Knowledge of Ovarian Cancer Risk Factors and Symptoms Among Iraqi Women in Baghdad: A Cross-Sectional Study
- Authors
-
-
Ali Sedeeq
ISCO -
Shaiban Abdulsalam Almukhtar
Mosul Specialized Oncology and Nuclear Medicine Hospital, Mosul, Iraq -
Azzam Ahmed Abduljabbar
Oncology Teaching Hospital, Medical City, Baghdad, Iraq
-
- Keywords:
- Ovarian Cancer, Risk Factors, Symptoms, Education, Public Health
- Abstract
-
Background: Ovarian cancer is a significant global health concern, often diagnosed at advanced stages due to the absence of specific symptoms and the limited awareness of risk factors and symptoms among the general population. This study aimed to assess the knowledge of ovarian cancer risk factors and symptoms among Iraqi women in Baghdad and identify socio-demographic predictors of knowledge.
Methods: A cross-sectional study was conducted among 492 Iraqi women in Baghdad using a self-administered questionnaire. The questionnaire contained sections on socio-demographic characteristics, knowledge of ovarian cancer risk factors, and symptoms. Data analysis involved the use of descriptive statistics and chi-square tests to ascertain associations between socio-demographic variables and knowledge levels.
Results: The results indicated that the majority of participants exhibited limited knowledge of ovarian cancer risk factors and symptoms. Key risk factors, such as aging (81 slightly familiar) and family history (73 slightly familiar), were poorly recognized. Additionally, misconceptions were observed, with some participants identifying non-risk factors, such as benign ovarian cysts, as risk factors. Symptoms like pelvic pain (89% familiar) and bloating (97% familiar) were moderately recognized, while others, such as fatigue and loss of appetite, were less familiar. Significant predictors of knowledge included higher education (p = 0.003 for risk factors; p = 0.045 for symptoms) and urban residency (p = 0.003 for both risk factors and symptoms).
Conclusion: This study underscores substantial gaps in knowledge of ovarian cancer risk factors and symptoms among Iraqi women in Baghdad, with education and urban residency emerging as key predictors. The findings underscore the imperative for targeted educational initiatives, particularly among rural and less-educated populations, to enhance awareness, facilitate early detection, and optimize outcomes for ovarian cancer.
- References
-
Brett M., R., Jennifer B., P., Thomas A., S., Brett M., R., Jennifer B., P., & Thomas A., S. (2017). Epidemiology of ovarian cancer: a review. Cancer Biology & Medicine, 14(1), 9–32. https://doi.org/10.20892/j.issn.2095-3941.2016.0084
Brewer, N. T., Chapman, G. B., Gibbons, F. X., Gerrard, M., McCaul, K. D., & Weinstein, N. D. (2007). Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination. Health Psychology, 26(2), 136–145. https://doi.org/10.1037/0278-6133.26.2.136
International Agency for Research on Cancer. (2020). Global Cancer Observatory: Cancer Today. https://gco.iarc.fr/today/en
Giede, K. C., Kieser, K., Dodge, J., & Rosen, B. (2005). Who should operate on patients with ovarian cancer? An evidence-based review. Gynecologic Oncology, 99(2), 447–461. https://doi.org/10.1016/j.ygyno.2005.07.008
Glanz, K., & Ammerman, A. (2015). Introduction to community and group models of health behavior change. Health Behavior: Theory, Research, and Practice., 5th Ed., 2015, 271–276. https://www.wiley.com/en-sg/Health+Behavior%3A+Theory%2C+Research%2C+and+Practice%2C+5th+Edition-p-9781118628980
Glasgow, R. E., Marcus, A. C., Bull, S. S., & Wilson, K. M. (2004). Disseminating effective cancer screening interventions. Cancer, 101(S5), 1239–1250. https://doi.org/10.1002/cncr.20509
Hassan, B. A. R., Mohammed, A. H., Alsammarraie, A. Z. A., Alabboodi, M. K., Wayyes, A. M., Ahmed, A. A., & Shanshal, A. (2022). Knowledge, Attitude, and Practice of Oncologists toward Chemotherapy Resistance: A Questionnaire Development and Pilot Testing. Asian Pacific Journal of Cancer Prevention : APJCP, 23(12), 4275–4284. https://doi.org/10.31557/APJCP.2022.23.12.4275
Jayson, G. C., Kohn, E. C., Kitchener, H. C., & Ledermann, J. A. (2014). Ovarian cancer. The Lancet, 384(9951), 1376–1388. https://doi.org/10.1016/S0140-6736(13)62146-7
Kippen, R., James, E., Ward, B., Buykx, P., Shamsullah, A., Watson, W., & Chapman, K. (2017). Identification of cancer risk and associated behaviour: implications for social marketing campaigns for cancer prevention. BMC Cancer, 17(1), 550. https://doi.org/10.1186/s12885-017-3540-x
Lheureux, S., Braunstein, M., & Oza, A. M. (2019). Epithelial ovarian cancer: Evolution of management in the era of precision medicine. CA: A Cancer Journal for Clinicians, 69(4), 280–304. https://doi.org/10.3322/caac.21559
Lockwood-Rayermann, S., Donovan, H. S., Rambo, D., & Kuo, C.-W. J. (2009). Original Research: Women’s Awareness of Ovarian Cancer Risks and Symptoms. AJN, American Journal of Nursing, 109(9), 36–45. https://doi.org/10.1097/01.NAJ.0000360309.08701.73
