Smith Mindy, French Linda, Barry Henry C
Department of Family Practice, Michigan State University, East Lansing, MI 48824, USA.
Ann Fam Med. 2003 Nov-Dec;1(4):203-8. doi: 10.1370/afm.32.
The purpose of this study was to explore attitudes, beliefs, and perceived barriers to risk-based cervical cancer screening through focus group interviews of patients.
We conducted 8 focus group interviews of women using semistructured interviews. The investigators independently reviewed the focus group transcripts and identified the overall themes and themes unique to each question using an immersion and crystallization approach.
Women are in agreement that cervical cancer screening is important and that women should get Pap smears regularly as an important way of protecting their health. They are not open to the idea of reducing the frequency of Papanicolaou (Pap) smears, however, because they perceive annual screening to be successful in reducing cervical cancer mortality. Additionally, they have concerns about test accuracy. Women are distrustful of the rationale for reducing the frequency of Pap smears. Women's previous bad experiences have reinforced their need for self-advocacy.
Women are reluctant to engage in risk-based cervical cancer screening. In this environment, risk-based cervical cancer screening recommendations are likely to be met with resistance.
本研究的目的是通过对患者进行焦点小组访谈,探讨基于风险的宫颈癌筛查的态度、信念和感知到的障碍。
我们使用半结构化访谈对女性进行了8次焦点小组访谈。研究人员独立审查焦点小组记录,并采用沉浸和结晶法确定每个问题的总体主题和独特主题。
女性一致认为宫颈癌筛查很重要,女性应该定期进行巴氏涂片检查,这是保护她们健康的重要方式。然而,她们不接受减少巴氏涂片检查频率的想法,因为她们认为每年进行筛查能成功降低宫颈癌死亡率。此外,她们担心检测准确性。女性不信任减少巴氏涂片检查频率的理由。女性以前的糟糕经历强化了她们自我主张的需求。
女性不愿意参与基于风险的宫颈癌筛查。在这种环境下,基于风险的宫颈癌筛查建议可能会遭到抵制。