高级检索

山西省襄垣县农村妇女和基层医务人员对宫颈癌及其筛查的认知和评价

The awareness and evaluation of women and local health providers towards cervical cancer and screening in Xiangyuan County, Shanxi Province

  • 摘要: 目的 了解农村地区妇女和医务人员对宫颈癌及宫颈癌筛查的认知和评价,分析宫颈癌筛查在实施中的现实问题,为进一步提高宫颈癌筛查项目提供科学依据。方法 采用横断面调查方法,对筛查妇女和医务人员进行关于宫颈癌以及筛查的认知和评价的问卷调查。结果 共调查2292名妇女和14名医务人员,其中1988名妇女(87.3%)听说过宫颈癌,但仅有228名(10.0%)知道HPV是宫颈癌的主要病因,认知度与年龄、文化程度、职业、经济条件有关(P<0.05)。大部分妇女(87.7%)不了解宫颈癌筛查技术,但2036名(89.1%)妇女希望接受筛查技术相关的培训。参与筛查最主要的原因是为了解自身健康状况(83.2%),不愿意参与筛查的主要原因是觉得自己没有症状,不需要筛查(63.7%)。超过60%的妇女对筛查秩序、对妇科医生较为满意。作为医务人员,仍有21.4%不了解HPV可以导致哪些疾病。结论 大部分妇女对宫颈癌筛查项目比较满意,但妇女和医务人员对宫颈癌筛查的认知均需进一步提高,加强健康教育是提高宫颈癌筛查质量的关键。

     

    Abstract: Objective To assess the awareness and evaluation of women and local health providers towards cervical cancer and cervical cancer screening program in rural areas. To analyze practical problems during the implementation of screening and further to provide scientific evidence for improvement of cervical cancer screening.Methods A cross-sectional survey method was used.Eligible women and local health providers were administered with a questionnaire on awareness and evaluation towards cervical cancer and screening.Results A total of 2292 women and 14 local healthcare providers completed the questionnaire. 1988 women (87.25%) ever heard about cervical cancer, but only 228 women (10.02%) knew human papillomavirus (HPV) was the primary cause of cervical cancer. The awareness of cervical cancer knowledge was associated with women age, education level, occupation and their income (P< 0.05). Majority of women (87.7%) did not know cervical cancer screening methods. But 2036 women (89.1%) desired to receive education about cervical cancer screening methods. The main reason for women attending screening was to understand their health status (83.2%). Women refused to be screened mainly because they felt no symptoms and no need for being screened (63.7%). Over 60% women were satisfied with screening sites order and health providers. Whereas, 21.4% health providers did not know the diseases caused by HPV.Conclusion The majority of women were satisfied with cervical cancer screening. But the cognitive level of women and health providers still need to be improved. Strengthening the health education is the key step to promote the cervical cancer screening program in China.

     

/

返回文章
返回