Gichangi P, Estambale B, Bwayo J, Rogo K, Ojwang S, Opiyo A, Temmerman M
Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya.
Int J Gynecol Cancer. 2003 Nov-Dec;13(6):827-33. doi: 10.1111/j.1525-1438.2003.13612.x.
Invasive cervical cancer (ICC) is the leading cause of cancer-related death among women in developing countries. Population-based cytologic screening and early treatment does reduce morbidity and mortality associated with cervical cancer. Some of the factors related to the success of such a program include awareness about cervical cancer and its screening. The objective of this study was to assess knowledge and practice about cervical cancer and Pap smear testing among cervical cancer and noncancer patients using a structured questionnaire to obtain information. Fifty-one percent of the respondents were aware of cervical cancer while 32% knew about Pap smear testing. There were no significant differences in knowledge between cervical cancer and noncancer patients. Health care providers were the principal source of information about Pap testing (82%). Only 22% of all patients had had a Pap smear test in the past. Patients aware of cervical cancer were more likely to have had a Pap smear test in the past. The level of knowledge is low among ICC and noncancer patients. There is need to increase the level of knowledge and awareness about ICC and screening among Kenyan women to increase uptake of the currently available hospital screening facilities.
浸润性宫颈癌（ICC）是发展中国家女性癌症相关死亡的主要原因。基于人群的细胞学筛查和早期治疗确实能降低与宫颈癌相关的发病率和死亡率。与该项目成功相关的一些因素包括对宫颈癌及其筛查的认识。本研究的目的是通过使用结构化问卷获取信息，评估宫颈癌患者和非癌症患者对宫颈癌和巴氏涂片检测的知识及实践情况。51%的受访者知晓宫颈癌，而32%的人了解巴氏涂片检测。宫颈癌患者和非癌症患者在知识方面没有显著差异。医疗保健提供者是巴氏涂片检测信息的主要来源（82%）。过去所有患者中只有22%进行过巴氏涂片检测。知晓宫颈癌的患者过去更有可能进行过巴氏涂片检测。ICC患者和非癌症患者的知识水平较低。有必要提高肯尼亚女性对ICC和筛查的知识及认识水平，以增加对现有医院筛查设施的利用。
