# Cervical Cancer Screening Among Rural Women in Ernakulam District, Kerala: A Cross-Sectional Study

## TL;DR

This study examines cervical cancer screening practices and awareness among rural women in Ernakulam district, Kerala, finding low screening rates and identifying factors that influence screening uptake.

## Contribution

The study provides insights into CC screening practices and awareness in a specific rural population in Kerala.

## Key findings

- Only 9.2% of rural women in Ernakulam had undergone cervical cancer screening.
- 48.7% of women had average or above average awareness of cervical cancer and screening.
- Older age, higher socioeconomic status, and nuclear family structure were linked to increased screening uptake.

## Abstract

Background

Cervical cancer (CC) remains a significant public health concern globally, especially in rural areas where screening rates are notably low. This study aims to assess CC screening practices, awareness, and associated factors among rural women in Ernakulam district, Kerala.

Methodology

A community-based, cross-sectional study was conducted from January 2024 to March 2024. A sample of 513 women aged 25-60 years was selected using multistage sampling. Data were collected using a semi-structured questionnaire and analyzed using SPSS version 20 software (IBM Corp., Armonk, NY, USA).

Results

The prevalence of CC screening was found to be 9.2%, with 86.2% of women expressing willingness to undergo future screening if provided free of charge. Nearly half (48.7%) of the study population had average or above average awareness of CC and its screening practices. Factors associated with increased screening uptake included age of more than 41 years, those from the above poverty line category, and those living in nuclear families.

Conclusions

This study provides valuable insights into the practices of CC screening and awareness among rural women in Ernakulam district, Kerala. Targeted educational interventions and improved access to screening services are recommended to address gaps.