Dim C C, Nwagha U I, Ezegwui H U, Dim N R
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
J Obstet Gynaecol. 2009 Nov;29(8):754-6. doi: 10.3109/01443610903225323.
Although cervical cancer is the commonest cause of cancer death in Nigeria, the use of cervical cancer screening is poor. This study aimed at determining the awareness and use of the available cervical cancer screening method (Pap smear) by women attending the outpatient clinics of a tertiary institution in Enugu, South-eastern Nigeria. Questionnaires were administered to 912 women from November 2005 to May 2006. A total of 550 (60.3%) respondents knew about cervical cancer but only 41.2% of them were aware of the Pap smear. Only 89 (9.0%) respondents had used the Pap smear. The majority (61.9%) of those who had not been screened despite knowledge of the Pap smear had no reason, while the remaining 112 (38.1%) felt they were not susceptible to cervical cancer. The use of the Pap smear among women attending the outpatient clinics in Enugu, Nigeria is very low. Routine cervical cancer counselling and screening with opt-out option should be offered to every eligible woman attending the outpatient clinics.
尽管宫颈癌是尼日利亚癌症死亡的最常见原因，但宫颈癌筛查的使用率却很低。本研究旨在确定尼日利亚东南部埃努古一所三级医疗机构门诊就诊女性对现有宫颈癌筛查方法（巴氏涂片检查）的知晓率和使用率。2005年11月至2006年5月，对912名女性进行了问卷调查。共有550名（60.3%）受访者了解宫颈癌，但其中只有41.2%的人知道巴氏涂片检查。只有89名（9.0%）受访者使用过巴氏涂片检查。在那些尽管知道巴氏涂片检查却未接受筛查的人中，大多数（61.9%）没有理由，而其余112名（38.1%）觉得自己不易患宫颈癌。在尼日利亚埃努古门诊就诊的女性中，巴氏涂片检查的使用率非常低。应该为每一位到门诊就诊的符合条件的女性提供常规宫颈癌咨询和选择退出式筛查。
