Document Detail

Women's perceptions and social barriers determine compliance to cervical screening: results from a population based study in India.
MedLine Citation:
PMID:  16963194     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Success of cervical screening initiatives depends on high participation of the target population, which in turn is determined by the women's perceptions, health orientation and other socio-cultural issues. The present study identifies the immediate social and cultural barriers that prevent women to attend cervical screening facilities. METHODS: Women non-compliant to a community-based cervical screening program were identified. From them 500 were randomly selected for interview using a structured questionnaire that was designed on the basis of feedbacks received from several focused group discussions. Questionnaire listed 24 possible reasons for non-compliance. The women were asked to select the most pertinent reason(s) for her non-attendance or to reveal if they had any reason other than the listed ones. RESULTS: A total of 469 non-compliant women were interviewed. They had significantly lower literacy rate compared to the compliant women (OR=2.25; 95% CI: 1.23-4.13). Nearly half of the interviewed women responded that they themselves opted to stay away from the program. Most common reasons cited for non-attendance in this group were reluctance to go for medical test in the absence of any symptoms and apprehension to have a test that detects cancer. Second major group of responders comprised of women who were willing, yet could not attend due to various hurdles. Most common hurdles were inability to leave household chores, pre-occupation with family problems and lack of approval from husbands. CONCLUSIONS: Modification of health behavior through education and social empowerment of women are essential for a population based cervical screening program to succeed in India.
Partha Basu; Srabanti Sarkar; Supriya Mukherjee; Mousumi Ghoshal; Srabani Mittal; Sutapa Biswas; Ranajit Mandal; Rengaswamy Sankaranarayanan
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2006-09-11
Journal Detail:
Title:  Cancer detection and prevention     Volume:  30     ISSN:  0361-090X     ISO Abbreviation:  Cancer Detect. Prev.     Publication Date:  2006  
Date Detail:
Created Date:  2006-09-25     Completed Date:  2006-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704778     Medline TA:  Cancer Detect Prev     Country:  England    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
Department of Gynecologic Oncology, Chittaranjan National Cancer Institute, 37 S. P. Mukherjee Road, Kolkata 700026, India. <>
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MeSH Terms
Health Behavior / ethnology*
Health Education
Health Knowledge, Attitudes, Practice*
Mass Screening / psychology
Middle Aged
Patient Acceptance of Health Care / ethnology,  statistics & numerical data*
Patient Compliance / psychology*
Social Perception*
Uterine Cervical Neoplasms / diagnosis*,  ethnology
Vaginal Smears
Women's Health / ethnology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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