RESEARCH
Kebede, S. G.
Proceedings of the 2011 AWHONN Convention
Assessment of Knowledge of Major Reproductive Cancers, Early Detection Measures and Associated Factors Among Women of Gondar Town, North West Ethiopia, 2010 Poster Presentation Samuel G. Kebede, MD, Monitoring and Evaluation, International Centers on AIDS Care and Treatment Programs, Ethiopia (Columbia Univer-
Objective o assess the knowledge of major reproductive cancers (cervical and breast cancers), their early detection measures and associated factors among women 415 years old in Gondar town.
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sity), Addis Ababa, Ethiopia
Keywords cervical cancer breast cancer reproductive cancers knowledge
Women’s Health
Design A cross-sectional community-based study was conducted from April 4 to 16, 2010 in Gondar town, northwest Ethiopia. Setting The study was conducted in four randomly selected administrative areas of Gondar town. Gondar town is the North Gondar Zonal town of the Amhara Regional State with a population of 300,000 according to the 2007 national census. Patients/Participants Participants were all heads of the selected households and age 15 or older.
Methods A total of 633 women were interviewed using semistructured questionnaire by eight trained data collectors and two supervisors. SPSS Windows version 15.0 was employed for data analysis. Results Of all the respondents, 495 (78.7%) had heard about cervical cancer and only 195 (39.4%) were knowledgeable about the disease. Regarding knowledge of breast cancer, 560 (89%) had heard about it, and 284 (50.7%) were knowledgeable. Few 119(18.9%) women had undergone pelvic examination, and only 13(2%) of them reported screening as a reason for the pelvic examination. About one fourth 163(25.9%) examined their breasts at least once per month or year. Conclusion/Implications for Nursing Practice Women had limited knowledge of cervical and breast cancer and limited practice of early detection measures for cervical and breast cancer. Strategies should be established to increase community awareness about reproductive cancers and screening services available to the public.
Reproductive Health Beliefs and Practices of College Age Qatari Women: a Qualitative Study Poster Presentation Suha Kridli, PhD, RN, School of Nursing, Oakland University, Rochester, MI
Objective o gain understanding of the reproductive health care beliefs and practices of college age Qatari women. Design A qualitative design was used.
Methods Six focus groups were conducted. Each focus group consisted of six to eight Qatari women. Collected data were transcribed and translated from Arabic to English. Veri¢cation and validation of the transcribed and translated data were conducted before analysis.
Setting Focus groups were conducted at six di¡erent universities in Qatar.
Results The results of this study indicate that family, especially the mother, plays a primary role in educating young women about areas related to puberty and
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Olufunke M. Olokode-Ilori, MBA, RNM, BSc, LCCE, Clinical Planning Department, Sidra Medical and Research Center, Doha, Qatar
Patients/Participants Qatari women attending college, ages 18 to 25 years, were asked to participate in this study.
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RESEARCH Proceedings of the 2011 AWHONN Convention
childbearing, followed by older sister(s) and female cousins. Participants expressed lack of satisfaction with amount and type of information provided to them by their families. In addition, the majority of the participants reported disappointment in the role Qatari schools played in educating them about their reproductive health. Recommendations were made by the participants to improve the knowledge level of Qatari women in the area of reproductive health.
Conclusion/Implications for Nursing Practice There is an obvious lack of knowledge and misunderstanding regarding reproductive health among Qatari women. Recommendations to better educate young women include conducting education sessions for the mothers in the community and through the media, providing young women with in-depth reproductive education in school, and conducting awareness campaigns.
Keywords women Qatar reproductive health health education
Women’s Health
Gynecologic Cancer Screening Knowledge, Practice, and Stage of Precaution Adoption Among Rural Elderly Women Poster Presentation Objective o assess the knowledge of rural elderly women regarding gynecologic cancers, to examine gynecologic cancer screening behaviors undertaken by rural, elderly women, and to identify rural elderly women’s stage of precaution adoption for gynecologic cancer screening.
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Design Qualitative descriptive study using a one group design. Setting A daily senior center within the Southeastern Alabama Regional Council on Aging (SARCOA). Patients/Participants Forty-four elderly women (ages 60-94). Methods Institutional Review Board approval was obtained from Case Western Reserve University. After controlling for cognitive impairment using the Short Portable Mental Status Questionnaire (SPMSQ), an investigator-developed survey tool, the Gynecological Cancer Screening Precaution Adoption Survey (GCSPAS), was used to identify gynecologic cancer knowledge and stage of precaution adoption for gynecologic cancer screening. Demographic information was used to determine gynecologic cancer screening practice behavior. Data were collected during one on one interviews with participants.
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Results Data from 41 (N 5 41) participants were deemed valid. Gynecologic cancer knowledge was noted highest for cancers of the ovary (78%), uterus (65.9%), and cervix (61%) while cancers of the vagina, vulva, and fallopian tube were less familiar. Elderly women incorrectly identi¢ed ovarian cancer (29.3%) as the most common gynecologic cancer while 24.4% of women stated they did not know which type of gynecologic cancer was the most common among women their age. Variation in gynecologic cancer screening practices were noted among the participants with 63.4% of women participating in gynecologic cancer screening by Pap smear or pelvic exam as directed by their provider, though many women verbalized participation in Pap smear screening even when they had not had a pelvic exam. Data indicated rural elderly women were noted within ¢ve of the six stages of the Precaution Adoption Process Model (PAPM) with the majority in stage 7, maintenance, indicating they were actively participating in gynecologic cancer screening within the previous 3 year period.
Leigh Anne Minchew, DNP, WHNP-BC, Maternal-Child Nursing, University of South Alabama, Mobile, AL
Keywords rural women elderly women gynecological cancer knowledge gynecological cancer screening stages of precaution adoption Precaution Adoption Process Model
Women’s Health
Conclusion/Implications for Nursing Practice The anticipation of rural elderly women living longer lives presents opportunity for women’s health providers to educate women on the importance of gynecologic health throughout the lifespan. The PAPM may be used by health care providers to assess rural elderly women’s gynecologic health literacy and understanding of national gynecologic cancer screening guidelines. The ¢ndings of this study may be used to guide gynecologic health counseling including age-appropriate, evidence-based screening practice recommendations to all women.
JOGNN, 40, S85-S119; 2011. DOI: 10.1111/j.1552-6909.2011.01243.x
http://jognn.awhonn.org