Knowledge And Acceptability Of Cervical Cancer Screening Among Female Part-Time Students

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Abstract

Cancer  of  the  cervix  remains  the  most  common  malignant  neoplasm  of  the  female  genitalia  and  the  second  most  common  cancer  in  female  students.  Cervical  Cancers  screening  serves  to  detect  the  possibility  that  a  cancer  is  present.  The  main  objective  of  the  study  was  to  determine  the  knowledge  and  acceptability  of  Cervicals  Cancer  Screening  among  Female  Part-  Time  Students  in  University  of  Benin.  The  hypothesis  for  the  study  was:  there  is  no  relationship  between  knowledge  of  cervical  cancer  and  acceptability  of  cervical  cancer  screening.  Survey  research  design  was  used  in  the  study.  Simple  random  sampling  was  used  to  select  the  sample.  The  sample  consisted  of  200  Female  Part-  Time  Students  in  University  of  Benin.  Data  was  collected  using  questionnaire.  The  study  findings  revealed  that  slightly  above  half  more  than  half  of  (74%)  of  the  respondents  were  between  the  age  of  20-25  years,  58  (77%)  respondents  could  not  remember  age  of  their  first  sexual  intercourse,  the  majority  168(86%)  of  respondents  have  heard  of  cervical  cancer,  majority  126  (63%)  of  respondents  heard  about  cervical  cancer  from  media,  hundred  and  two  (51%)  participants  explained  cervical  cancer  as  abnormal  lesion  on  the  cervix,  sixty  four  (32%)  respondents  stated  that  unprotected  sexual  intercourse  is  a  risk  factor  of  cervicals  cancer,  sixty  (30%)  of  respondents  stated  that  abnormal  vaginal  bleeding  is  a  sign  of  cervical  cancer,  120  (60%)  respondents  stated  that  cervical  cancer  can  be  detected  by  cervicals  cancer  screening,  majority  194  (97%)  of  respondents  stated  that  cervical  cancers  screening  is  done  in  hospital,  majority  178  (89%)  of  respondents  had  never  been  screened  for  cervical  cancers,  majority  94  (47%)  of  respondents  strongly  agreed  that  cervical  cancer  screening  is  important,  the  majority  144(72%)  of  the  respondents  had  no  intention  of  going  for  cervicals  cancer  screening,  majority  80  (40%)  of  respondents  stated  that  lack  of  awareness  to  cervical  cancers  screening  is  a  major  barrier  to  cervical  cancer  screening.  The  study  recommends  among  others  that  nurses  should  engage  more  on  giving  Information  Education  and  Communication  (IEC)  at  all  levels  of  Health  Care  Delivery  toward  cervical  cancers  screening.  Cervical  cancers  screening  center  should  be  made  available  in  university  of  Benin  health  center  at  subsidized  amount  so  that  female  students  can  easily  access  the  service.

 

Aims and Objectives

Cervical Cancer Screening

Chapter One

1.1 Background of the study
Cervical cancer is a spectrum that ranges from Dysplasia to invasive cancer. Dysplasia describes an abnormal organization of cells i.e. Premalignant changes in the squamous epithelium. It is graded as mild, moderate or severe. Cervical intraepithelial neoplasia is a closely related nomenclature that covers the entire spectrum of changes are graded CIN 1, CIN 2, and CIN 3 according to the third of the epithelium (Upper, Middle, Lower) respectively in which changes occur; corresponding to mild, moderate and severe. Invasive cancer is characterized by invasion of deeper tissues. It usually takes three forms; fungating (commonest), ulcerating and infiltrating. Histologically, 95% of cells are large cell type either keratinized (well differentiated) or non-keratinized (moderately differentiated). Adenocarcinoma arises from Endo-cervical glance, situated anywhere from the internal to the external os. The late stage of the disease usually results into distant metastasis but however, local spread can occur either upward to involve all the cervix, downward to extend into the vaginal vault, laterally, it involves the ureters and anteriorly to involve the bladder, posteriorly to involve the rectum. Lymphatic spread occurs early, while haematogenous spread occurs through systemic circulation mainly depositing in the liver, lungs and bones1.

1.2 Statement of the Problem
Cervical cancer kills 270,000 female students each year mainly in developing countries, and in the prime of their productive lives, yet cervical cancer is preventable by screening asymptomatic female students for precancerous lesion and treating the lesion before it progresses to invasive disease. Studies suggest that if a woman were screened for cervical cancer between the ages of 30 and 40 her risk of cancer will reduce by 25-36%. Female students are sometimes looked at as the economic driving force of the family economy more especially in the majority of tribes found in Adamawa state. Therefore their knowledge, attitude and practice to this issue may positively or negatively influence the family and the society at large. It is therefore important to know whether the knowledge, attitude and practice is associated with or determined by certain demographic factors.

1.3 Research Questions
i. What is the level of knowledge of cervical cancer and screening amongst Par time female students in university of Benin?
ii. What is their attitude towards cervical screening?
iii. What is their practice of cervical cancer screening?

1.4 Aims and Objectives of the study
General Aim
To assess the general knowledge and acceptability of cervical cancer screening among Par time female students in university of Benin.
Specific Objectives
i. To assess the level of knowledge of cervical cancer and cervical cancer screen among Par time female students of university in Benin.
ii. To determine the attitude of Par time female students of university in Benin towards cervical cancer screening.
iii. To determine the practice of cervical cancer screening among Par time female students of university in Benin.

1.5 Justification
Par time female students in university of Benin are heterogeneous group of people with different background and therefore likely to represent the general population. Lack of enough data necessitated this study which will form a baseline for subsequent comparison and intervention.

1.6 Scope and limitation of the study
This study tends to be limited to the general knowledge and acceptability of cervical cancer screening among Par time female students in university of Benin in Nigeria. However, in the course of carrying out this research work, the researcher can foresee some limitations which include; insufficient financing, insufficient data for the research work and the time required for the project to be concluded.

Chapter Two

2.0 LITERATURE REVIEW
2.1 Introduction

The chapter presents a review of related literature that supports the current research on the Knowledge And Acceptability Of Cervical Cancer Screening Among Female Part-Time Students, systematically identifying documents with relevant analyzed information to help the researcher understand existing knowledge, identify gaps, and outline research strategies, procedures, instruments, and their outcomes

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