Role of gender in perspectives of discrimination, stigma, and attitudes relative to cervical cancer in rural Sénégal

Public Deposited
Analytics

Downloadable Content

Download PDF
Request Version for Screen Reader
Creator
  • Ongtengco, N.
    • Other Affiliation: University of Illinois at Chicago
  • Thiam, H.
    • Other Affiliation: Kédougou Medical Region
  • Collins, Z.
    • Other Affiliation: University of Illinois at Chicago
  • de Jesus, E.L.
    • Other Affiliation: University of Illinois at Chicago
  • Peterson, C.E.
    • Other Affiliation: University of Illinois at Chicago
  • Wang, T.
    • Other Affiliation: University of Illinois at Chicago
  • Hendrix, E.
    • Other Affiliation: University of Illinois at Chicago
  • Ndiaye, Y.
    • Other Affiliation: Sénégal Ministry of Health and Social Action
  • Gueye, B.
    • Other Affiliation: Sénégal Ministry of Health and Social Action
  • Gassama, O.
    • Other Affiliation: University of Cheikh Anta Diop
  • Kasse, A.A.
    • Other Affiliation: University of Cheikh Anta Diop
  • Faye, A.
    • Other Affiliation: University of Cheikh Anta Diop
  • Smith, J.S.
    • Affiliation: Gillings School of Global Public Health
  • Fitzgibbon, M.
    • Other Affiliation: University of Illinois at Chicago
  • Dykens, J.A.
    • Other Affiliation: University of Illinois at Chicago
Abstract
  • Cervical cancer is the leading cause of female cancer deaths in Sénégal which is ranked 17th in incidence globally, however, the screening rate there is very low. Nuanced gendered perceptions and health behaviors of both women and men play a significant role in women's health. Our study analyzed gender differences on perceptions of gender roles, discrimination, cancer attitudes, cancer stigma, and influences in healthcare decision making within our study population to inform ongoing cervical cancer prevention work in the rural region of Kédougou, Sénégal. We conducted a cross-sectional survey of 158 participants, 101 women and 57 men (ages 30-59) across nine non-probability-sampled communities from October 2018 through February 2019. Bivariate analysis was conducted to assess gender differences across all variables. We also conducted analyses to determine whether there were significant differences in beliefs and attitudes, by screening behavior and by education. We found significant gender differences regarding the perception of a woman's role (P < 0.001) and a man's role (P = 0.007) as well as in the everyday discrimination questions of “decreased respect by spouse” (P < 0.001). Regarding cancer stigma, among women, 18.00% disagreed and 10.00% strongly disagreed while among men, 3.6% disagreed and 1.8% strongly disagreed that “If I had cancer, I would want my family to know that I have it.” When making decisions about one's healthcare, women are more likely than men to trust social contacts such as their spouse (46.5% vs 5.3%, p < 0.001) while men are more likely than women to trust health service personnel such as a nurse (50.9% vs 18.8%, p < 0.001). Furthermore, men and women were both more likely to state that men have the final decision regarding the healthcare decisions of women (p < 0.001). Our data reveal structural disadvantages for women within our study population as well as gender differences in the adapted everyday discrimination scale and cancer stigma scale. Higher rates of both personal and perceived cancer stigma among women has profound implications for how population and community level communication strategies for cancer prevention and control should be designed. Efforts to advance the goal of the elimination of cervical cancer should, in the short-term, seek to gain a more profound understanding of the ways that gender, language, and other social determinants impact negative social influences and other barriers addressable through interventions. Social and behavior change communication may be one approach that can focus both on education while seeking to leverage the social influences that exist in achieving immediate and long-term goals.
Date of publication
Keyword
DOI
Identifier
Resource type
  • Article
License
  • Attribution 4.0 International
Journal title
  • PLoS ONE
Journal volume
  • 15
Journal issue
  • 4
Language
  • English
Version
  • Publisher
Funder
  • Fogarty International Center, FIC: K01TW010494
ISSN
  • 1932-6203
Publisher
  • Public Library of Science

Relations

Parents:

This work has no parents.

In Collection:

Items

Thumbnail Title Date Uploaded Visibility Actions
file details file.pdf 2024-02-22 Public Download