Effect of health education on knowledge regarding cervical carcinoma among the female college students of Nadia district, West Bengal

Priya Debnath; Jayita Pal; Tanudipta Halder; Manoj Ghosh

doi:10.18203/2320-6012.ijrms20241900

Authors

Priya Debnath TCI Foundation, Udaipur, Tripura, India https://orcid.org/0009-0004-8492-4290
Jayita Pal Department of Epidemiology, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India
Tanudipta Halder Institute of Public Health Kalyani, Kalyani, West Bengal, India https://orcid.org/0009-0007-5212-1698
Manoj Ghosh Division of Yoga, Centre for Integrative Medicine and Research, Manipal Academy of Higher Education, Manipal, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241900

Keywords:

Eastern India, Genital carcinoma, Institution, Intervention, Perception, Scholars

Abstract

Background: Cervical cancer, the second most common cancer among women globally, causes significant deaths in low- and middle-income countries, including India. This study aims to assess the effectiveness of health education on cervical cancer knowledge among female college students in Nadia district, West Bengal, highlighting the importance of awareness in this priority group.

Methods: A quasi-experimental study was conducted at two government colleges in the Nadia District. It involved three steps: initially, a baseline survey was performed using a pretested questionnaire and checklist to gather socio-demographic data and assess students' knowledge of cervical cancer. This was followed by a three-week intervention phase at the study college. Finally, knowledge scores were reassessed post-intervention at both the study and control colleges.

Results: Baseline comparisons of socio-demographic characteristics and median knowledge score showed no significant difference between the study and control groups (median scores: 4.50 versus 9.00, p=0.431), indicating comparability. Post-intervention, the study college exhibited a significant increase in knowledge scores (median 19, IQR 9.00-24) compared to the control college (median 8, IQR 2.00-12.75). The control college showed no significant change in median knowledge scores post-intervention (pre-test median 9.00, IQR 3-12; post-test median 8.00, IQR 2-12.75, p=0.320).

Conclusions: Structured health education programs with regular reinforcement significantly enhance college students' knowledge of cervical cancer. An integrated approach involving both education and health departments is essential for effective implementation.

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References

Thulaseedharan JV, Frie KG, Sankaranarayanan R. Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review. J Edu Health Promot. 2019;8:216.

World Health Organization. Cervical cancer. 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer?gad_source=1&gclid=CjwKCAjw1emzBhB8EiwAHwZZxQSXcrNYVHxT6DFuaGSr_x5pMJV9k_rsGdbXdHfNMYiJMoxe69IxxRoCNL4QAvD_BwE. Accessed on 12 March 2023.

National Health Portal. Cervical cancer. 2021. Available at: https://nhm.gov.in/index1.php?lang= 1&level=2&sublinkid=1048&lid=604. Accessed on 12 March 2023.

Cancer India. Cancer Statistics. Available at: https://ncdirindia.org/display/wcd.aspx#:~:text=Burden%20of%20Cancer%20in%20India,cancer%20diagnosis%20during%20their%20lifetime. Accessed on 12 March 2023.

Sreedevi A, Javed R, Dinesh A. Epidemiology of cervical cancer with special focus on India. Int J Womens Health. 2015;7:405-14.

Schiffman M, Castle PE. Human papillomavirus: epidemiology and public health. Arch Pathol Lab Med. 2003;127(8):930-4.

World Health Organization. Comprehensive Cervical Cancer Control – A Guide to Essential Practice. 2nd ed. Switzerland: WHO Press. 2014;38-44.

Miller AB. Epidemiologic Studies in Cancer Prevention and Screening. 1st edition. New York: Springer. 2013.

Harper DM, DeMars LR. HPV vaccines - A review of the first decade. Gynecol Oncol. 2017;146(1):196-204.

Tyson N. HPV Update. J Pediatr Adolesc Gynecol. 2017;30(2):262-4.

Indian Academy of Pediatrics Committee on Immunization (IAPCOI). Consensus recommendations on immunization, 2008. Indian Pediatr. 2008;45:635-48.

Fishbein M. An integrative model for behavioral prediction and its application to health promotion. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco: Jossey-Bass. 2009.

Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass. 2008.

Wang SM, Hu SY, Chen F, et al. Factors associated with cervical cancer screening uptake among women in Taiwan: a nationwide study. J Oncol. 2019;2019:7510156.

