Evidence map›Paper›PMID 34598690›Full record

ArticleBMC public health2021

Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional study.

Mohamedraed Elshami, Ibrahim Al-Slaibi, Hanan Abukmail, Mohammed Alser, Afnan Radaydeh, Alaa Alfuqaha, Mariam Thalji, Salma Khader, Lana Khatib, Nour Fannoun and 24 more

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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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

34 authors.

Mohamedraed Elshami *Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. mohamedraed.elshami@gmail.com.
Ibrahim Al-Slaibi *Almakassed Hospital, Jerusalem, Palestine.
Hanan Abukmail *Ministry of Health, Gaza, Palestine.
Mohammed Alser *Ministry of Health, Gaza, Palestine.
Afnan RadaydehFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Alaa AlfuqahaFaculty of Graduate Studies, An-Najah National University, Nablus, Palestine.
Mariam ThaljiFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Salma KhaderFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Lana KhatibFaculty of Medicine, An-Najah National University, Nablus, Palestine.
Nour FannounFaculty of Pharmacy, Alazhar University of Gaza, Gaza, Palestine.
Bisan AhmadFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Lina KassabMinistry of Health, Gaza, Palestine.
Hiba KhrishiFaculty of Dentistry and Dental Surgery, Al-Quds University, Jerusalem, Palestine.
Deniz ElhussainiFaculty of Medicine, Alazhar University of Gaza, Gaza, Palestine.
Nour AbedFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Aya NammariFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Tumodir AbdallahFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Zaina AlqudwaFaculty of Medicine, Alazhar University of Gaza, Gaza, Palestine.
Shahd IdaisFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ghaid TanbouzFaculty of Dentistry and Dental Surgery, Al-Quds University, Jerusalem, Palestine.
Ma'alem HajajrehAlia Hospital, Hebron, Palestine.
Hala Abu SelmiyhFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Zakia Abo-HajoujFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Haya HebiFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Manar ZamelFaculty of Medicine, An-Najah National University, Nablus, Palestine.
Refqa SkaikFaculty of Medicine, Alazhar University of Gaza, Gaza, Palestine.
Lama HammoudFaculty of Dentistry and Dental Surgery, Al-Quds University, Jerusalem, Palestine.
Siba RjoubFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Hadeel AyeshFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Toqa RjoubFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Rawan ZakoutFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Amany AlserAl-Shiffa hospital, Gaza, Palestine.
Nasser Abu-El-Noor *Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine.
Bettina Bottcher *Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTimely presentation and diagnosis of cervical cancer (CC) are crucial to decrease its mortality especially in low- and middle-income countries like Palestine. This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge.

methodsThis was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women's knowledge of 12 CC warning signs.

resultsOf 8086 approached, 7223 participants completed the CeCAM (response rate = 89.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip. The most frequently identified warning sign was 'vaginal bleeding after menopause' (n = 5028, 71.2%) followed by 'extreme generalized fatigue' (n = 4601, 65.2%) and 'unexplained weight loss' (n = 4578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer.

conclusionThe overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women's awareness of CC warning signs.

Indexed as

Uterine Cervical NeoplasmsAdultArabsCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansSurveys and QuestionnairesAwarenessCervical cancerEarly detectionEarly presentationKnowledgePalestineSurvivalSymptomWarning sign

Identifiers

PMID34598690
PMCPMC8487127

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Registered trials

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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.