A significant decrease in the incidence of cervical cancer and mortality is expected when all eligible women have access to regular Screening tests. Factors that can influence participation rate include: acceptability, accessibility, screening interval, promotion of screening among others. This study is aimed at the assessment of the risk factors for cervical cancer, the knowledge and level of utilization of cervical cancer screening among female staff and female undergraduates of Niger Delta University. A standard questionnaire was used for data collection. The questions were made to capture the objectives of the study. 182 (50.6%) were aware of cervical cancer screening, 22 (12.1%) of the respondents have had at least one pap test in the past, the commonest reasons for uptake of screening were; When it is free or subsidized 6 (27.3%), as part of a general screening program 6 (27.3%), Doctor’s request 4 (18.2%) and self-conviction 4 (18.2%). Many 98 (41.4%) of the respondents, considered themselves healthy and did not see any reason to subject themselves to any form of cervical cancer screening. The reasons for uptake and non uptake of cervical cancer screening are statistically significant between the students and staff (x2 = 18.175, p = 0.001; x2 = 11.31, p = 0.046). The mean age for the initiation of penetrative sex among the respondents was 15.4 ± 2.7, 226 (71.1%) had more than one sexual partner and 184 (51.0%) had been treated for sexually transmitted infections in the past. The study shows that awareness of cervical cancer screening and Uptake was low amongst the respondents, this is despite the fact that a large proportion of the respondents had risk factors for cervical cancer.
Cite this paper
Isa, I. , Gani, O. and McFubara, K. (2013) Cervical cancer screening among female undergraduates and staff in the Niger delta region of Nigeria. Open Journal of Obstetrics and Gynecology, 3, 61-66. doi: 10.4236/ojog.2013.31014.
 Anorlu, R.I. (1997) Tumours of the cervix uteri. Textbook of Obstetrics and Gynaecology for Medical Students, 2, 167-182.
 Arevian, M., Noureddine, S. and Kabakian-Khasholian, T. (2006) Raising awareness and providing free screening improves cervical cancer screening among economically disadvantaged Lebanese/Armenian women. Journal of Transcultural Nursing, 17, 357-365.
 Hakama, M., Joutsenlahti, U., Virtaren, A., et al. (1975) Mass screening for cervical cancer in Finland 1963-1971. Organization, extent and epidemiological implications. Annals of Clinical Research, 7, 101-111.
 Arbyn, M., Castellsagué, X., de Sanjosé, S., Bruni, L., Saraiya, M., Bray, F. and Ferlay, J. (2011) Worldwide burden of cervical cancer in 2008. Annals of Oncology, 22, 2675-2686. doi:10.1093/annonc/mdr015
 Peto, J., Gilham, C., Fletcher, O. and Matthews. F.E. (2004) The cervical cancer epidemic that screening has prevented in the UK. Lancet, 364, 249-256.
 Quinn, M., Babb, P., Jones, J. and Allen, E. (1999) Effect of screening on incidence of and mortality from cancer of cervix in England: Evaluation based on routinely collected statistics. British Medical Journal, 318, 904-908.
 Maggwa, B.N., Hunter, D.J., Mbugua, S., Tukei, P. and Mati, J.K. (1993) The relationship between HIV infection and cervical intraepithelial neoplasia among women attending two family planning clinics in Nairobi, Kenya. AIDS, 7, 733-738.
 Olamijulo, J. and Duncan, I.D. (1995) Is cervical cytology screening of teenagers worthwhile? British Journal of Obstetrics and Gynaecology, 102, 515-516.
 Kapiga, S.H., Msamanga, G.I., Spiegelman, D., Mwakyoma, H., Fawzi, W.W. and Hunter, D.J. (1999) Risk factors for squamous intraepithelial lesions among HIV-1 seropositive women in Dares Salaam, Tanzania. International Journal of Gynecology & Obstetrics, 67, 87-94.
 Leroy, V., Ladner, J., DeClercq, A., Meheus, A., Nyiraziraje, M., Karita, E. and Dabis, F. (1999) Cervical dysplasia and HIV type 1 infection in African pregnant women: A cross sectional study, Kigali, Rwanda. The pregnancy and HIV Study Group (EGE). Sexually Transmitted Infections, 75, 103-106.
