Assessing Physicians’ Knowledge, Attitudes, and Practices Regarding Cervical Cancer Prevention, Diagnosis, and Management in Lahore, Pakistan

Background: Cervical cancer is a major public health concern in Pakistan, where physicians play an important role in prevention, screening, counseling, and early detection. This study assessed physicians’ knowledge, attitudes, and self-reported practices regarding cervical cancer. Methods: This study employed a cross-sectional design and included 408 physicians selected through snowball sampling techniques. A well-designed questionnaire with closed-ended questions was used for data collection. Statistical analysis included descriptive statistics and inferential statistics such as Chi-square, Mann–Whitney, Kruskal–Wallis, Dunn’s tests, Bonferroni adjustment and binary logistic regression were performed using SPSS version 25. Results: Among the 408 physicians, most were young (18–33 years), with an MBBS qualification and 1–5 years of experience. Knowledge scores were highest among those aged 26–33 (p < 0.001), those with MBBS and FCPS qualifications (p = 0.004) and hospital-based healthcare workers (p < 0.001). Attitudes were generally positive, with 41.7% agreeing that cervical cancer is highly prevalent and 33.6% prioritizing early detection. Overall, 56.9% of physicians were classified as having good practices. Practices were influenced by education (p < 0.001) and healthcare setting (p < 0.01) in the adjusted analysis. Barriers identified included limited resources (77.2%), cultural factors (72.3%), and patient awareness (80.4%). Conclusions: Physicians demonstrated generally favorable cervical cancer-related knowledge and several preventive practices, but important differences existed across professional and healthcare-setting characteristics. Targeted continuing education, standardized preventive protocols, and improved patient awareness are needed to strengthen consistent cervical cancer prevention and screening practices in Pakistan.

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Publication Details

Journal
Healthcare
Published
2026-10-26
DOI
https://doi.org/10.3390/healthcare14213613
Primary Topic
Women's cancer prevention and management
Type
article
Field-Weighted Citation Impact
0.00

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article

Assessing Physicians’ Knowledge, Attitudes, and Practices Regarding Cervical Cancer Prevention, Diagnosis, and Management in Lahore, Pakistan

Wajid Syed, Maha Amjad, Adel Bashatah, Salmeen D. Babelghaith et al.
Healthcare
Women's cancer prevention and management
article

Assessing Physicians’ Knowledge, Attitudes, and Practices Regarding Cervical Cancer Prevention, Diagnosis, and Management in Lahore, Pakistan

Wajid Syed, Maha Amjad, Adel Bashatah, Salmeen D. Babelghaith, Adeel Aslam, Naji Alqahtani, Ayesha Iqbal, Asma Ghulam Mustafa, Muhammad Mamoon Iqbal, Anwar Ali
article en

Abstract

Background: Cervical cancer is a major public health concern in Pakistan, where physicians play an important role in prevention, screening, counseling, and early detection. This study assessed physicians’ knowledge, attitudes, and self-reported practices regarding cervical cancer. Methods: This study employed a cross-sectional design and included 408 physicians selected through snowball sampling techniques. A well-designed questionnaire with closed-ended questions was used for data collection. Statistical analysis included descriptive statistics and inferential statistics such as Chi-square, Mann–Whitney, Kruskal–Wallis, Dunn’s tests, Bonferroni adjustment and binary logistic regression were performed using SPSS version 25. Results: Among the 408 physicians, most were young (18–33 years), with an MBBS qualification and 1–5 years of experience. Knowledge scores were highest among those aged 26–33 (p < 0.001), those with MBBS and FCPS qualifications (p = 0.004) and hospital-based healthcare workers (p < 0.001). Attitudes were generally positive, with 41.7% agreeing that cervical cancer is highly prevalent and 33.6% prioritizing early detection. Overall, 56.9% of physicians were classified as having good practices. Practices were influenced by education (p < 0.001) and healthcare setting (p < 0.01) in the adjusted analysis. Barriers identified included limited resources (77.2%), cultural factors (72.3%), and patient awareness (80.4%). Conclusions: Physicians demonstrated generally favorable cervical cancer-related knowledge and several preventive practices, but important differences existed across professional and healthcare-setting characteristics. Targeted continuing education, standardized preventive protocols, and improved patient awareness are needed to strengthen consistent cervical cancer prevention and screening practices in Pakistan.

HealthcareVol. 14(21)
University of Lahore (PK), University of Nottingham (GB), University of Leicester (GB), University of Alberta (CA), King Saud bin Abdulaziz University for Health Sciences (SA), Glenfield Hospital (GB), King Saud University (SA), University Hospitals of Leicester NHS Trust (GB), National Institute for Health and Care Research (GB), Universiti Teknologi MARA System (MY), NIHR Leicester Biomedical Research Centre (GB), Universiti Teknologi MARA (MY)
King Saud University
Openalex Percentile: Top 10%
Women's cancer prevention and management
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