Knowledge and perceptions of uterine fibroids: A descriptive cross-sectional survey among women of childbearing age in KwaZulu-Natal, South Africa

Abstract

AbstractBackgroundUterine fibroids are the leading cause of hysterectomies among women of childbearing age. This study aims to elicit the knowledge, attitude and perceptions of childbearing women towards uterine fibroids in order to provide empirical evidence informing relevant interventions oriented toward health promotion in this regard.MethodsA quantitative, cross-sectional descriptive design was used and data were collected from a sample of 362 women of reproductive age residing in a selected township in KwaZulu-Natal, South Africa. Ethical approval to conduct the study was obtained from the Durban University of Technology’s Institutional Research Ethics’ Committee (IREC – Ref No. BIREC 014/21). A pre-tested survey was conducted to gather data on knowledge, attitudes, and perceptions concerning uterine fibroids. The collected data were analyzed using SPSS version 27, employing descriptive statistics. Inferential statistics were also conducted to examine associations between key variables and respondents who self-reported being diagnosed with uterine fibroids.ResultsMost participants, 73.8% (n=267), had no awareness of uterine fibroids. Participants also demonstrated poor knowledge regarding the aetiology and symptoms of the condition. However, most participants, 49.2% (n=178), perceived uterine fibroids to be of spiritual origin, citing evil spirits and witchcraft as the cause. Participants subsequently reported that treatment would require herbal approaches and consultation with spiritualists such as traditional healers and seers. In summary, the study highlights various factors influencing self-reporting behaviours, including age, education level, employment status, marital status, number of children, awareness of the condition, perception of requiring treatment, family history, and symptom severity.Discussion and conclusionThe study findings seem to suggest that women in the selected township lack accurate knowledge about uterine fibroids. These insights are valuable for shaping targeted health interventions and policies. Recognizing the complexities of self-reporting is crucial for improving health outcomes through early detection and tailored interventions.