Abdullah A S, Leung T Y
Department of Community Medicine, The University of Hong Kong, Patrick Manson Building South Wing, 7 Sassoon Road, Hong Kong SAR.
Public Health. 2001 May;115(3):212-7. doi: 10.1038/sj/ph/1900753.
We conducted a cross-sectional survey using a self-administered questionnaire among attendees of a well women clinic in Hong Kong during June and July 1998. The study aimed to examine the factors associated with the past and future use of screening services among Chinese women in Hong Kong and their perception of service providers. Of the 430 respondents (64% response rate), 87% were aged 31-50 y, 85% married, 93% attained education to upper secondary school level, and 96% were non-smokers. Nearly all respondents (99%) reported having sexual experience and most of them (87%) had such experience with only one partner; 59% reported having a pap-smear test, 28% a mammogram and 44% a breast self-examination. Women who were health conscious (ate a lower fat diet and performed regular exercise) were more likely to have used the screening service (mammogram and pap-smear test) and performed breast self-examination. Staff manner, privacy and cost were the most common contributing factors for respondent's desire for future use of the screening service. Respondents showed a preference for doctors (70%) over nurses (30%), and females (80%) over males (20%) as their service providers. The findings suggest the need to disseminate appropriate information on screening services among the public to dispel misconceptions about the preference for doctors over nurses and females over males. Improving clinician- and other staff-patient communication would be important for breast and cervical screening programs in Hong Kong.
1998年6月至7月期间，我们在香港一家女子健康诊所的就诊者中使用自填式问卷进行了一项横断面调查。该研究旨在调查与香港中国女性过去和未来使用筛查服务相关的因素，以及她们对服务提供者的看法。在430名受访者中（应答率为64%），87%的年龄在31至50岁之间，85%已婚，93%接受过高中教育，96%不吸烟。几乎所有受访者（99%）都报告有过性经历，其中大多数（87%）只有一个性伴侣；59%的人报告做过巴氏涂片检查，28%做过乳房X光检查，44%进行过乳房自我检查。注重健康的女性（低脂饮食且定期锻炼）更有可能使用筛查服务（乳房X光检查和巴氏涂片检查）并进行乳房自我检查。工作人员的态度、隐私和费用是受访者未来希望使用筛查服务的最常见因素。受访者表示，相对于护士（30%），他们更倾向于由医生（70%）作为服务提供者；相对于男性（20%），他们更倾向于女性（80%）。研究结果表明，有必要在公众中传播关于筛查服务的适当信息，以消除对医生优于护士、女性优于男性的偏好的误解。改善临床医生及其他工作人员与患者的沟通对于香港的乳腺癌和宫颈癌筛查项目至关重要。