Menon, U., Griffin, M., & Gentry-Maharaj, A. (2014). Ovarian cancer screening--current status, future directions. Gynecologic Oncology, 132(2), 490–495. https://doi.org/10.1016/j.ygyno.2013.11.030
Mohsin, K., Mula-Hussain, L., & Gilson, R. (2024). HealthCare Access Barrier (HCAB) framework for the barriers to cancer care during conflicts: perspective from Iraq. BMJ Oncology, 3(1), e000252. https://doi.org/10.1136/bmjonc-2023-000252
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259
Shah, T., & Siores, E. (2010). Wearable Microwave Radiometry Device for Early Detection of Sub-Tissue Oncological Imperfections. In Medical and Healthcare Textiles (pp. 437–448). Elsevier. https://doi.org/10.1533/9780857090348.437
Shannon, A., Boyer, S., & Davis-Street, J. (2018, April 16). Health Risk Communication - Using Data to Inform a Preventive Health Communication Strategy. SPE International Conference and Exhibition on Health, Safety, Security, Environment, and Social Responsibility. https://doi.org/10.2118/190613-MS
Stearns, M., & Smith, R. M. (2008). Estimation of decision consistency indices for complex assessments: model based approaches. Journal of Applied Measurement, 9(3), 305–315.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Wakefield, M. A., Loken, B., & Hornik, R. C. (2010). Use of mass media campaigns to change health behaviour. The Lancet, 376(9748), 1261–1271. https://doi.org/10.1016/S0140-6736(10)60809-4
Webb, P. M., & Jordan, S. J. (2017). Epidemiology of epithelial ovarian cancer. Best Practice & Research Clinical Obstetrics & Gynaecology, 41, 3–14. https://doi.org/10.1016/j.bpobgyn.2016.08.006
Xin, R. K. W., Yee, T. W., Qin, W. Z., Kaiyee, L., Mohammed, A. H., Blebil, A., Dujaili, J., Hassan, B. A., & Lim, A. (2024). Community pharmacists’ knowledge, attitudes, and practices regarding counselling on vitamins and dietary supplements in Malaysia: A study on complementary medicines. Exploratory Research in Clinical and Social Pharmacy, 13, 100410. https://doi.org/10.1016/j.rcsop.2024.100410
- Published
- 2025-04-05
- Section
- Research Article/Original Research
- License
-
Copyright (c) 2025 Ali Sedeeq, Shaiban Abdulsalam Almukhtar, Azzam Ahmed Abduljabbar

This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Similar Articles
- Chema Drira, Ikram Fazaa, Leila Achour, Yosr Trabelsi, Mounsef Freddy, Cherif Dorra, The Role of Medicinal Herbs and Phytochemicals in Cancer Management: A Review , Middle Eastern Cancer and Oncology Journal: Vol. 2 No. 1 (2026): January - March (In Press)
- Hadi N Skouri, Cardio-Oncology: Bridging the Gap Between Cardiovascular Health and Cancer Care , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 2 (2025): April - June
- Zainab Mohamed Alaa Alhelli, Amaal Mohammed Alhelli, Aadil S Aqabi, Body Mass Index and Risk of Post‑Treatment Relapse in Endometrial Cancer: Evidence from an Iraqi Cross‑Sectional Cohort , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 4 (2025): October - December
- Salah Hashim Al-Zuhairy, Alaa Fadhil Alwan, Noor Al-Huda Salah Al-Zuhairy, Ayat Methaq Khalaf, Ayad Rateb ALAsadi, Chemotherapy Resistance in Hematological Cancers: A Scoping Review of Molecular Pathways and Therapeutic Innovations , Middle Eastern Cancer and Oncology Journal: Vol. 2 No. 1 (2026): January - March (In Press)
- Bestoon S Hasan, Hardee J Sabir, Bone Marrow Transplantation in a Young Adult with Acute Myeloid Leukemia: A Case Report , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 4 (2025): October - December
- Khalid AlBaimani, Omar Abdelhakim Ayaad, Meriem Khadraoui , Intissar Azzam Yehia , Ahmad Mohammad Matar , Zayana Talib AlKiyumi , Nariman Mahmoud AbuHashish , The Synergistic Role of Artificial Intelligence and Nanotechnology in Precision Oncology – A Review , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 3 (2025): July - September
- Ali Haider Mohammed, Lim Jie Sern, Lim Jing Xuan, Leong Jia Yun, Lim Jing En, Medicinal Plants Commonly Used Against Cancer and Human Immunodeficiency Virus in Malaysia , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 1 (2025): January - March
- Athraa Turkey Mtushar, AI-Guided Nanorobots for In Vivo Immune Cell Programming: Bridging Nanomedicine and Cancer Immunotherapy , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 4 (2025): October - December
- Muna Haider Mohammed, Aya Abd Alwahab Ahmed, Artificial Intelligence Applications in Cancer Diagnostic Devices: A Focused Review , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 2 (2025): April - June
- Suha Ali Hammed, Alaa Fadhil Alwan, Metastatic EGFR-Mutant Lung Adenocarcinoma Patients: A Safety and Efficacy Analysis of First- and Third-Generation EGFR-TKIs , Middle Eastern Cancer and Oncology Journal: Vol. 1 No. 4 (2025): October - December
You may also start an advanced similarity search for this article.
