Kontakt 2024, 26(4):333-338 | DOI: 10.32725/kont.2024.051

Health literacy of adult women as a component of cervical cancer prevention in womenNursing - Original article

Ľubica Ilievová *, Aneta Sivková, Vladimír Meluš, Iveta Matišáková
Alexander Dubček University of Trenčín, Faculty of Health Sciences, Trenčín, Slovak Republic

Background: Cervical cancer is a preventable disease. The health literacy of women is a significant predictor of behaviour regarding their own health, along with the ability to search for, understand, and use health information, and plays an important role in the use of preventive and screening programmes.

Objectives: To evaluate the health literacy level of women of reproductive age in relation to their knowledge of the issue of cervical cancer. Sample: The research sample consisted of women between the ages of 18 and 60 years old (n = 270).

Methods: We collected data with the use of a self-constructed questionnaire focused on knowledge about cervical cancer and a standardised health literacy questionnaire (Health Literacy Questionnaire, hereafter the HLQ).

Results: In the first five dimensions of the HLQ, the highest achieved score was recorded in the domain "Social support in the field of health" ( = 3.10 ± 0.35). The lowest scores were seen in the domains "Active care of one's own health" ( = 2.91 ± 0.33) and "Assessment of health information" ( = 2.91 ± 0.37). For the last four domains, the lowest score occurred in "Navigation of the health care system" ( = 3.42 ± 0.57), and the highest score was achieved in the domain "Understanding health information to the extent that the individual knows what to do" ( = 3.72 ± 0.45). Respondents assigned to the "sufficiently informed" group achieved a higher average score on the HLQ ( = 29.68 ± 3.13) than respondents assigned to the "insufficiently informed" group ( = 29.28 ± 3.29).

Conclusion: It is necessary to increase the effectiveness and adequacy of patient education regarding the importance of passing preventive gynaecological examinations at annual intervals for the prevention of cervical cancer, as well as the possibility of vaccination against HPV.

Keywords: Cancer; Cervix; Health literacy; Health literacy questionnaire; HPV; Prevention
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: April 29, 2024; Revised: September 12, 2024; Accepted: November 8, 2024; Prepublished online: November 21, 2024; Published: December 17, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Ilievová Ľ, Sivková A, Meluš V, Matišáková I. Health literacy of adult women as a component of cervical cancer prevention in women. Kontakt. 2024;26(4):333-338. doi: 10.32725/kont.2024.051.
Download citation

