CC BY-NC-ND 4.0 · South Asian J Cancer 2023; 12(01): 017-022
DOI: 10.1055/s-0042-1751093
Original Article
Cervical Cancer

Knowledge and Attitude of Cervical Cancer Screening and Vaccination in Patients Attending Gynecology Outpatient Clinic at a Tertiary Care Hospital in Pakistan

Shamaila Shamaun
1   Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS), Karachi, Pakistan
Riffat Jaleel
1   Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS), Karachi, Pakistan
2   Dr Ruth KM Pfau Civil Hospital, Karachi, Pakistan
Yasmeen Gull
3   Meer Jam Ghulam Qadir Hospital Hub District, Lasbella Balochistan, Pakistan
Afshan Shahid
1   Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS), Karachi, Pakistan
Mehreen Iqbal
1   Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS), Karachi, Pakistan
Tabinda Naseer Qazi
1   Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS), Karachi, Pakistan
› Author Affiliations
Funding None to disclose.


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Shamaila Shamaun

Background Cervical cancer is the third most prevalent female cancer in Pakistan; nearly 70% present at a very advanced stage of malignancy due to lack of awareness, proper screening, and vaccination. Therefore, we aimed to assess the knowledge and attitude toward screening, vaccination, and risk factors of cervical cancer in sexually active women of Pakistan.

Methods This cross-sectional study was conducted at the gynecology outpatient clinic of a public sector hospital in Karachi, Pakistan, from December 2021 to March 2022. We included sexually active women with exception of diagnosed cases of cervical cancer, pregnancy, vaginal bleeding, and psychological disorder. Collected data were regarding demographic characteristics, awareness regarding cervical cancer, screening, human papillomavirus (HPV) vaccine, and risk factors, history of cervical screening, and wiliness to opt-in for cervical screening.

Results We included 226 women with a mean age of 41.25 ± 10.54 years. The mean parity level was observed to be 3.8 ± 1.95. A majority of women were housewives by profession (88.9%) and uneducated (61.9%). Only 41.2% (93) of women were aware of cervical cancer, 33.6% (76) were aware of cervical screening, and only 15.9% (36) had a history of cervical screening. Only four women (1.8%) were aware of the HPV vaccine and 31% (70) showed intention to opt-in for cervical screening. A vast majority of women (96.9%) were not aware of the risk factors of cervical cancer.

Conclusion(s) We have observed poor awareness regarding cervical cancer, HPV vaccination, and cervical screening among women in our population. Lack of awareness was not restricted to a certain segment but it prevails all across the demographic in our population.


Study was approved by the ethical review committee of the Dow International Medical College (DIMC)/Dow University of Health Sciences (DUHS).

Publication History

Article published online:
22 August 2022

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