Evidence map›Paper›PMID 34727914›Full record

ArticleBMC women's health2021

Knowledge of cervical cancer risk factors among Palestinian women: a national cross-sectional study.

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

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 at 8 institutions in 3 countries.

Mohamedraed Elshami *Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. mohamedraed.elshami@gmail.com.
Mariam Thalji *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Hanan Abukmail *Ministry of Health, Gaza, Palestine.
Ibrahim Al-SlaibiAlmakassed Hospital, Jerusalem, Palestine.
Mohammed AlserMinistry of Health, Gaza, Palestine.
Afnan RadaydehFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Alaa AlfuqahaFaculty of Graduate Studies, An-Najah National University, Nablus, 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 Najeeb SkaikFaculty of Medicine, Alazhar University of Gaza, Gaza, Palestine.
Lama HammoudFaculty of Dentistry and Dental Surgery, Al-Quds University, Jerusalem, Palestine.
Saba 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.
Al-Quds University · PSIslamic University of Gaza · PSAl-Azhar University – Gaza · PSAn-Najah National University · PSUniversity of Palestine · PSAl-Ahli Hospital · QADar Al-Shifa Hospital · PSHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh awareness of cervical cancer (CC) risk factors is important to decrease the morbidity and mortality associated with CC. This study aimed to assess the knowledge level of Palestinian women about CC risk factors and to determine the factors associated with good knowledge.

methodsThis was a national cross-sectional study. Adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates in Palestine were recruited using a stratified convenience sampling. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess the knowledge about the 11 CC risk factors. For each correctly identified risk factor, the participant was given one point. The total score was calculated and was categorized into three categories: poor knowledge (0-3), fair knowledge (4-7), and good knowledge (8-11).

resultsA total of 7223 participants completed the Arabic CeCAM (response rate = 89.3%) and 7058 questionnaires were included in the final analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem. Participants recruited from the Gaza Strip were younger, getting lower monthly incomes, and with less chronic diseases than participants recruited from the West Bank and Jerusalem. The most frequently identified risk factor was 'having a weakened immune system' (n = 5458, 77.3%) followed by 'infection with a sexually transmitted infection' (n = 5388, 76.3%). The least identified risk factor was 'having many children' (n = 1597, 22.6%). Only 1670 women (23.7%) had good knowledge of CC risk factors. Women living in the Gaza Strip were more likely than women living in the West Bank and Jerusalem to have good knowledge (25.2% vs 22.7%). Completing a secondary or diploma degree, being employed, and having a monthly income of ≥ 1450 NIS (around $450) were all associated with lower likelihood of having good knowledge of CC risk factors. Conversely, knowing someone with cancer was associated with higher likelihood of having good knowledge.

conclusionThe overall awareness of CC risk factors was low. There is a substantial need to establish educational programs to promote Palestinian women's awareness of CC.

Indexed as

Uterine Cervical NeoplasmsAdultArabsChildCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansRisk FactorsAwarenessCervical cancerEarly detectionEarly presentationKnowledgePalestinePreventionRisk factorSurvival

Identifiers

PMID34727914
PMCPMC8561913
OpenAlexW3210676309

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.