References

  1. Aga SS, Yasmeen N, Khan MA (2022). Cervical Cancer and Its Screening: Assessing the Knowledge, Awareness, and Perception among Health and Allied Students. Educ Res Int, 17 p. DOI: 10.1155/2022/4608643. Go to original source...
  2. Altová A, Kulhánová I, Reisser K, Netrdová P, Brož J, Eikemo TA, et al. (2024). Educational Inequalities in Cervical Cancer Screening Participation in 24 European Countries. Public Health 3: 1-7. DOI: 10.1016/j.puhe.2024.04.036. Go to original source... Go to PubMed...
  3. Bakht, R, Dolatian M, Hajian S, Montazeri A (2023). Women's Reproductive Health Literacy: A Qualitative Study. Int J Womens Health Reprod Sci 11(1): 16-24. DOI: 10.15296/ijwhr.2023.04. Go to original source...
  4. Bazaz M, Shahry P, Lafiti SM, Araban M (2019). Cervical Cancer Literacy in Women of Reproductive Age and Its Related Factors. J Cancer Educ 34(1): 82-89. DOI: 10.1007/s13187-017-1270-z. Go to original source... Go to PubMed...
  5. Beddoe AM (2019). Elimination of cervical cancer: challenges for developing countries. Ecancermedicalscience 13: 975. DOI: 10.3332/ecancer.2019.975. Go to original source... Go to PubMed...
  6. Bruni L, Albero G, Serrano B, Mena M, Collado JJ, Gómez D, et al. (2023). Human Papillomavirus and Related Diseases in the World. ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Summary Report, 296 p.
  7. Burmeister CA, Khan SF, Schäfer G, Mbatani N, Adams T, Moodley J, Prince S (2022). Cervical cancer therapies: Current challenges and future perspectives. Tumour Virus Res 13: 200238. DOI: 10.1016/j.tvr.2022.200238. Go to original source... Go to PubMed...
  8. Čepová E, Kolarčík P, Madarasová Gecková A (2017). Zdravotná gramotnosť, metóda ako zlepšiť zdravie populácie a jej využitie vo verejnom zdravotníctve. Zdravotníctvo a sociálna práca 12(1): 24-32.
  9. Coughlin SS, Datta B, Vernon M, Hatzigeorgiou C, George V (2022). Health literacy among cancer survivors: Results from the 2016 behavioral risk factor surveillance system survey. Medicine 101(9): e29010. DOI: 10.1097/MD.0000000000029010. Go to original source... Go to PubMed...
  10. Dai Minh L, Quang BV, Ngoc Le Mai D, Quyen LL, Gia NH, Hang NT, Giang KB (2022). Health Literacy of Newly- Admitted Cancer Patients in Vietnam: Difficulties Understanding Treatment Options and Processing Health-Related Information. Health Serv Insights 15: 11786329211067325. DOI: 10.1177/11786329211067325. Go to original source... Go to PubMed...
  11. Dozie UW, Elebari BL, Nwaokoro CJ, Iwuoha GN, Emerole CO, Akawi AJ, et al. (2021). Knowledge, attidue and perception on cervical cancer screening among women attending ante-natal clinic in Owerri west L.G.A, South-Eastern Nigeria: A cross-sectional study. Cancer Treat Res Commun 28: 100392. DOI: 10.1016/j.ctarc.2021.100392. Go to original source... Go to PubMed...
  12. Flores BE, Acton G, Arevalo-Flechas L, Gill S, Mackert M (2019). Health Literacy and Cervical Cancer Screening Among Mexican- American Women. Health Lit Res Pract 3(1): e1-e8. DOI: 10.3928/24748307-20181127-01. Go to original source... Go to PubMed...
  13. Han HR, Mendez KJW, Perrin N, Cudjoe J, Taylor G, Baker D, et al. (2022). Community-based health literacy focused intervention for cervical cancer control among Black women living with human immunodeficiency virus: A randomized pilot trial. Health Expect 26(1): 172-182. DOI: 10.1111/hex.13644. Go to original source... Go to PubMed...
  14. Hawkins M, Gill SD, Batterham R, Elsworth GR, Osborne RH (2017). Health Literacy Questionannaire (HLQ) at the patient- clinical interface: a qualitative study of what patients and clinicians mean by their HLQ scores. BMC Health Serv Res. 17(1): 309 DOI: 10.1186/s12913-017-2254-8. Go to original source... Go to PubMed...
  15. He C, Pei C, Ma J (2023). Developing an evaluation indicators of health literacy for cervical cancer among Chinese women: a modified Delphi method study. BMC Cancer 23(1): 863. DOI: 10.1186/s12885-023-11208-3. Go to original source... Go to PubMed...
  16. Kashyap N, Krishnan N, Kaur S, Ghai S (2019). Risk Factors of Cervical Cancer: A Case-Control Study. Asia Pac J Oncol Nurs 6(3): 308-314. DOI: 10.4103/apjon.apjon_73_18. Go to original source... Go to PubMed...
  17. Koay K, Schofield P, Jefford M (2012). Importance of health literacy in oncology. Asia Pac J Clin Oncol 8(1): 14-23. DOI: 10.1111/j.1743-7563.2012.01522.x. Go to original source... Go to PubMed...
  18. Lu J, Song E, Ghoneim A, Alrashoud M (2020). Machine learning fo rassisting cervical cancer diagnosis: An ensemble approach. Future Generation Computer Systems 106: 199-205. DOI: 10.1016/j.future.2019.12.033. Go to original source...
  19. Lukac A, Sulovic N, Smiljic S, Ilic AN, Saban O (2018). The Prevalence of the Most Important Risk Factors Associated with Cervical Cancer. Mater Sociomed 30(2): 131-135. DOI: 10.5455/msm.2018.30.131-135. Go to original source... Go to PubMed...
