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女性对 HPV 的认知及其对医生在 HPV 和宫颈癌教育方面努力的看法。

Women's knowledge of HPV and their perceptions of physician educational efforts regarding HPV and cervical cancer.

机构信息

Austin Tobacco Prevention and Control Coalition, 408 Colonial Park Blvd, Austin, TX 78745, USA.

出版信息

J Community Health. 2010 Jun;35(3):229-34. doi: 10.1007/s10900-010-9232-y.

Abstract

Human papillomavirus (HPV) was one of the most common sexually transmitted infections in women of child-bearing age in the US. It was estimated that nearly three out of every four American women between the ages of 15 and 49 would be infected with genital HPV over the course of their lifetime. Human papillomavirus was present in almost 100% of cervical cancers. Despite this growing epidemic, there was little knowledge and awareness of HPV among the general public. HPV was most often detected in abnormal Pap test results. However, women undergoing Pap tests lacked basic knowledge about HPV testing, abnormal results, and follow-up procedures. The purpose of this study was to determine women's knowledge of HPV and their perceptions of the education they received from their physician regarding the reason for a Pap test, explanation of Pap test results, and how effectively the physician explained associations between HPV and cell abnormalities, cervical cancer, risk factors, and preventive measures. A survey containing 33 questions was completed by 109 primarily professional women. Based on the data collected in this study it seems that physicians were not routinely providing HPV information to their female patients. Women reported their physicians were not educating them on testing for HPV and cervical cancer, risk factors associated with contracting HPV, and preventive measures associated with HPV. Younger physicians were more likely to discuss these topics with women than older physicians. Single women also reported more discussion with their physician on these topics than married women.

摘要

人乳头瘤病毒(HPV)是美国育龄妇女中最常见的性传播感染之一。据估计,在一生中,每四个 15 至 49 岁的美国妇女中就有近三人会感染生殖器 HPV。HPV 几乎存在于所有宫颈癌中。尽管这种疾病呈上升趋势,但公众对 HPV 的了解和认识很少。HPV 最常通过异常巴氏试验结果检测出来。然而,接受巴氏试验的妇女对 HPV 检测、异常结果以及后续程序缺乏基本了解。本研究的目的是确定妇女对 HPV 的了解程度以及她们对医生关于巴氏试验原因、巴氏试验结果解释以及医生如何有效地解释 HPV 与细胞异常、宫颈癌、危险因素和预防措施之间关联的教育的看法。一项包含 33 个问题的调查由 109 名主要职业女性完成。根据本研究收集的数据,医生似乎没有定期向女性患者提供 HPV 信息。妇女报告说,她们的医生没有对 HPV 和宫颈癌检测、感染 HPV 的相关危险因素以及与 HPV 相关的预防措施对她们进行教育。与老年医生相比,年轻医生更有可能与女性讨论这些话题。单身女性也比已婚女性更多地与医生讨论这些话题。

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