Unveiling the Awareness Gap: A Community-Based Cross-Sectional Study to Assess Knowledge and Attitude on Cervical Cancer among the Female Population

Abstract

Cervical cancer continues to be a significant public health issue in India, standing as the second most prevalent cancer among women. Despite being largely preventable through regular screening and human papillomavirus (HPV) vaccination, awareness remains inadequate and negative attitudes toward prevention and early detection persist. Aims: This study aimed to assess the knowledge and attitudes regarding cervical cancer among women attending community pharmacies. Study Design: Cross-sectional Study Place and Duration of Study: The study was conducted among women visiting selected community pharmacies over a period of four months. Methodology: A cross-sectional survey was conducted among 502 women aged 18 years and above who visited selected community pharmacies. Data on socio-demographics, knowledge and attitudes regarding cervical cancer were collected using a pre-validated questionnaire. Descriptive statistics were used to analyze the responses. Results: Among 502 participants, 73.71% were aware of cervical cancer, with 57.29% healthcare professionals being the most common source of primary information. However, only 28.08% recognized it as a leading cause of cancer-related mortality among women and 44.82% had heard of HPV. While 64.34% believed screening is preventive and 60.75% were willing to be screened, 39.24% were unwilling, due to a lack of awareness and financial constraints. Conclusion: The study revealed moderate awareness but significant gaps in knowledge of cervical cancer risk factors, symptoms and prevention. Generally positive attitudes toward screening, misconceptions and structural barriers continue to limit participation.  There is a need for strengthened community-based educational interventions and accessible screening services to improve women’s participation in cervical cancer prevention programs.