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[中国农村地区宫颈癌、乳腺癌及生殖道感染包装筛查的可行性]

[Feasibility of packaging screening for cervical cancer, breast cancer, and reproductive tract infection in a rural area in China].

作者信息

Xiang Wang, Zhao Fang-Hui, Shi Jü-Fang, Li Zhi-Xia, Ma Jun-Fei, Qiao You-Lin, Wang Yan

机构信息

Department of Maternal and Child Health, School of Public Health, Peking University Health Science Center, Beijing 100191, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2009 Oct;31(5):616-9.

Abstract

OBJECTIVE

To investigate the prevalence of cervical cancer, breast cancer, and reproductive tract infection (RTI) among women living in a county of China, identify these women's recognition about these three diseases and their attitude toward the screening, and evaluate the feasibility of the packaging screening program in rural areas in China.

METHODS

In this cross-sectional study, women aged 30-59 living in Xiangyuan County, Shanxi Province, were surveyed by questionnaires and screened with visual inspection of cervix, breast clinic examination, and combined clinical examination and laboratory tests for RTI.

RESULTS

Totally 630 women underwent interviews and packaging screening. The prevalences of cervical precancerous lesion, breast benign disease, and RTI were 0.2%, 14.0%, and 53.2%, respectively. No cancer case was found. The percentages of women knowing cervical cancer, breast cancer, and RTI as common diseases in women were 70.5%, 63.5%, and 52.9% after health education. Up to 92.5% of women preferred packaging screening to screening for single disease; however, they were not willing to pay the screening at current high cost.

CONCLUSIONS

The prevalences of breast benign disease and RTI are relatively high among women in rural areas in China. The women's recognition about these three diseases is moderately good. The packaging screening program is well accepted and feasible in rural areas.

摘要

目的

调查中国某县女性宫颈癌、乳腺癌及生殖道感染(RTI)的患病率,了解这些女性对这三种疾病的认知情况及其对筛查的态度,并评估中国农村地区联合筛查项目的可行性。

方法

在这项横断面研究中,对山西省襄垣县30 - 59岁的女性进行问卷调查,并通过宫颈视诊、乳腺临床检查以及针对RTI的临床检查与实验室检查相结合的方式进行筛查。

结果

共有630名女性接受了访谈及联合筛查。宫颈癌前病变、乳腺良性疾病和RTI的患病率分别为0.2%、14.0%和53.2%。未发现癌症病例。健康教育后,知晓宫颈癌、乳腺癌和RTI为女性常见疾病的女性比例分别为70.5%、63.5%和52.9%。高达92.5%的女性更倾向于联合筛查而非单一疾病筛查;然而,她们不愿意为当前高昂的筛查费用买单。

结论

中国农村地区女性乳腺良性疾病和RTI的患病率相对较高。这些女性对这三种疾病的认知程度中等。联合筛查项目在农村地区得到了较好的接受且具有可行性。

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