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Background: Incidence of and mortality from cervical cancer can be reduced through education, prevention, and screening. Cervical cancer has the highest incidence of all female cancers in Honduras and is the leading cause of cancer deaths among Honduran women. We developed a survey to examine women’s knowledge, barriers, and perceptions of cervical cancer among women attending a health fair (Jornada) in rural El Rosario, Honduras. Methods: Women received a clinical breast exam, Pap test, HPV test, colposcopy if needed, breast self-exam education, and a verbally administered survey. Honduran medical students recorded the women’s responses on a paper questionnaire. The questionnaires were sent to the Norris Cotton Cancer Center of the US to be entered, linked to the HPV results, and maintained in a database. Analyses included frequency distributions stratified by HPV results, and by self-report of prior Pap test. Results: 449 women consented to participate, received care, and completed the survey. 30% of participants reported no prior Pap test. 34% agreed that access to Pap testing was a barrier; 48% reported that it would normally take > 1 hour to travel to the nearest Pap test location (clinic, health brigades or health center). 47% had not heard of HPV, yet 90% reported they would choose to vaccinate themselves or their daughters if given the opportunity. 97% reported that doing something good for their health was a very important reason for attending the Jornada. 16% tested positive for HPV; 3% tested positive for high-risk HPV genotypes 16/18. Conclusions: Although we found many women in the El Rosario region to be at increased risk of cervical cancer, the majority reported being motivated to take action for their own health. Although gaps exist in women’s knowledge of cervical cancer risk, screening, and prevention, health fairs and education programs could help improve cancer control in rural regions.

Cervical Cancer Screening in Rural Honduras: Health Survey and HPV Results among Health Fair Participants