Knowledge attitude and practices about cervical cancer among urban women working in BPO in Chennai, India

Nilofur Banu, Azarudheen S.


Background: Worldwide cervix cancer ranks fourth place among all the cancer affecting women and commonest cause of death due to cancer among women in developing countries. Business process outsourcing sector in India is a relatively new industry with each growth there is also various negative health issue emerge among people working in those sectors some risk factors associated with ca cervix. Aim of the study was to knowledge, attitudes and practices (KAP) toward cervical cancer, HPV vaccination and screening practice among urban women working in BPO in Chennai.

Methods: A cross sectional study was conducted among urban women working in a BPO in Chennai, Tamil Nadu. A face-to-face interview was conducted using a structured questionnaire by the team leader who was train to interview before starting the study.

Results: Among 155 female study participants only 46% of the respondents knew about cervix. Among the study participants who knew about cervix and cervical cancer, internet (26%) and TV/Radio (26%) were the most common source of information. Only 4% of respondent heard of Pap smear and none of them had undergone it. Similarly, only 3.73% of the respondents knew about vaccines that are available for Cancer Cervix.

Conclusions: The findings of study will help us in planning focused health measures about CA cervix and its prevention strategies .Health awareness will play a vital role in reducing risks of casualties caused by diseases like cancer Cervix.


Business process outsourcing sector, Cancer cervix, Pap smear

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Bulkmans NW, Berkhof J, Bulk S, Bleeker MC, Kemenade FJ, Rozendaal L, et al. High-risk HPV type-specific clearance rates in cervical screening. British J Cancer. 2007;96(9):1419-24.

Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shah KV, et al. Muñoz. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. NJ Pathol. 1999;189(1):12-9.

Bruni L, Albero G, Serrano B, et al. Human papillomavirus and related diseases report. information centre on HPV and Cancer (HPV Information Centre); 2019.

Gakidou E, Nordhagen S, Obermeyer Z. Coverage of cervical cancer screening in 57 countries: Low average levels and large inequalities. PLoS Med. 2008;5(6):e132.

Mishra GA, Pimple SA, Shastri SS. Prevention of cervix cancer in India. Oncology. 2016;91(1):1-7.

Nour NM. Cervical cancer: A preventable death. reviews in Obst and Gyne. 2009;2(4):240.

Aggarwal P. Cervical cancer: can it be prevented?. World J of clinical Oncology. 2014;5(4):775.

Vidhubala E, Niraimathi K, Shewade HD, Mahadevan S. Cervical Cancer care continuum in South India: Evidence from a community-based screening program. J of epidemiology and Global Health. 2020;10(1):28.

Mathiyalagen P, Peramasamy B, Vasudevan K, Basu M, Cherian J, Sundar B. A descriptive cross-sectional study on menstrual hygiene and perceived reproductive morbidity among adolescent girls in a union territory, India. J Family Med Primary Cre. 2017;6(2):360.

Gupta A. Health, social and psychological problems of women employees in BPO: A study in India 2012.

Varadheswari T, Dandekar RH, Sharanya T. A study on the prevalence and KAP regarding cervical cancer among women attending a tertiary care hospital in Perambalur. International J of Preventive Med Res. 2015;1(3):71-8.

Yifru T, Asheber G. Knowledge, attitude and practice of screening for carcinoma of the cervix among reproductive health clients at three teaching hospitals, Addis Ababa, Ethiopia. Ethiop J Reprod Health.

Chande HM, Kassim T. Assessment of women's knowledge and attitude towards carcinoma of the cervix in Ilala Municipality. East Afr J Public Health. 2010;7:74-7.

Mwaka AD, Orach CG, Were EM, Lyratzopoulos G, Wabinga H, Roland M. Awareness of cervical cancer risk factors and symptoms: cross‐sectional community survey in post‐conflict northern Uganda. Health Expectations. 2016;19(4):854-67.

Mousavi F, Shojaei P, Aryan H. Knowledge, attitudes, and practice related to pap smear test among Iranian Women. Int J Womens Health Wellness. 2018;4(076):1353-2474.

Singh J, Roy B, Yadav A, Siddiqui S, Setia A, Ramesh R, Singh K. Cervical cancer awareness and HPV vaccine acceptability among females in Delhi: a cross-sectional study. Indian J Cancer. 2018;55(3):233.

Madhivanan P, Krupp K, Yashodha MN, Marlow L, Klausner JD, Reingold AL. Attitudes toward HPV vaccination among parents of adolescent girls in Mysore, India. Vaccine. 2009;27(38):5203-8.

Basu P, Sarkar S, Mukherjee S, Ghoshal M, Mittal S, Biswas S, et al. Women's perceptions and social barriers determine compliance to cervical screening: Results from a population based study in India. Cancer Detect Prev. 2006;30(4):369-74

Montgomery MP, Dune T, Shetty PK, Shetty AK. Knowledge and acceptability of human papillomavirus vaccination and cervical cancer screening among women in Karnataka, India. J of Cancer Education. 2015;30(1):130-7

Ifediora CO, Azuike EC. Knowledge and attitudes about cervical cancer and its prevention among female secondary school students in Nigeria. Tropical Med and International Health. 2018;23(7):714-23