Del Refugio Gonzalez-Losa Maria, Gongora-Marfil Glendy K, Puerto-Solis Marylin
Universidad Autónoma de Yucatán, Centro de Investigaciones Regionales, Mérida, Yucatán, México.
J Eval Clin Pract. 2009 Apr;15(2):289-91. doi: 10.1111/j.1365-2753.2008.00996.x.
Cervical cancer (CC) is an important public health problem worldwide. In Mexico, there has been a National Cervical Cancer Screening Program (NCCSP) since 1974. Mexican Social Security Institute attended Mexican workers and family physicians are responsible of the primary care of patients.
To evaluate knowledge about the aetiology and prevention of CC among family physicians working in Yucatan, Mexico, at Mexican Social Security Institute.
A questionnaire was applied to 187 family doctors. Self-administer questionnaire with 10 item previously used by ours and other researchers, was used for the evaluation. Each correctly answered item was given a point. The maximum grade was 10 and the minimum 0.
The knowledge mean was 6.93 points. Fewer than 50% knew what to do with women who are human papillomavirus (HPV) positive without a precancerous cervical lesion and the appropriate age range for Pap smears. A total of 61.1% identified CC as an important health problem in Mexico; however, 95.1% identified CC as a preventive cause of deaths among Mexican women and recognized that HPV is the main CC aetiological agent, and 90.3% mentioned the Pap smear as the main method of diagnosis of CC.
The family doctors need to have an adequate knowledge of the practical elements of the NCCSP to give an efficient attention to their patients.
宫颈癌（CC）是全球重要的公共卫生问题。在墨西哥，自1974年起就有国家宫颈癌筛查计划（NCCSP）。墨西哥社会保障机构为墨西哥工人提供服务，家庭医生负责患者的初级护理。
评估在墨西哥社会保障机构工作、位于尤卡坦半岛的家庭医生对宫颈癌病因及预防的了解情况。
对187名家庭医生进行问卷调查。采用我们及其他研究人员之前使用过的包含10个条目的自填式问卷进行评估。每答对一题得一分。最高分为10分，最低分为0分。
知识平均得分为6.93分。不到50%的人知道如何处理人乳头瘤病毒（HPV）呈阳性但无宫颈上皮内瘤变的女性，以及巴氏涂片检查的合适年龄范围。共有61.1%的人认为宫颈癌是墨西哥的一个重要健康问题；然而，95.1%的人认为宫颈癌是墨西哥女性死亡的一个可预防原因，并认识到HPV是宫颈癌的主要致病因素，90.3%的人提到巴氏涂片是宫颈癌的主要诊断方法。
家庭医生需要充分了解国家宫颈癌筛查计划的实际内容，以便为患者提供有效的护理。
