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Building on prior findings about barriers such as social stigma and inadequate access to safe screening conditions, this qualitative study examines how male spouses influence women’s decisions to seek screening, comparing obstacles and enablers reported by screened and unscreened women and their male partners.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/understanding-womens-and-mens-perspectives-on-cervical-cancer-screening-in-uganda-a-qualitative-study/331060/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/understanding-womens-and-mens-perspectives-on-cervical-cancer-screening-in-uganda-a-qualitative-study/331060.png","ImageObject",300,407,{"name":92,"@type":93},"Liam","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is cervical cancer screening important in Uganda?","Question",{"text":113,"@type":114},"Cervical cancer is a significant public health issue in Uganda, and screening with timely treatment of precancerous lesions is a cost-effective way to reduce morbidity and mortality.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What was the study design and how were participants grouped?",{"text":118,"@type":114},"The study used 7 focus groups: 3 with women who had been screened, 3 with women who had not been screened, and 1 group of men whose female partners had or had not been screened.",{"name":120,"@type":111,"acceptedAnswer":121},"What roles do male spouses play in screening decisions?",{"text":122,"@type":114},"Male spousal perspectives ranged from full support to hesitancy related to male-performed exams and concerns about prolonged periods without intercourse.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},331060,1790196219,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},8796095461564,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Bouskill et al. BMC Cancer (2024) 24:933 BMC Cancer  \n[https://doi.org/10.1186/s12885-024-12671-2](https://doi.org/10.1186/s12885-024-12671-2)  \nRESEARCH Open Access  \nUnderstanding women’s and men’s perspectives on cervical cancer screening in Uganda: a qualitative study  \nKathryn Bouskill 1*, Glenn J. Wagner 1, Mahlet Gizaw 1, Joseph KB Matovu2,3, Margrethe Juncker4, Eve Namisango5, Sylvia Nakami4, Jolly Beyeza-Kashesya6,7, Emmanuel Luyirika5 and Rhoda K. Wanyenze2,8  \nAbstract  \nBackground Cervical cancer remains a significant but preventable threat to women’s health throughout much of the developing world, including Uganda. Cervical cancer screening and timely treatment of pre-cancerous lesions is a cost-effective means of mitigating cervical cancer morbidity and mortality. However, only 5% of women in Uganda have ever been screened. Barriers to screening, such as social stigma and access to safe conditions, have been previously identified, but insights into the role of male spouses in encouraging or discouraging screening have been limited. To our knowledge, no studies have compared barriers and facilitators among women who had or had not yet been screened and male partners of screened and unscreened women.  \nMethods To resolve this gap, we conducted 7 focus groups– 3 among women who had been screened, 3 among those who had not been screened, and 1 among men whose female partners had or had not been screened. We performed qualitative thematic analysis on the focus group data.  \nResults We identified several important factors impacting screening and the decision to screen among women, ranging from stigma, availability of screening, false beliefs around the procedure and side effects, and the role of spousal support in screening promotion. Male spousal perspectives for screening ranged from full support to hesitancy around male-performed exams and possible prolonged periods without intercourse.  \nConclusion This exploratory work demonstrates the importance of dialogue both among women and their  \nmale partners in enhancing screening uptake. Efforts to address screening uptake are necessary given that it is an important means of mitigating the burden of cervical cancer. Interventions along these lines need to take these barriers and facilitators into account in order to drive up demand for screening.  \nKeywords Cervical cancer screening, Barriers, Facilitators, Social beliefs, Spousal support, Uganda  \n*Correspondence: Kathryn Bouskill [gwagner@rand.org](gwagner@rand.org)  \n1RAND Corporation, 1776 Main Street, Santa Monica, CA 90411, USA 2School of Public Health, Makerere University, Kampala, Uganda 3Faculty of Health Sciences, Busitema University, Mbale, Uganda  \n4Rays of Hope Hospice Jinja, Jinja, Uganda  \n5African Palliative Care Association, Kampala, Uganda  \n6Mulago Specialized Women and Neonatal Hospital, Kampala, Uganda 7School of Medicine, Makerere University, Kampala, Uganda 8Frederick S. Pardee RAND Graduate School, RAND Corporation, Santa Monica, CA, USA  \n© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creativecommons.org/l](http://creativecommons.org/l)icenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ([http://creativec","cbCaicOfWEVg6iOJ","https://ap.wps.com/l/cbCaicOfWEVg6iOJ","pdf",942207,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Background\n## Disease burden in Uganda\n## Current prevention and treatment context\n## Screening methods and barriers","[{\"question\":\"Why is cervical cancer screening important in Uganda?\",\"answer\":\"Cervical cancer is a significant public health issue in Uganda, and screening with timely treatment of precancerous lesions is a cost-effective way to reduce morbidity and mortality.\"},{\"question\":\"What was the study design and how were participants grouped?\",\"answer\":\"The study used 7 focus groups: 3 with women who had been screened, 3 with women who had not been screened, and 1 group of men whose female partners had or had not been screened.\"},{\"question\":\"What roles do male spouses play in screening decisions?\",\"answer\":\"Male spousal perspectives ranged from full support to hesitancy related to male-performed exams and concerns about prolonged periods without intercourse.\"}]","Understanding women’s and men’s perspectives on cervical cancer screening in Uganda - a qualitative study | PDF",1789991420,25]