Evidence map›Paper›PMID 32711530›Full record

Trial reportBMC women's health2020

Knowledge, attitudes, and practices of cervical Cancer screening among HIV-positive and HIV-negative women participating in human papillomavirus screening in rural Zimbabwe.

Megan Fitzpatrick, Mythili P Pathipati, Kathy McCarty, Anat Rosenthal, David Katzenstein, Z M Chirenje, Benjamin Pinsky

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 3 countries.

Megan FitzpatrickDepartment of Pathology, University of Wisconsin, 600 Highlands Ave, Madison, WI, USA. mbfitzpatric@wisc.edu.ORCID 0000-0001-7040-8018
Mythili P PathipatiDepartment of Internal Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Kathy McCartyChidamoyo Christian Hospital, P.O. Box 330, Karoi, Zimbabwe.
Anat RosenthalDepartment of Health Systems Management, Ben-Gurion University of the Negev, P.O.B. 653, 8410501, Beer-Sheva, Israel.
David KatzensteinBiomedical Research and Training Institute of Zimbabwe, 10 Seagrave Rd, Mount Pleasant, Harare, Zimbabwe.
Z M ChirenjeDepartment of Obstetrics and Gynecology, University of Zimbabwe College of Health Science, Harare, Zimbabwe.
Benjamin PinskyDepartment of Pathology, Stanford Hospitals and Clinics, 300 Pasteur Drive, Stanford, CA, USA.
Ben-Gurion University of the Negev · ILBiomedical Research and Training Institute · ZWMassachusetts General Hospital · USStanford Health Care · USUniversity of Wisconsin–Madison · USUniversity of Zimbabwe · ZW

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
Global Health Fellows and Scholars Research TrainingR25TW009338 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI BARRY, MICHELE, KO, ALBERT ICKSANG · 2012 to 2016
$5.2M
FIC NIH HHS D43 TW010540FIC NIH HHS R25 TW009338
6 · The paper itself

Abstract

backgroundWomen in low- and middle-income countries are at the highest risk of cervical cancer yet have limited access to and participation in cervical cancer screening programs. Integrating self-collected, community-based screening offers a potential primary screening method in areas of limited resources. In this paper, we present a study evaluating knowledge, attitudes, and practices of cervical cancer and Human Papilloma Virus (HPV) in rural Zimbabwe.

methodsWe performed a community-based cross-sectional knowledge, attitudes and practices of HPV and cervical cancer study in rural Zimbabwe from January 2017-May 2017. Women were selected for the study via random number generation from complete lists of inhabitants in the study area if they satisfied the inclusion criteria (≥30-years-old, ≤65-years-old, not pregnant, intact uterus). If selected, they participated in a 19-question structured knowledge, attitudes and practices survey. The questionnaire included questions on demographics, education, knowledge of HPV, cervical cancer, and risk factors. Chi-squared tests were evaluated comparing knowledge, attitudes and practices relating to HPV and cervical cancer screening with actual infection with HPV. Women were also offered a voluntary HIV and self-collected HPV screening.

resultsSix hundred seventy-nine women were included in the knowledge, attitudes and practices survey. Most women (81%) had heard of cervical cancer while the majority had not heard of HPV (12%). The number of women that had been screened previously for cervical cancer was low (5%). There were no significant differences between and within groups regarding knowledge of cervical cancer and actual overall infection with HR-HPV, HPV 16, and HPV 18/45 test results.

conclusionsMost women in rural Zimbabwe have heard of cervical cancer, but the number that had been screened was low. Extending existing outreach services to include cervical cancer screening, potentially including HPV screening, should include cervical cancer/HPV education and screening triage. This approach would serve to bridge the gap between knowledge and screening availability to address some of the barriers to cervical cancer care still affecting women in many regions of the world.

Indexed as

Health Knowledge, Attitudes, PracticeHIV SeronegativityPapillomavirus InfectionsAdultAgedAIDS SerodiagnosisCommunity-Based Participatory ResearchCross-Sectional StudiesEarly Detection of CancerFemaleHIV InfectionsHIV SeropositivityHIV TestingHumansMass ScreeningMiddle AgedCervical CancerCervical Cancer screeningHuman immunodeficiency virusHuman papillomavirusKnowledge, attitudes and practicesZimbabwe

Identifiers

PMID32711530
PMCPMC7382027
OpenAlexW3045367504

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.