BMJ Open
 2021
DOI: 10.1136/bmjopen-2020-043637
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Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective

Amandine Noemie Roux
1
,
Bruno Kenfack
2
,
Alexandre Ndjalla
3
et al.

Abstract: ObjectiveCervical cancer in Cameroon ranks as the second most frequent cancer among women and the leading cause of cancer-related deaths, mainly due to the lack of prevention. Our principal objective was to explore potential barriers to an human papillomavirus (HPV)-based cervical cancer screening from a healthcare provider (HCP) perspective in a low-income context. Second, we aimed to explore the acceptability of a single-visit approach using HPV self-sampling.SettingsThe study took place in the District hosp… Show more

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Cited by 27 publications

(51 citation statements)
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“…Cervical cancer patients had low knowledge of causes of the disease as few reported HPV as the cause. This is also similar to a study done by Roux et al (2021) who found out that one of the barriers to cervical cancer screening in Cameroon is lack of knowledge on cervical cancer.…”
Section: Discussionsupporting
confidence: 90%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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“…Cervical cancer patients had low knowledge of causes of the disease as few reported HPV as the cause. This is also similar to a study done by Roux et al (2021) who found out that one of the barriers to cervical cancer screening in Cameroon is lack of knowledge on cervical cancer.…”
Section: Discussionsupporting
confidence: 90%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
show abstract
“…Several studies mentioned the lack of laboratory facilities, inadequate working staff and resources, and late preparation of test results as the causes of less willingness to perform cervical cancer screening. 20,32,33 Easy and cheap access is an important motivator of performing the PS, 41 but increasing access to services does not always increase their use, 20 as the results of the present study showed.…”
Section: Discussionmentioning
confidence: 51%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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“…For many women, economic challenges may present considerable barriers to taking the PS. Though many studies drew attention to the cost of PS as a barrier,3 12 23 29 31 32 34–39 41–43 the significance of this barrier in the present study seems to be inconsequential according to the frequency of the issue in interviewees’ accounts. This divergence can be due to the fact that a majority of participants had supplementary insurance coverage, which reduced their need to fully pay the cost of the test.…”
Section: Discussionmentioning
confidence: 62%
“…Several factors within these establishments can prevent the PS test, including limited access, concerns about privacy and distrust in healthcare providers. Implementation of the PS has been observed to be prevented by overcrowded waiting areas, extended waiting time,34 inadequate resources,31 37 39 42 43 delayed test results35 and insufficient follow-up,3 as reported in similar studies.…”
Section: Discussionmentioning
confidence: 68%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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