Evidence map›Paper›PMID 41248939›Full record

ArticleBMJ global health2025

Intersectional stigma and resilience in the uptake of cervical cancer prevention services in Nigeria: a qualitative study.

Agatha Eileen Wapmuk, Ifeoma Obionu, Chisom Obiezu-Umeh, Titilola Abike Gbaja-Biamila, Ekenechukwu Kokelu, Ucheoma Nwaozuru, Eneyi E Kpokiri, Collins O Airhihenbuwa, Jennifer S Smith, Musa Zaidat and 6 more

Abstract read
In one paragraph

Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Agatha Eileen WapmukClinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria agathawapmuk@yahoo.com.ORCID 0009-0001-6040-0474
Ifeoma ObionuDepartment of Behavioral Science and Health Equity, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, USA.
Chisom Obiezu-UmehDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Titilola Abike Gbaja-BiamilaClinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.ORCID 0000-0003-2958-2924
Ekenechukwu KokeluDivision of Infectious Diseases, Washington University School of Medicine in St. Louis, Saint Louis, Missouri, USA.
Ucheoma NwaozuruWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Eneyi E KpokiriClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-1180-1439
Collins O AirhihenbuwaGeorgia State University School of Public Health, Atlanta, Georgia, USA.
Jennifer S SmithDepartment of Epidemiology, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Musa ZaidatMonitoring and Evaluation Unit, Nigerian Institute of Medical Research, Lagos, Nigeria.
Chisom Obi-JeffDepartment of Research, Direct Consulting and Logistics LLC, Abuja, Nigeria.
Benedict N AzuoguDepartment of Community Health, Ebonyi State University, Abakaliki, Ebonyi, Nigeria.
Kayode AjenifujaDepartment of Obstetrics and Gynaecology, Obafemi Awolowo University, Ife, Nigeria.
Joseph D TuckerClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-2804-1181
Juliet IwelunmorDivision of Infectious Diseases, Washington University School of Medicine in St. Louis, Saint Louis, Missouri, USA.
Oliver C EzechiClinical Sciences Department, Nigerian Institute of Medical Research, Lagos, Nigeria.ORCID 0009-0003-1595-2506

Funding

Actions for Collaborative Community Engaged Strategies for HPV (ACCESS-HPV)R01CA271033 · NCI · WASHINGTON UNIVERSITY · PI OLIVER CHUKWUJEKWU EZECHI, Juliet Iwelunmor · 2022 to 2026
$2.5M
Innovative Rapid Enabling, Affordable, point-of-Care HPV Self-Testing Strategy (I-REACH)U01CA279863 · NCI · WASHINGTON UNIVERSITY · PI YIE-HWA CHANG, OLIVER CHUKWUJEKWU EZECHI · 2023 to 2026
$1.6M
NCI NIH HHS R01 CA271033NCI NIH HHS U01 CA279863
6 · The paper itself

Abstract

backgroundCervical cancer is one of the leading causes of death among women in Africa, but stigma often delays cervical cancer prevention. We explore the perceptions, enablers and nurturers through the lens of intersectional stigma in the uptake of cervical cancer prevention services in Nigeria.

methodIndepth interviews and focus group discussions were conducted among women aged 30-65 years and girls aged 9-26 years in Lagos, Nigeria. Data were analysed thematically. Using the relationships and expectation domain of the PEN-3 cultural model, we identified perceptions, enablers and nurturers related to the uptake of primary and secondary cervical cancer prevention services in Nigeria. We also explored how social identities may intersect with health-related stigmas and affect the uptake of these services.

resultWe interviewed 31 women and 31 girls. 61% of the participants were Christians and 39% were Muslims and were from the three major ethnic groups in Nigeria: Igbo (34%), Hausa (38%) and Yoruba (28%). Themes emerging from the data: (1) positive perceptions (self-efficacy): many women understood the importance of protecting themselves and their daughters from cervical cancer and strongly believed that they could educate their partners/husbands and would not let other people's experiences with the vaccine influence them negatively. (2) Negative perceptions (anticipated stigma): some women expressed that because the human papillomavirus that causes cervical cancer is mainly sexually transmitted, they were concerned that they may be perceived as being promiscuous if they decide to commence routine cervical cancer screening. (3) Enablers (social support): nearly all women wanted the support of their spouses before receiving cervical cancer screening. (4) Nurturers (resilience): many clearly understood the complex social and economic realities faced by Nigerians that negatively affect their access to healthcare.

conclusionThese findings offer intersectional insights into advancing public health and culturally anchored interventions to preventing cervical cancer-related stigma in Nigeria.

Indexed as

Patient Acceptance of Health CareResilience, PsychologicalSocial StigmaUterine Cervical NeoplasmsAdolescentAdultAgedChildEarly Detection of CancerFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMiddle AgedNigeriaCancerMaternal healthPublic HealthQualitative studyScreening

Identifiers

PMID41248939
PMCPMC12625870

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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.