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  1. Article ; Online: Cervical cancer knowledge and screening behaviors among female university graduates of year 2012 attending national graduate orientation program, Bhutan.

    Dhendup, Tshering / Tshering, Pandup

    BMC women's health

    2014  Volume 14, Issue 1, Page(s) 44

    Abstract: Background: Cervical cancer is the leading female cancer in Bhutan. This study describes the level of cervical cancer knowledge and screening behaviors among female university graduates attending the National Graduate Orientation Program (NGOP), 2012.!## ...

    Abstract Background: Cervical cancer is the leading female cancer in Bhutan. This study describes the level of cervical cancer knowledge and screening behaviors among female university graduates attending the National Graduate Orientation Program (NGOP), 2012.
    Methods: A cross-sectional study of female graduates attending NGOP was conducted using self-administered anonymous questionnaire developed through literature reviews and expert discussions to elicit information on demographic characteristics, knowledge, screening behaviors and determinants of cervical cancer. The association of demographic and other important study characteristics with uptake of Pap test was investigated using cross tabulation and Fischer Exact test. Frequencies and percentages were calculated for all the questions.
    Results: The average age of the participants was 23.43 ± SD 2.73. About 92% (n = 513) of the respondents were aged 25 years or less and 7.9% (n = 44) of the respondents were aged 26 or more. The study revealed low cervical cancer knowledge and poor screening behavior among the graduates. The mean knowledge score was 3.571 (SD1.75, Range 0-8). About 6% (n=34) of the respondents reported undergoing Pap test at least once and 94% reported as never having done Pap test. The most commonly cited reasons for not doing Pap test included "never thought I needed one" (57%, n = 320), "embarrassment of being examined by male health professional" and "fear of finding out cancer". The study revealed evidence of significant association between increasing age, those who are married, knowledge score and those recommended for screening by health professionals with the uptake of Pap test.
    Conclusion: Our study revealed poor knowledge and screening behaviors among female university graduates in Bhutan. This may be suggestive of even poorer awareness and screening practices among young unmarried women who are less educated or with no education. Although our study group is not appropriate for measuring practice of cervical cancer screening in the country, the findings are expected to highlight the shortcomings and trigger development of comprehensive cervical cancer control programs in Bhutan.
    MeSH term(s) Adult ; Bhutan ; Cross-Sectional Studies ; Early Detection of Cancer ; Educational Status ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Marital Status ; Papanicolaou Test/psychology ; Risk Factors ; Students/psychology ; Surveys and Questionnaires ; Universities ; Uterine Cervical Neoplasms/diagnosis ; Young Adult
    Language English
    Publishing date 2014-03-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050444-5
    ISSN 1472-6874 ; 1472-6874
    ISSN (online) 1472-6874
    ISSN 1472-6874
    DOI 10.1186/1472-6874-14-44
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Twenty-two years of HIV infection in Bhutan: epidemiological profile.

    Tshering, Pandup / Lhazeen, Karma / Wangdi, Sonam / Tshering, Namgay

    Journal of virus eradication

    2016  Volume 2, Issue Suppl 4, Page(s) 45–48

    Abstract: Aims: To describe the HIV epidemiology in Bhutan.: Methods: Data from the database of people living with HIV infection in Bhutan, survey reports from the National STI and HIV/AIDS Control Programme from the Ministry of Health and published literature ...

    Abstract Aims: To describe the HIV epidemiology in Bhutan.
    Methods: Data from the database of people living with HIV infection in Bhutan, survey reports from the National STI and HIV/AIDS Control Programme from the Ministry of Health and published literature on HIV in Bhutan were reviewed.
    Results: Bhutan continues to have a low HIV prevalence with only 470 cases reported by the end of 2015. However, there is a slow but steady recent increase in the number of cases. The main mode of transmission is unsafe heterosexual practice in the general population and is occurring mostly in urban and business districts. More than half of cases have been diagnosed in only three districts. Although the number of cases among key populations such as sex workers and intravenous drug users remains significantly low, the information available remains very limited. There is only scarce published literature on HIV in Bhutan and an absence of a strategic surveillance system. A high level of sexually transmitted infections and multiple sexual relationships represent the existing threats that may fuel a larger epidemic.
    Conclusions: Bhutan has a maintained a low HIV prevalence over the past two decades, which is reflected in the national response to HIV. However, with the presence of existing and newly emerging risk factors, this response needs to adapt continually. To ensure that HIV prevalence remains low, it is crucial to invest in a strategic information system to monitor rates of infections to guide the public health response.
    Language English
    Publishing date 2016-11-28
    Publishing country England
    Document type Editorial
    ZDB-ID 2868549-0
    ISSN 2055-6659 ; 2055-6640
    ISSN (online) 2055-6659
    ISSN 2055-6640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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