Machoki J M, Rogo K O
Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, Kenya.
Int J Gynaecol Obstet. 1991 Jan;34(1):55-9. doi: 10.1016/0020-7292(91)90539-h.
Knowledge and attitude in relation to cervical carcinoma was studied in 85 cervical cancer patients and 177 matched controls. The mean age of the cases was 44.2 years and mean parity 6.5. The majority were illiterate. Statistically significant differences were seen in both mean age at marriage and at first coitus, being lower for cases than controls (P less than 0.001). Basic knowledge of abnormalities of vaginal bleeding or discharge was characteristically poor in both groups. Over 90% had never attended any routine gynecological check up and did not deem it necessary. The few on regular check up were FP clinic attenders. Pap smear was totally unknown to most cases and controls. Against this background the vital role of public education in the control of cervical carcinoma is emphasized.
对85例宫颈癌患者和177例匹配对照者进行了关于宫颈癌的知识和态度的研究。病例组的平均年龄为44.2岁，平均产次为6.5次。大多数患者为文盲。在平均结婚年龄和首次性交年龄方面均观察到具有统计学意义的差异，病例组低于对照组（P<0.001）。两组对阴道出血或分泌物异常的基本知识掌握情况均较差。超过90%的人从未进行过任何常规妇科检查，也认为没有必要。少数定期检查的人是计划生育门诊的就诊者。大多数病例和对照者对巴氏涂片检查完全不了解。在此背景下，强调了公众教育在宫颈癌防治中的重要作用。
