{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:50:09Z","timestamp":1791831009363,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T00:00:00Z","timestamp":1490918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006293","name":"American Society of Clinical Oncology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006293","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the impact of trained community health educators on the uptake of cervical and breast cancer screening, and HPV vaccination in rural communities in southeast Nigeria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective population\u2010based intervention study, with a before\u2010and\u2010after design, involved four randomly selected communities in southeast Nigeria from February 2014 to February 2016. Before the intervention, baseline data were collected on the uptake of cervical and breast cancer prevention services. The intervention was house\u2010to\u2010house education on cervical cancer and breast cancer prevention. Postintervention outcome measures included the uptake of cervical and breast cancer screening, and HPV vaccination within 6\u00a0months of intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 1327 women were enrolled. Before the intervention, 42 (3.2%) women had undergone cervical cancer screening; afterwards, 897 (67.6%) women had received screening (<jats:italic>P&lt;<\/jats:italic>0.001). Clinical breast examination was performed for 59 (4.4%) women before and 897 (67.6%) after the intervention (<jats:italic>P&lt;<\/jats:italic>0.001). Only 2 (0.9%) of 214 children eligible for HPV vaccination had received the vaccine before versus 71 (33.2%) after the intervention (<jats:italic>P&lt;<\/jats:italic>0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of community health educators for house\u2010to\u2010house cervical and breast cancer prevention education was associated with significant increases in the uptake of cervical cancer screening, clinical breast examination, and HPV vaccination.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12150","type":"journal-article","created":{"date-parts":[[2017,3,12]],"date-time":"2017-03-12T07:16:37Z","timestamp":1489302997000},"page":"319-324","source":"Crossref","is-referenced-by-count":51,"title":["The impact of community health educators on uptake of cervical and breast cancer prevention services in Nigeria"],"prefix":"10.1002","volume":"137","author":[{"given":"Chibuike O.","family":"Chigbu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Nigeria Nsukka  Nsukka Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azubuike K.","family":"Onyebuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Federal Teaching Hospital  Abakaliki Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonia C.","family":"Onyeka","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University of Nigeria Nsukka  Nsukka Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boniface U.","family":"Odugu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Enugu State University Teaching Hospital  Enugu Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyril C.","family":"Dim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Nigeria Nsukka  Nsukka Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,31]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"GLOBOCAN.Estimated cancer incidence mortality and prevalence worldwide 2012.2012.http:\/\/globocan.iarc.fr\/Pages\/fact_sheets_population.aspx. 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