香港中国女性对子宫颈癌及子宫颈筛查的认知与实践:一项试点研究

Women's knowledge about cervical cancer and cervical screening practice: a pilot study of Hong Kong Chinese women.

作者信息

Twinn Sheila, Shiu A T Y, Holroyd E

机构信息

The Nethersole School of Nursing, The Chinese University of Hong Kong, China.

出版信息

Cancer Nurs. 2002 Oct;25(5):377-84. doi: 10.1097/00002820-200210000-00007.

Abstract

Cervical cancer is the seventh leading cause of death and the fourth most common type of cancer among Hong Kong Chinese women. Despite the provision of cervical screening programs, women's attendance for screening remains low at 59%. Evidence suggests that women's knowledge about cervical cancer and preventive strategies are significant to their screening practice. A preliminary pilot study consisting of a two-phase descriptive design using quantitative and qualitative methods of data collection was undertaken to investigate the level of knowledge about cervical cancer and cervical screening among a population of Hong Kong Chinese women. From a total sample of 467 women, 242 (52%) responded to a confidential questionnaire, 18 of whom, aged between 30 and 54 years, volunteered to participate in a semistructured interview. A total of 135 (57%) women had attended screening, with those who were married with children significantly more likely to attend. Although no significant difference was found between the overall level of knowledge of attenders and nonattenders, individual items such as women's knowledge of risk factors were significant. The need for further knowledge about the preventive nature of cervical screening and regular screening was demonstrated. Other factors influencing Chinese women's attendance patterns included advice from practitioners and the significance of children to women's propensity for self-care. The implications of these findings to women's attendance patterns for screening are considered, particularly the need for culturally sensitive health promotion and intervention strategies.

摘要

子宫颈癌是香港中国女性中第七大致死原因,也是第四大常见癌症类型。尽管提供了子宫颈癌筛查项目,但女性参与筛查的比例仍然很低,仅为59%。有证据表明,女性对子宫颈癌及其预防策略的了解对她们的筛查行为至关重要。一项初步试点研究采用两阶段描述性设计,运用定量和定性数据收集方法,旨在调查香港中国女性群体对子宫颈癌和子宫颈癌筛查的了解程度。在467名女性的总样本中,242名(52%)回复了一份保密问卷,其中18名年龄在30至54岁之间的女性自愿参加了半结构化访谈。共有135名(57%)女性参加过筛查,已婚并有子女的女性参加筛查的可能性显著更高。尽管参加者和未参加者的总体知识水平没有显著差异,但女性对风险因素等个别项目的了解存在显著差异。研究表明,女性需要进一步了解子宫颈癌筛查的预防性质和定期筛查的重要性。影响中国女性筛查参与模式的其他因素包括医生的建议以及子女对女性自我保健倾向的影响。本文考虑了这些研究结果对女性筛查参与模式的影响,特别是对具有文化敏感性的健康促进和干预策略的需求。

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