Baay Marc F D, Verhoeven Veronique, Peremans Lieve, Avonts Dirk, Vermorken Jan Baptist
University Antwerp, Laboratory for Cancer Research and Clinical Oncology, Universiteitsplein 1, 2610 Wilrijk, Belgium.
Patient Educ Couns. 2006 Aug;62(2):277-81. doi: 10.1016/j.pec.2005.08.004. Epub 2006 Mar 14.
The introduction of human papillomavirus (HPV) detection in cervical screening will make it necessary to provide appropriate information to the general public. Only 3% of Flemish women could name HPV as the viral agent involved in cervical cancer development. The aim of this study was to investigate whether general practitioners (GPs) have appropriate knowledge of the relationship between HPV and cervical cancer to be able to inform women.
A questionnaire was developed to measure perception of 20 risk factors for cervical cancer development, on a scale of 1 (unimportant) to 5 (very important). Respondents were also asked to give an estimate of the chances of survival for women, diagnosed with cervical cancer detected by screening.
Sixty GPs and 28 trainees filled in the questionnaire. The five most important risk factors in the perception of the respondents were, in order of decreasing importance, viral infection, number of sex partners, sexual behaviour of the partner, unsafe sex, and early start of sexual activity. Fifty-six percent of the GPs expected the chance of survival to be between 80 and 100%, compared to only 31% of the trainees.
Most GPs are well aware of sexual habits as risk factors for cervical cancer development, including the role of HPV as the viral agent in the etiology. However, they seem to underestimate the role of smoking and are unable to identify the correct chance of survival for women in whom cervical cancer is detected within the frame of the cervical smear program.
Attention should be given to education of medical students and practitioners, in order to allow them to supply patients with sufficient background information to make an informed choice on participating in cervical cancer screening.
在宫颈癌筛查中引入人乳头瘤病毒（HPV）检测后，有必要向公众提供适当信息。只有3%的弗拉芒女性能够说出HPV是导致宫颈癌的病毒。本研究的目的是调查全科医生（GP）是否具备关于HPV与宫颈癌之间关系的适当知识，以便能够为女性提供信息。
设计了一份问卷，用以衡量对20种宫颈癌发病风险因素的认知，范围从1（不重要）到5（非常重要）。还要求受访者估计通过筛查确诊为宫颈癌的女性的存活几率。
60名全科医生和28名实习生填写了问卷。在受访者认知中，五个最重要的风险因素按重要性递减顺序依次为病毒感染、性伴侣数量、伴侣的性行为、不安全的性行为以及过早开始性行为。56%的全科医生预计存活几率在80%至100%之间，相比之下实习生中只有31%这样认为。
大多数全科医生充分意识到性行为习惯是宫颈癌发病的风险因素，包括HPV作为病因中的病毒因素所起的作用。然而，他们似乎低估了吸烟的作用，并且无法确定在宫颈涂片检查项目框架内被检测出宫颈癌的女性的正确存活几率。
应关注医学生和从业者的教育，以便他们能够为患者提供足够的背景信息，使患者能够在参与宫颈癌筛查方面做出明智的选择。
