{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:05:40Z","timestamp":1784199940941,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cervical cancer remains an important cause of cancer morbidity and mortality among women in Nigeria despite the availability of preventive screening such as the Pap smear. This study assessed knowledge, perceptions and uptake of cervical cancer screening among women attending antenatal clinics in Ogun State, Nigeria. A descriptive cross\u2010sectional study was conducted using a multistage sampling approach. Selected antenatal care facilities were identified using predefined eligibility criteria, the sample was allocated proportionately by clinic attendance, and eligible women were recruited by systematic random sampling. Data were collected using a semi\u2010structured questionnaire and analysed with descriptive and regression methods. Awareness of cervical cancer was reported by 61.3% of respondents, and 74.7% had heard of the Pap smear, yet only 18.2% had previously undergone screening. Frequently reported barriers included cost of screening (70.3%), embarrassment (69.4%), anticipated pain (47.5%), misconceptions such as perceived loss of virginity (83.0%) and partner disapproval (51.9%). Reduced uptake of screening was associated with higher service costs, longer waiting times and greater distance to the health facility. Although awareness of cervical cancer and Pap smear testing was relatively high, screening utilisation remained low. Improving affordability, reducing service\u2010related barriers and strengthening education within routine antenatal care may help increase uptake.<\/jats:p>","DOI":"10.1002\/cam4.71949","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T03:44:48Z","timestamp":1779853488000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and Perception of Cervical Cancer and Pap\u2010Smear Screening Among Antenatal Women in Ogun State, Nigeria"],"prefix":"10.1002","volume":"15","author":[{"given":"Sesan E.","family":"Busayo","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of Medical Sciences  Ondo Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Lukman","family":"Adewale","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of North Dakota  Grand Forks North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2592-2824","authenticated-orcid":false,"given":"Roseline Oluwaseun","family":"Ogundokun","sequence":"additional","affiliation":[{"name":"Department of Multimedia Engineering Kaunas University of Technology  Kaunas Lithuania"},{"name":"Department of Computer Systems Engineering Tshwane University of Technology  Pretoria South Africa"},{"name":"Department of Computer Science Redeemer's University  Ede Osun Nigeria"},{"name":"Department of Computer Science Thomas Adewumi University  Oko Kwara Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olajumoke F.","family":"Adewale","sequence":"additional","affiliation":[{"name":"Department of Biology University of North Dakota  Grand Forks North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3660-5629","authenticated-orcid":false,"given":"Syed Abid","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Computer Science and Engineering Bakhtar University  Kabul Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13273\u2010023\u201000360\u20103"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30482-6"},{"key":"e_1_2_13_5_1","volume-title":"Cervical Cancer Country Profile: Nigeria","author":"World Health Organization","year":"2021"},{"key":"e_1_2_13_6_1","volume-title":"WHO Guidelines for Screening and Treatment of Precancerous Lesions for Cervical Cancer Prevention","author":"World Health Organization","year":"2021"},{"key":"e_1_2_13_7_1","first-page":"1489","article-title":"Modeling for Predictors of Knowledge Score on Etiology and Prevention Strategies for Cervical Cancer Among Women of Reproductive Age in Ibadan","volume":"6","author":"Morhason\u2010Bello I. O.","year":"2020","journal-title":"JCO Global Oncology"},{"key":"e_1_2_13_8_1","article-title":"Knowledge, Attitudes and Practices Towards Cervical Cancer and Screening Amongst Female Healthcare Professionals: A Cross\u2010Sectional Study","volume":"2019","author":"Humariya H.","year":"2019","journal-title":"Journal of Oncology"},{"key":"e_1_2_13_9_1","volume-title":"Cervical Cancer","author":"World Health Organization","year":"2023"},{"issue":"5","key":"e_1_2_13_10_1","first-page":"26","article-title":"Influence of Knowledge and Risk Factors in the Prevention of Hepatitis B Virus Among the People of Ikenne Local Government, Ogun State, Nigeria","volume":"2","author":"Busayo S. E.","year":"2022","journal-title":"Indiana Journal of Multidisciplinary Research"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01431-0"},{"key":"e_1_2_13_12_1","volume-title":"Cervical Cancer Screening (IARC Handbooks of Cancer Prevention)","author":"International Agency for Research on Cancer","year":"2022"},{"key":"e_1_2_13_13_1","volume-title":"Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem","author":"World Health Organization","year":"2020"},{"issue":"4","key":"e_1_2_13_14_1","first-page":"184","article-title":"Cancer of the Cervix and Cervical Screening: Current Knowledge, Attitude and Practices of Female Health Workers in Sokoto, Nigeria","volume":"5","author":"Oche M. O.","year":"2013","journal-title":"International Journal of Medicine and Medical Sciences"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201052413\u20109"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jep.2024.119126"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2174\/1574893616666210708143556"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/aji.70012"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/febs.16990"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/5582151"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tourman.2025.105362"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2018.00530"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.36922\/arnm.4032"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2024.126635"},{"key":"e_1_2_13_25_1","unstructured":"Federal Ministry of Health and Social Welfare Nigeria \u201cFederal Ministry of Health and Social Welfare \u201d(2018) https:\/\/health.gov.ng\/."},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-9-11"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2009.01175.x"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v22i2.33"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.4103\/NJGP.NJGP_6_19"},{"issue":"3","key":"e_1_2_13_30_1","first-page":"94","article-title":"Non\u2010Squamous Cell Carcinoma of the Cervix in Zaria, Northern Nigeria: A Clinico\u2010Pathological Analysis","volume":"6","author":"Abdullahi M. 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O.","year":"2023","journal-title":"FUDMA Journal of Sciences"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71949","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.71949","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T10:06:23Z","timestamp":1784196383000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/cam4.71949"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71949","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,26]]},"assertion":[{"value":"2025-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71949"}}