  20. Malibari SS (2018). Knowledge about Cervical Cancer amonh Women in Saudi Arabia. Egypt J Hosp Med 70(10): 1823-1825. Go to original source...
  21. Mekuria M, Edosa K, Endashaw M, Bala ET, Chaka EE, Deriba BS, Tesfa B (2021). Prevalence of Cervical Cancer and Associated Factors Among Women Attended Cervical Cancer Screening Center at Gahandi Memorial Hospital, Ethiopia. Cancer Inform 20: 11769351211068431. DOI: 10.1177/11769351211068431. Go to original source... Go to PubMed...
  22. Mengesha A, Messele A, Beletew B (2020). Knowledge and attitude towards cervical cancer amonh reproductive age group women in Gondar town, North West Ethiopia. BMC Public Health 20(1): 209. DOI: 10.1186/s12889-020-8229-4. Go to original source... Go to PubMed...
  23. Minamitani M, Morishima K, Katano A, Ohira S, Nakagawa K (2024). Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey. J Canc Educ 39: 530-536. DOI: 10.1007/s13187-024-02432-x. Go to original source... Go to PubMed...
  24. Morris NS, Field TS, Wagner JL, Cutrona SL, Roblin DW, Gaglio B, et al. (2013). The Association Between Health Literacy and Cancer- Related Attitudes, Behaviors, and Knowledge. J Health Commun 18 (Suppl 1): 223-241. DOI: 10.1080/10810730.2013.825667. Go to original source... Go to PubMed...
  25. Mwanri L, Genesew H, Lee V, Hiruy K, Kwedza R, Dune T (2020). Health Literacy Environment of Breast and Cervical Cancer among Black African Women Glomally: A Systematic Review Protocol of Mixed Methods. Int J Environ Res Public Health 17(9): 3158. DOI: 10.3390/ijerph17093158. Go to original source... Go to PubMed...
  26. NCZI - Národné centrum zdravotníckych informácií (2022). Činnosť gynekologických a pôrodníckych ambulancií v Slovenskej republike. [online] [cit. 2024-01-22]. Available from: https://data.nczisk.sk/statisticke_vystupy/gynekologia_porodnictvo/Gynekologia/Cinnost_gynekologicko_porodnickych_ambulancii_v_SR_2021.pdf
  27. Siddharthar J, Rajkumar B, Deivasigamani K (2014). Knowledge, Awareness and Prevention of Cervical Cancer among Women Attending a Tertiary Care Hospital in Puducherry, India. J Clin Diagn Res 8(6): OC01-3. DOI: 10.7860/JCDR/2014/8115.4422. Go to original source... Go to PubMed...
  28. Srivastava S, Kurian K, Garg PR, Rehman A, Garg R, Rathi SK, Mehra S (2022). Prevalence and Predictors of Cervical Cancer Screening among Reproductive Age Group Women: Evidence from Cross- Sectional Study in Rhtak and Delhi. Asian Pac J Cancer Prev 23(8): 2771-2777. DOI: 10.31557/APJCP.2022.23.8.2771. Go to original source... Go to PubMed...
  29. Stormacq C, Wosinski J, Boillat E, Van den Broucke S (2020). Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community: a systematic review. JBI Evid Synth 18(7): 389-149. DOI: 10.11124/JBISRIR-D-18-00023. Go to original source... Go to PubMed...
  30. Taneja N, Chawla B, Awasthi AA, Shrivastav KD, Jaggi VK, Janardhanan R (2021). Knowledge, Attitude, and Practice on Cervical Cancer and Screening Among Women in India: A Review. Cancer Control 28: 10732748211010799. DOI: 10.1177/10732748211010799. Go to original source... Go to PubMed...
  31. Thiel de Bocanegra H, Dehlendorf C, Kuppermann M, Vangala SS, Moscicki AB (2022). Impact of an educational tool on young women's knowledge of cervical cancer screening recommendations. Cancer Causes Control 33(6): 813-821. DOI: 10.1007/s10552-022-01569-8. Go to original source... Go to PubMed...
  32. van der Heide I, Poureslami I, Mitic W, Shum J, Rootman I, FitzGerald JM (2018). Health literacy in chronic disease. J Clin Epidemiol 102: 134-138. DOI: 10.1016/j.jclinepi.2018.05.010. Go to original source... Go to PubMed...
  33. Visscher BB, Steunenberg B, Heijmans M, Hofstede JM, Devillé W, van der Heide I, Rademakers J (2018). Evidence on the effectiveness of health literacy interventions in the EU: a systematic review. BMC Public Health 18(1): 1414. DOI: 10.1186/s12889-018-6331-7. Go to original source... Go to PubMed...
  34. Wakwoya EB, Gemechu KS, Dasa TT (2020). Knowledge of Cervical Cancer and Associated Factors Among Women Attending Public Health Facilities in Eastern Ethiopia. Cancer Manag Res 12: 10103-10111. DOI: 10.2147/CMAR.S262314. Go to original source... Go to PubMed...
  35. Weng Q, Jiang J, Haji FM, Nondo LH, Zhou H (2020). Women's knowledge of attitudes toward cervical cancer and cervicalcancer screening in Zanzibar, Tanzania: a cross-sectional study. BMC Cancer 20(1): 63. DOI: 10.1186/s12885-020-6528-x. Go to original source... Go to PubMed...
  36. WHO - World Health Organization (2021). Global Cancer Observatory. [online] [cit. 2024-01-22]. Available from: https://gco.iarc.fr/today/data/factsheets/cancers/23-Cervix-uteri-fact-sheet.pdf
  37. WHO - World Health Organization (2022). Cervical cancer. [online] [cit. 2024-01-22]. Available from: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.