: 9–20). Knowledge about cervical cancer among Ethiopian women is quite poor. Therefore, health education to provide sufficient and unbiased information about HPV and cervical cancer in general is required to the public.

中文翻译:

埃塞俄比亚妇女对宫颈癌的了解不足:系统评价和荟萃分析

宫颈癌是埃塞俄比亚妇女恶性肿瘤的主要原因之一。了解这种疾病可以使妇女有能力做出关于参与子宫颈癌预防策略的知情决定。该领域缺乏汇编数据。因此,本系统综述旨在概述埃塞俄比亚妇女中宫颈癌的知识。我们对宫颈癌知识的同行评审文章进行了系统的综述。使用PubMed / Medline,SCOPUS和Google Scholar的灰色文献中的综合搜索字符串系统地搜索文章。两名评论者独立评估了研究资格,提取的数据和偏倚风险。使用STATA v 14进行荟萃分析,以汇总女性对宫颈癌的总体了解。我们收录了2013年至2020年之间发表的26篇文章,涵盖了14,549名参与者。所有纳入的文章均具有良好的方法论质量。听说过宫颈癌的参与者比例从4.6到87.7%不等,汇总估计为56%(95%CI:47-66)。同样,知道HPV是宫颈癌的主要原因的参与者比例在0到49.7%之间,汇总结果为21%(95%CI:13-30)。同样,确定至少一种危险因素,一种宫颈癌症状以及曾经听说过宫颈癌筛查的合并患病率分别为52%(95%CI:39–64),43%(95%CI:26-60) )和39%(95%CI:24-55)。对子宫颈癌有充分了解的总体合并患病率为43%(95%CI:33-53)。最重要的是 参与者之前的筛查实践患病率为14%(95%CI:9-20)。埃塞俄比亚妇女对子宫颈癌的了解非常有限。因此,公众需要进行健康教育,以提供有关HPV和子宫颈癌的充分且公正的信息。
更新日期:2021-02-10
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