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This study aimed to evaluate the knowledge of Palestinian women about CC warning signs and determine the factors associated with good knowledge.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a national cross-sectional study conducted between July 2019 and March 2020 in Palestine. Stratified convenience sampling was used to recruit adult women from hospitals, primary healthcare centers, and public spaces of 11 governorates. A translated-into-Arabic version of the validated CC awareness measure (CeCAM) was used to assess women\u2019s knowledge of 12 CC warning signs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of 8086 approached, 7223 participants completed the CeCAM (response rate\u2009=\u200989.3%). A total of 7058 questionnaires were included in the analysis: 2655 from the Gaza Strip and 4403 from the West Bank and Jerusalem (WBJ). The median age [interquartile range] for all participants was 34.0 [24.0, 42.0] years. Participants recruited from the WBJ were older, getting higher monthly income, and having more chronic diseases than those recruited from the Gaza Strip.<\/jats:p>\n                <jats:p>The most frequently identified warning sign was \u2018vaginal bleeding after menopause\u2019 (<jats:italic>n<\/jats:italic>\u2009=\u20095028, 71.2%) followed by \u2018extreme generalized fatigue\u2019 (<jats:italic>n<\/jats:italic>\u2009=\u20094601, 65.2%) and \u2018unexplained weight loss\u2019 (<jats:italic>n<\/jats:italic>\u2009=\u20094578, 64.9%). Only 1934 participants (27.4%) demonstrated good knowledge of CC warning signs. Participants from the Gaza Strip were slightly\u00a0more likely than participants from the WBJ to have a good level of knowledge. Factors associated with having good knowledge included having a bachelor or postgraduate degree, being married, divorced, or widowed as well as knowing someone with cancer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The overall awareness of CC warning signs was low. Educational interventions are needed to increase Palestinian women\u2019s awareness of CC warning signs.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12889-021-11792-8","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T23:32:32Z","timestamp":1633131152000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Knowledge of Palestinian women about cervical cancer warning signs: a national cross- sectional 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Ethical approval was also obtained from the Islamic University of Gaza Ethics Committee and the Human Resources Development department at the Palestinian MoH on 24th of June, 2019. All the methods of the study were carried out in accordance with relevant guidelines and regulations. Informed consents were obtained from the participants before starting the interview. A detailed explanation of the study was given to all participants with the emphasis that participation was completely voluntary, and their decision would not affect the medical care they receive. Data confidentiality was maintained throughout the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1779"}}