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Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study

BACKGROUND: Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with...

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Autores principales: Elshami, Mohamedraed, Al-Slaibi, Ibrahim, Abukmail, Hanan, Alser, Mohammed, Radaydeh, Afnan, Alfuqaha, Alaa, Thalji, Mariam, Khader, Salma, Khatib, Lana, Fannoun, Nour, Ahmad, Bisan, Kassab, Lina, Khrishi, Hiba, Elhussaini, Deniz, Abed, Nour, Nammari, Aya, Abdallah, Tumodir, Alqudwa, Zaina, Idais, Shahd, Tanbouz, Ghaid, Hajajreh, Ma’alem, Selmiyh, Hala Abu, Abo-Hajouj, Zakia, Hebi, Haya, Zamel, Manar, Skaik, Refqa, Hammoud, Lama, Rjoub, Siba, Ayesh, Hadeel, Rjoub, Toqa, Zakout, Rawan, Alser, Amany, Abu-El-Noor, Nasser, Bottcher, Bettina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487127/
https://www.ncbi.nlm.nih.gov/pubmed/34598690
http://dx.doi.org/10.1186/s12889-021-11792-8
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author Elshami, Mohamedraed
Al-Slaibi, Ibrahim
Abukmail, Hanan
Alser, Mohammed
Radaydeh, Afnan
Alfuqaha, Alaa
Thalji, Mariam
Khader, Salma
Khatib, Lana
Fannoun, Nour
Ahmad, Bisan
Kassab, Lina
Khrishi, Hiba
Elhussaini, Deniz
Abed, Nour
Nammari, Aya
Abdallah, Tumodir
Alqudwa, Zaina
Idais, Shahd
Tanbouz, Ghaid
Hajajreh, Ma’alem
Selmiyh, Hala Abu
Abo-Hajouj, Zakia
Hebi, Haya
Zamel, Manar
Skaik, Refqa
Hammoud, Lama
Rjoub, Siba
Ayesh, Hadeel
Rjoub, Toqa
Zakout, Rawan
Alser, Amany
Abu-El-Noor, Nasser
Bottcher, Bettina
author_facet Elshami, Mohamedraed
Al-Slaibi, Ibrahim
Abukmail, Hanan
Alser, Mohammed
Radaydeh, Afnan
Alfuqaha, Alaa
Thalji, Mariam
Khader, Salma
Khatib, Lana
Fannoun, Nour
Ahmad, Bisan
Kassab, Lina
Khrishi, Hiba
Elhussaini, Deniz
Abed, Nour
Nammari, Aya
Abdallah, Tumodir
Alqudwa, Zaina
Idais, Shahd
Tanbouz, Ghaid
Hajajreh, Ma’alem
Selmiyh, Hala Abu
Abo-Hajouj, Zakia
Hebi, Haya
Zamel, Manar
Skaik, Refqa
Hammoud, Lama
Rjoub, Siba
Ayesh, Hadeel
Rjoub, Toqa
Zakout, Rawan
Alser, Amany
Abu-El-Noor, Nasser
Bottcher, Bettina
author_sort Elshami, Mohamedraed
collection PubMed
description BACKGROUND: Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. METHODS: This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women’s knowledge of 12 CC warning signs. RESULTS: Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was ‘vaginal bleeding after menopause’ (n = 5028, 71.2%) followed by ‘extreme generalized fatigue’ (n = 4601, 65.2%) and ‘unexplained weight loss’ (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. CONCLUSION: The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women’s awareness of CC warning signs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11792-8.
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spelling pubmed-84871272021-10-04 Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study Elshami, Mohamedraed Al-Slaibi, Ibrahim Abukmail, Hanan Alser, Mohammed Radaydeh, Afnan Alfuqaha, Alaa Thalji, Mariam Khader, Salma Khatib, Lana Fannoun, Nour Ahmad, Bisan Kassab, Lina Khrishi, Hiba Elhussaini, Deniz Abed, Nour Nammari, Aya Abdallah, Tumodir Alqudwa, Zaina Idais, Shahd Tanbouz, Ghaid Hajajreh, Ma’alem Selmiyh, Hala Abu Abo-Hajouj, Zakia Hebi, Haya Zamel, Manar Skaik, Refqa Hammoud, Lama Rjoub, Siba Ayesh, Hadeel Rjoub, Toqa Zakout, Rawan Alser, Amany Abu-El-Noor, Nasser Bottcher, Bettina BMC Public Health Research BACKGROUND: Timely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge. METHODS: This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women’s knowledge of 12 CC warning signs. RESULTS: Of 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was ‘vaginal bleeding after menopause’ (n = 5028, 71.2%) followed by ‘extreme generalized fatigue’ (n = 4601, 65.2%) and ‘unexplained weight loss’ (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer. CONCLUSION: The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women’s awareness of CC warning signs. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11792-8. BioMed Central 2021-10-02 /pmc/articles/PMC8487127/ /pubmed/34598690 http://dx.doi.org/10.1186/s12889-021-11792-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Elshami, Mohamedraed
Al-Slaibi, Ibrahim
Abukmail, Hanan
Alser, Mohammed
Radaydeh, Afnan
Alfuqaha, Alaa
Thalji, Mariam
Khader, Salma
Khatib, Lana
Fannoun, Nour
Ahmad, Bisan
Kassab, Lina
Khrishi, Hiba
Elhussaini, Deniz
Abed, Nour
Nammari, Aya
Abdallah, Tumodir
Alqudwa, Zaina
Idais, Shahd
Tanbouz, Ghaid
Hajajreh, Ma’alem
Selmiyh, Hala Abu
Abo-Hajouj, Zakia
Hebi, Haya
Zamel, Manar
Skaik, Refqa
Hammoud, Lama
Rjoub, Siba
Ayesh, Hadeel
Rjoub, Toqa
Zakout, Rawan
Alser, Amany
Abu-El-Noor, Nasser
Bottcher, Bettina
Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title_full Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title_fullStr Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title_full_unstemmed Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title_short Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study
title_sort knowledge of palestinian women about cervical cancer warning signs: a national cross- sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8487127/
https://www.ncbi.nlm.nih.gov/pubmed/34598690
http://dx.doi.org/10.1186/s12889-021-11792-8
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