Mremi Alex, Joseph Aron P, Njunwa Donatila V, Ntupwa Doris A, Rwenyagila Doris G, Mlay Joseph
Department of Pathology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
School of Medicine, KCMC University, Moshi, Tanzania.
PLoS One. 2025 Jul 11;20(7):e0327879. doi: 10.1371/journal.pone.0327879. eCollection 2025.
Cervical cancer (CC) is a major public health issue in the sub-Saharan Africa region, partly due to limited public awareness among women at risk. University students are part of the age group that is at risk. Assessing their knowledge, attitude, and practices (KAP) about CC, its causes, and prevention methods can reveal gaps that need to be addressed through education. We aimed to assess KAP towards CC control and their determinants among University students in Tanzania.
A cross-sectional survey was conducted among 708 undergraduate students in three Universities, using a pre-tested questionnaire. Descriptive statistics and binary logistic regression were used to describe variables and identify associations between variables; a p-value of <0.5 determined the association.
The majority of students (75.7%) were not knowledgeable, and 82.5% had a negative attitudes regarding CC. Only 25.4% had ever been screened against CC. Being female and a medical student in ≥4th year of studying were significantly associated with good knowledge and attitude of CC (p < 0.000), while other socio-demographic characteristics didn't show any association.
The findings indicate that Tanzanian University students' lack the basic knowledge and attitudes towards CC prevention and control, highlighting the need for comprehensive strategies to ensure no woman is left behind.
宫颈癌(CC)是撒哈拉以南非洲地区的一个主要公共卫生问题,部分原因是高危女性的公众意识有限。大学生是高危年龄组的一部分。评估他们对宫颈癌及其病因和预防方法的知识、态度和行为(KAP)可以揭示需要通过教育来解决的差距。我们旨在评估坦桑尼亚大学生对宫颈癌控制的KAP及其决定因素。
使用预先测试的问卷对三所大学的708名本科生进行横断面调查。描述性统计和二元逻辑回归用于描述变量并确定变量之间的关联;p值<0.5确定关联。
大多数学生(75.7%)知识不足,82.5%对宫颈癌持消极态度。只有25.4%的人曾接受过宫颈癌筛查。女性和四年级及以上的医学生与对宫颈癌的良好知识和态度显著相关(p<0.000),而其他社会人口学特征未显示任何关联。
研究结果表明,坦桑尼亚大学生对宫颈癌预防和控制缺乏基本知识和态度,突出了需要采取综合策略以确保不让任何女性掉队。