 Ngoma, T. (2006) World Health Organization cancer priorities in developing countries. Annals of Oncology, 17, viii9-viii14.
 Dignan, M., Michielutte, R., Blinson, K., Wells, H.B., Case, L.D., Sharp, P., et al. (1996) Effectiveness of health education to increase screening for cervical cancer among eastern-band Cherokee Indian women in North Carolina. Journal of the National Cancer Institute, 88, 1670-1676.
 Schofield, M.J., Sanson-Fisher, R., Halpin, S. and Redman, S. (1994) Notification and follow-up of Pap test results: Current practice and women’s preferences. Preventive Medicine, 23, 276-283. doi:10.1006/pmed.1994.1039
 Ayinde, O.A., Omigbodun, A.O. and Ilesanmi, A.O. (2004) Awareness of cervical cancer, Papanicolaou’s smear and it’s utilisation among female undergraduates in Ibadan. African Journal of Reproductive Health, 8, 68-80.
 Adewole, I.F., Benedet, J.L., Brian, T.C. and Follen, M. (2005) Evolving a strategic approach to cervical cancer control in Africa. Gynecologic Oncology, 99, 209-212.
 Olukoya, A.A. (1989) Cancer of the breast and cervix in Nigerian women and the role of primary health care. Nigerian Medical Practitioner, 18, 26-30.
 Anonymous (1984) Cervical screening: Editorial. The British Journal of Family Planning, 10, 1-2.
 Fylan, F. (1998) Screening for cervical cancer: A review of women’s attitudes, knowledge, and behavior. British Journal of General Practice, 48, 1509-1514.
 Lara, E., Day, N.E. and Hakama, M. (1987) Trends in mortality from cervical cancer in Nordic countries: Association which organized screening program. Lancet, 1, 1247-1249. doi:10.1016/S0140-6736(87)92695-X
 Claeys, P., Gonzalez, C., Gonzalez, M., Page, H., Bello, R.E. and Temmerman, M. (2002) Determinants of cervical cancer screening in a poor area: Results of a populationbased survey in Rivas, Nicaragua. Tropical Medicine and International Health, 7, 935-941.
 McFarland, D.M. (2003) Cervical cancer and Pap smear screening in Botswana: Knowledge and perceptions. International Nursing Review, 50, 167-175.
 Gharoro, E.P. and Ikeanyi, E.N. (2006) An appraisal of the level of awareness and utilization of the Pap smear as a cervical cancer screening test among female health workers in a tertiary health institution. International Journal of Gynecological Cancer, 16, 1063-1068.
 Udigwe, G.O. (2006) Knowledge, attitude and practice of cervical cancer screening (Pap smear) among female nurses in Nnewi, South Eastern Nigeria. Nigerian Journal of Clinical Practice, 9, 40-43.
 Adefuye, P.O. (2006) Knowledge and practice of cervical cancer screening among female professional health workers in a sub-urban district of Nigeria. Nigerian Medical Practitioner, 50, 19-22. doi:10.4314/nmp.v50i1.28829
 Adanu, R.M.K. (2002) Cervical cancer knowledge and screening in Accra, Ghana. Journal of Women’s Health and Gender-Based Medicine, 11, 487.
 Klug, S.J., Hetzer, M. and Blettner, M. (2005) Screening for breast and cervical cancer in a large German city: Participation, motivation and knowledge of risk factors. European Journal of Public Health, 15, 70-77.
 Lee-Lin, F., Pett, M., Menon, U., Lee, S., Nail, L., Mooney, K. and Itano, J. (2007) Cervical cancer and Pap test screening practices among Chinese-American immigrants. Oncology Nursing Forum, 34, 1203-1209.
 Tacken, M.A.J.B., Braspenning, J.C.C., Hermens, R.P.M.G., Spreeuwenberg, P.M.M., Van Den Hoogen, H.J.M., De Bakker, D.H., et al. (2007) Uptake of cervical cancer screening in the Netherlands is mainly influenced by women’s beliefs about the screening and by the inviting organization. The European Journal of Public Health, 17, 178-185. doi:10.1093/eurpub/ckl082
 Baker, D. and Middleton, E. (2003) Cervical screening and health inequality in England in the 1990s. Journal of Epidemiology & Community Health, 57, 417-423.