Kulkarni R, Bhat S. Knowledge, attitude, and practice of cervical cancer screening among women attending a tertiary care hospital in India. J Cancer Res Ther. 2017;13(4):575-80.

Thakur H, Sharma M, Raina N. Awareness of cervical cancer among female students of a tertiary institution in North India. Indian J Cancer Prev. 2019;3(1):13-7.

Deb S, Dutta S, Dasgupta A, Misra R. Relationship of Personal Hygiene with Nutrition and Morbidity Profile: A study among primary school children in south Kolkata. Indian J Comm Med. 2010;35(2):280-4.

Lambert EC. College students’ knowledge of human papillomavirus and effectiveness of a brief educational intervention. J Am Board Fam Prac. 2001;14(3):178-83.

Wong LP, Wong YL, Low WY. Knowledge and awareness of cervical cancer and screening among Malaysian women who have never had a Pap smear: A qualitative study. Singapore Med J. 2009;50(1):49-53.

Peter NA, Navkiran KS. Cervical cancer screening among college students in Ghana: Knowledge and health beliefs. Int J Gynecol Cancer. 2009;19(3):412-6.

Oh JK, Lim MK, Yun EH. Awareness of and attitude towards human papillomavirus infection and vaccination for cervical cancer prevention among adult males and females in Korea: A nationwide interview survey. Vaccine. 2010;28(12):1854-60.

Han YJ, Lee SR, Kang EJ. Knowledge regarding cervical cancer, human papillomavirus, and future acceptance of vaccination among girls in their late teens in Korea. Korean J Obstet Gynecol. 2007;50(5):1090-9.

Ingledue K, Cottrell R, Bernard A. College women’s knowledge, perceptions, and preventive behaviors regarding human papillomavirus infection and cervical cancer. Am J Health Stud. 2004;19(1):28-34.

Lopez R, McMahan S. College women’s perception and knowledge of human papillomavirus (HPV) and cervical cancer. Calif J Health Promot. 2007;5(2):12-25.

Vail-Smith K, White D. Risk level, knowledge, and preventive behavior for human papillomaviruses among sexually active college women. J Am Coll Health. 1992;40(5):227-30.

Peter NA, Navkiran KS. Cervical cancer screening among college students in Ghana: Knowledge and health beliefs. Int J Gynecol Cancer. 2009;19(3):412-6.

Singh S, Narayan N, Sinha R, Sinha P, Sinha V, Upadhye J. Awareness about cervical cancer risk factors and symptoms. Int J Reprod Contracept Obstet Gynecol. 2018;7(12):4987-91.

Shah V, Vyas S, Singh A, Shrivastava M. Awareness and knowledge of cervical cancer and its prevention among the nursing staff of a tertiary health institute in Ahmedabad, Gujarat, India. E Cancer Med Sci. 2012;6:270.

Narayana G, Suchitra MJ, Sunanda G, Ramaiah JD, Kumar BP, Veerabhadrappa KV. Knowledge, attitude, and practice toward cervical cancer among women attending obstetrics and gynecology department: a cross-sectional, hospital-based survey in South India. Indian J Cancer. 2017;54(2):481.

Roy B, Tang TS. Cervical cancer screening in Kolkata, India: Beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. J Cancer Educ. 2008;23(4):253-9.

Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA. Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 2014;14(1):814.

Choma K, McKeever AE. Cervical cancer screening in adolescents: An evidence‐based internet education program for practice improvement among advanced practice nurses. Worldviews Evid Based Nurs. 2015;12(1):51-60.

Love GD, Mouttapa M, Tanjasiri SP. Everybody’s talking: using entertainment-education video to reduce barriers to discussion of cervical cancer screening among Thai women. Health Educ Res. 2009;24(5):829-38.

Coronado Interis E, Anakwenze CP, Aung M, Jolly PE. Increasing cervical cancer awareness and screening in Jamaica: Effectiveness of a theory-based educational intervention. Int J Environ Res Public Health. 2015;13(1):53.

Ahmed SR, Esa AS, MohamedEl-zayat OS. Health belief model-based educational program about cervical cancer prevention on women’s knowledge and beliefs. Egypt Nurs J. 2018;15(1):39.