ArticlePreventive medicine reports2026
Effectiveness of community-based culturally tailored cervical cancer awareness interventions among women and decision-making men in low-resource settings: A pre-post design evaluation in rural Uganda and Bangladesh.
Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Cervical cancer disproportionately affects women in low-resource settings (LRS), where screening uptake and awareness remains low. Male household decision-makers often influence women's health decisions but are infrequently targeted in awareness interventions. This study evaluated culturally tailored interventions to improve cervical cancer awareness among women and male household decision-makers in rural Uganda and Bangladesh. Methods: A quasi-experimental pre-post design using data from the PRevention and SCReening Innovation Project Toward Elimination of Cervical Cancer (PRESCRIP-TEC) surveyed women and male household decision-makers before (Uganda May 2022; Bangladesh April-June 2022) and after (December 2022-October 2023) a mass media with community health worker (CHW) outreach intervention. Multivariable logistic regression assessed changes in risk factor and symptom knowledge. Results: Among 3342 respondents (1453 pre-, 1889 post-intervention), women and decision-making men showed significantly improved awareness post-intervention: risk factor knowledge (women OR = 9.51, 95% CI: 7.52, 12.02; men OR = 11.72, 95% CI: 8.03, 17.10) and symptom knowledge (women OR = 6.24, 95% CI: 5.03, 7.74; men OR = 4.53, 95% CI: 3.31, 6.19), after adjustment for covariates. Conclusions: Culturally tailored interventions engaging male household decision-makers alongside women and integrating mass media with CHW-led outreach effectively improves cervical cancer awareness across socio-culturally diverse LRS and can inform policy and screening campaigns in LRS.
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