Awareness Level of Cervical Cancer Patients Referred to Radiation Oncology Outpatient Clinics—A Multicenter Study

Author:

Altinok Pelin1,Ergen Şefika Arzu2,Güzelöz Çapar Zeliha3,Canyilmaz Emine4,Akgün Züleyha5,Serin Meltem6,Akbaş Canan1,Aktan Meryem7,Erdiş Eda8,Özmen Hilal Kiziltunç9,Özyar Enis10,Çağlar Ahmetcan11,Munzuroğlu Ak Filiz12,Akyüz Mehmet Fatih13,Altinok Ayşe14

Affiliation:

1. Radiation Oncology, Umraniye Training and Research Hospital, Istanbul, Turkey

2. Radiation Oncology, Cerrahpasa Faculty of Medicine, Istanbul, Turkey

3. Radiation Oncology, Izmir Tepecik Training and Research Hospital, Izmir, Turkey

4. Radiation Oncology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey

5. Radiation Oncology, Memorial Sisli Hospital, Istanbul, Turkey

6. Radiation Oncology, Acibadem Adana Hospital, Adana, Turkey

7. Radiation Oncology, Necmettin Erbakan University Faculty of Medicine, Konya, Turkey

8. Radiation Oncology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Turkey

9. Radiation Oncology, Ataturk University Faculty of Medicine, Erzurum, Turkey

10. Radiation Oncology, Acibadem Maslak Hospital, Istanbul, Turkey

11. Radiation Oncology, Hatay Training and Research Hospital, Hatay, Turkey

12. Radiation Oncology, Mersin City Hospital, Mersin, Turkey

13. Radiation Oncology, Sisli Kolan Hospital, Istanbul, Turkey

14. Radiation Oncology, Medikal Park Goztepe Hospital, Istanbul, Turkey

Abstract

Objective The study aimed to assess the level of knowledge of patients with cervical cancer referred to radiation oncology outpatient clinics in Turkey regarding screening methods and human papillomavirus (HPV) vaccination and increase social awareness based on the findings. Methods A descriptive cross-sectional survey was conducted from January to June 2022 involving 300 patients in various regions. Data on demographics, cervical cancer screening and HPV vaccination knowledge, and recommendations to relatives were collected through a questionnaire-based interview. Univariate logistic regression analyzed the impact of independent variables on knowledge levels. Results Among the participants, 57% were unaware of cervical cancer screening, and 66% had no knowledge of the HPV vaccine. Higher knowledge levels were associated with higher education, older age at marriage and first birth, and previous gynecological checkups. Lower knowledge levels were observed in patients treated at state institutions, with no formal education, and diagnosed with cervical cancer at age 60 or older. A significant inverse correlation was found between knowledge levels and the stage of cancer at diagnosis, with higher awareness in earlier stages. Conclusion The study revealed limited awareness among cervical cancer patients in Turkey regarding screening and HPV vaccination. Lower knowledge levels were associated with specific demographic factors, emphasizing the importance of targeted educational campaigns to reduce the burden of cervical cancer and promote early detection. Efforts to enhance vaccination coverage and encourage early screening can significantly improve outcomes. Comprehensive awareness surveys are essential in guiding policymaking and implementing effective early detection and prevention strategies for cervical cancer.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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