EFFECT OF HEALTH BELIEF MODEL-BASED HEALTH EDUCATION ON CERVICAL CANCER SCREENING AMONG RURAL WOMEN IN LAGOS, NIGERIA

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Date
2017-06
Authors
Oluwole, E.O.
Kuyinu, Y.A
Wright, K.O
Odusanya, O.O
Adeniran, A
Akinyinka, M.R
Goodman, Y
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Publisher
The Nigerian Journal of Public Health
Abstract
Background: Cervical cancer is the second most common cancer affecting women in Nigeria but utilization of screening methods have remained low. This study was carried out to evaluate the effect of an educational program on the knowledge of cervical cancer and uptake of screening among rural women in Lagos State. Methods: A quasi-experimental study was conducted in two rural communities in Lagos State, using before and after study design. A multi stage sampling method was used to recruit 200 intervention and 200 control women aged 25 to 65 years who have not had cervical cancer screening in the previous 3 years. Following the interviewer-administered questionnaire survey, training on cervical cancer and its prevention was conducted for the intervention group based on Health Belief Model (HBM) with evaluation occurring three months later. Results: Compared to baseline, there was an increase in the proportion of respondents in the intervention group (62.4%) who were rated as having “good knowledge” of cervical cancer post-intervention compared to the those in the control group (8.0%); (P<0.05). A statistically significant (P<0.05) difference in uptake of cervical cancer screening was found between women in the intervention (81.2%) and those in the control group (66.3%). Post-intervention, perception of the intervention group improved significantly as regards susceptibility to, severity of cervical cancer, and benefits of cervical cancer screening but reduced perceived barriers to cervical cancer screening (P<0.05). Conclusions: Health belief model-based education increased women’s knowledge of cervical cancer, perceptions and uptake of cervical cancer screening services.
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Citation
EO Oluwole, YA Kuyinu, KO Wright, OO Odusanya, A Adeniran, MR Akinyinka, Y Goodman. Effect of Health Belief Model – based health education on cervical cancer screening among rural women in Lagos, Nigeria. The Nigerian Journal of Public Health 2017; 2 (1): 75-87.