Knowledge, attitude and behaviour of the University
of Ibadan women towards cancer of the cervix
and its prevention
Chioma Christie Asuzu
1,2
*, Julian Unegbu
1
and Elizabeth Akin‐odanye
1
1
University of Ibadan, Department of Guidance and Counselling Ibadan, Oyo, Nigeria
2
University of Ibadan, LMPC, Department of Radiotherapy Ibadan, Oyo, Nigeria
*Correspondence to:
University of Ibadan, Department
of Guidance and Counselling
Ibadan, Oyo‐State, Nigeria.
E‐ mail: chiomasuzu20@
yahoo.com
Received: 23 April 2011
Revised: 9 May 2011
Accepted: 11 May 2011
Abstract
Objectives: The two commonest cancers in Nigerian women are cancers of the breast and the
cervix. Cancer of the cervix is the second commonest cancer and is a killer disease worldwide.
The main objective of this study is to find out the knowledge, attitude and practices of the female
university staff towards cancer of the cervix as a leadership group in the local effort towards
cancer prevention.
Methodology: A sample of 302 female staff of the University of Ibadan, which comprised 151
academic and 151 non‐academic staff was studied. These were all the female members of staff
who were met during the study visitation of all the departments on the main campus of the
university and who were willing to participate in the study. A self‐constructed and validated
instrument called the knowledge, attitude and practice towards cervical cancer scale was used
in collecting data for the study.
Results: Two hundred and forty‐two (79.1%) were aware of the disease, whereas 19.9% (60)
were not aware. The academic staff were statistically significantly more knowledgeable of
cervical cancer than the non‐academic staff (p = 0.05).
Two hundred and thirty‐two (232 or 76.82%) have a positive attitude towards preventive
measures for cancer of the cervix such as Pap smear or ascetic acid test. However, as much
as 210 (73.5%) of the women had never undertaken a Pap smear or other screening test for
the condition.
Conclusion: There is need for more education and promotion of cancer screening and services
in this locality.
Copyright © 2011 John Wiley & Sons, Ltd.
Keywords: cancer; oncology; knowledge; attitude; behaviour
Introduction
It is widely reported that cervical cancer is the second
most common form of cancer in women and in most
developing countries. Cancer, a disease that affects
health negatively, manifests with demoralising symp-
toms and often becomes a thing of concern to many,
only when it has reached advanced stage and has
started having psychological impacts that impinge on
the stability of affected individuals and their family
members. Although largely preventable, cervical
cancer remains a leading cause of cancer death in the
developing world [3]. The disease poses more threat
to the entire women race than some other deadly
diseases because of the little cognizance people take
of its existence. The threat it poses to the human
population is because of its capability to affect
women of all ages. Notably, the risk for it tends to
increase with age.
The burden of cervical cancer on its victims and
families has been noticed to be overwhelming; this is
because a lot of people seem to be poorly aware and
indifferent to this disease exacerbated by the silent na-
ture of cervical cancer at the early stage. Socially, the
affected individual might become withdrawn, stressed
and may portray antisocial behaviours because of the
inner feeling of being stigmatised or discriminated
against. This feeling most times arises from the un-
wanted help and pity from people around. Economi-
cally, the consequences are from the likely financial
strains and poverty that the individual is plunged into
as a result of hospital bills incurred from late medical
attention to the ailment. Psychologically, the individual
experiences pain, anxiety, grief and fear of death.
Apart from the pool of trauma that it plunges into this
individual, it pushes further a good quota of the
infected persons into premature death.
As earlier enacted, the disease is preventable only
if attended to in time. Nevertheless, this has not been
too possible as the knowledge and attitude of many
women towards its occurrence is low. For instance,
Ogunbode and Ayinde [11] found out in a study
Copyright
©
2011 John Wiley & Sons, Ltd.
Psycho-Oncology
Psycho-Oncology 21: 1010–1015 (2012)
Published online 14 July 2011 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/pon.2007