Evidence map›Paper›PMID 33008344›Full record

ArticleBMC public health2020

"A loving man has a very huge responsibility": A mixed methods study of Malawian men's knowledge and beliefs about cervical cancer.

Samuel Lewis, Corrina Moucheraud, Devon Schechinger, Misheck Mphande, Ben Allan Banda, Hitler Sigauke, Paul Kawale, Kathryn Dovel, Risa M Hoffman

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 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

9 authors at 2 institutions in 2 countries.

Samuel LewisUniversity of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA. swlewis@mednet.ucla.edu.ORCID http://orcid.org/0000-0001-5649-6584
Corrina MoucheraudUniversity of California Los Angeles Fielding School of Public Health, Los Angeles, CA, USA.
Devon SchechingerUniversity of California Los Angeles Meyer and Renee Luskin School of Public Affairs, Los Angeles, CA, USA.
Misheck MphandePartners in Hope Medical Center, Lilongwe, Malawi.
Ben Allan BandaPartners in Hope Medical Center, Lilongwe, Malawi.
Hitler SigaukePartners in Hope Medical Center, Lilongwe, Malawi.
Paul KawaleAfrican Institute for Development Policy, Lilongwe, Malawi.
Kathryn DovelUniversity of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
Risa M HoffmanUniversity of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA.
University of California, Los Angeles · USAfrican Institute for Development Policy · MW

Funding

The Effect of Nanoparticle Encapsulated Resveratrol on Treatment of PeriodontitisKL2TR001882 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2016 to 2026
$13.1M
Innovative strategies to increase ART Initiation and viral suppression among HIV+ men in MalawiK01TW011484 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DOVEL, KATHRYN L · 2019 to 2023
$717k
FIC NIH HHS K01 TW011484NCATS NIH HHS KL2 TR001882NCATS NIH HHS KL2TR001882
6 · The paper itself

Abstract

backgroundIn Malawi, numerous barriers may prevent women from accessing cervical cancer screening services - including social factors such as male partner involvement. We conducted surveys that included open- and closed-ended questions with married Malawian men to evaluate their knowledge and beliefs about cervical cancer.

methodsHIV-positive adult (≥18 years) men (married or in a stable relationship) were recruited from an antiretroviral therapy clinic in Lilongwe, Malawi. Men were asked a series of survey questions to assess their knowledge about cervical cancer, experience with cervical cancer, their female partner's screening history, and their beliefs about gender norms and household decision-making. Following the survey, participants responded to a set of open-ended interview questions about cervical cancer screening, and men's role in prevention.

resultsOne hundred-twenty men were enrolled with average age 44 years and 55% having completed secondary school or higher education. Despite only moderate knowledge about cervical cancer and screening (average assessment score of 62% correct), all men expressed support of cervical cancer screening, and most (86%) believed they should be involved in their female partner's decision to be screened. Over half (61%) of men said their female partner had previously been screened for cervical cancer, and this was positively correlated with the male respondent having more progressive gender norms around sexual practices. Some men expressed concerns about the screening process, namely the propriety of vaginal exams when performed by male clinicians, and whether the procedure was painful.

conclusionsMale partners in Malawi want to be involved in decisions about cervical cancer screening, but have limited knowledge about screening, and hold rigid beliefs about gender norms that may affect their support for screening. Messaging campaigns addressing men's concerns may be instrumental in improving women's adoption of cervical cancer screening services in Malawi and similar settings.

Indexed as

Uterine Cervical NeoplasmsAdultEarly Detection of CancerFemaleHumansMalawiMaleMenSexual BehaviorCervical cancerHIVMenMixed methodsQualitativeScreening

Identifiers

PMID33008344
PMCPMC7532091
OpenAlexW3091260791

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.