In Nigeria Cervical Cancer (CC) screening services are poorly utilised. Men as dominant decision makers makes it challenging for women to take decisions independently on reproductive health.
This study aimed at assessing knowledge, attitudinal disposition and men's willingness to support CC screening in Nigeria.
As a cross-sectional survey, a four-stage sampling procedure was used to select the study LGA, four wards, communities, and 304 men aged 20-69 years. Four focus Group Discussion (FGD) sessions were conducted. Interviewer-administered questionnaire with, a 20-point knowledge, 16-point attitudinal, 10-point willingness scales, and men’s support enhancing factors was used for data collection. Knowledge scores ≥ 10, attitudinal scores >8, and willingness scores ≥7 points were classified as good, positive, and willing respectively. Data were analysed using descriptive statistics, Chi-square and Logistic regression tests, at 5% level of significance.
Respondents age was 35.9±9.7 years, 16.1% had tertiary education, and (79.6%) were ever married. Awareness of symptoms, and that screening prevents CC were 1.3%, 42.0% respectively, and 35.5% perceived CC as a curse to promiscuous women. Knowledge, attitudinal, and willingness scores were 5.97± 5.0, 9.5±4.4, and 7.5±2.3 respectively. Many (78.6%) had poor knowledge, (45.7%) negative attitude, and 69.1% willing to support spouse’s CC screening. Suggestions for enhancing support for C.C screening included awareness creation (86.9%). Men with tertiary education were more likely to have good knowledge of CC than those with primary education (OR:3.5, p≤0.05, C.I.=1.5-8.1). Men with good knowledge of CC screening were more likely to have positive attitudinal disposition to screening (OR=20.0, p≤0.05, C.I.7.0-56.2). Men with positive attitudinal disposition, were more willing to support screening (OR: 2.0, p≤0.05, C.I.=1.2-3.3). FGD’s reveal willingness to permit spouses based on their knowledge and affordability .
Good knowledge was associated with attitude, and willingness of men to support screening. Hence health education is recommended.