Knowledge and Acceptability of Pap Smears, Self-sampling and HPV Vaccination among Adult Women in Kenya.

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dc.contributor.authorRositch, A. F.
dc.contributor.authorGatuguta, A.
dc.contributor.authorChoi, R. Y.
dc.contributor.authorGuthrie, B. L.
dc.contributor.authorMackelprang, R. D.
dc.contributor.authorBosire, R
dc.contributor.authorManyara, L.
dc.contributor.authorKiarie, J. N.
dc.contributor.authorSmith, J. S.
dc.contributor.authorFarquhar, C.
dc.date.accessioned2013-11-30T09:27:21Z
dc.date.available2013-11-30T09:27:21Z
dc.date.issued2012
dc.description.abstractOBJECTIVES: Our study aimed to assess adult women's knowledge of human papillomavirus (HPV) and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies. METHODS: Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit. RESULTS: Only 14% of the 409 women (67% HIV-positive; median age 29 years) had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%). Although most women knew that Pap smears detect cervical cancer (69%), very few knew that routine Pap screening is the main way to prevent ICC (18%). Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82%) and would prefer at-home sample collection (84%). Nearly all women (94%) reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost. CONCLUSIONS: These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.en_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/7721
dc.language.isoenen_US
dc.titleKnowledge and Acceptability of Pap Smears, Self-sampling and HPV Vaccination among Adult Women in Kenya.en_US
dc.typeArticleen_US
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