Nethersole School of Nursing, the Chinese University of Hong Kong, Hong Kong, P. R. China.
Cancer Nurs. 2010 Nov-Dec;33(6):445-53. doi: 10.1097/NCC.0b013e3181e456dc.
Accurate information and knowledge about cervical cancer and screening importantly influence women's cervical screening participation. Sexual behavior plays a crucial role in human papillomavirus transmission and the subsequent development of cervical cancer. Indeed, the uptake of cervical screening among Chinese women is relatively low compared with other populations.
To understand women's attendance pattern of cervical screening, knowledge about cervical cancer and screening, and factors influencing their utilization of cervical screening in mainland China.
A cross-sectional survey was conducted to collect women's participation pattern for cervical screening, knowledge about cervical cancer and screening, sociodemographic information and sexual history, and barriers to participating in cervical screening.
Married women and women who had had their first intercourse after the age of 21 years were significantly more likely to participate in screening. Screened women demonstrated a higher level of knowledge about the cervical screening procedure compared with nonscreened women (P = .002). Also, the scores of individual items such as women's knowledge of cervical screening and risk factors were significantly different between the 2 groups.
The current system of free physical examinations for women in mainland China is a major motivator for women's utilization of cervical screening services. Chinese women's marital status and sexual history influence their screening behavior.
Unmarried women who have ever had sex should be encouraged to have cervical screening, and consistent and appropriate information about the preventive nature of cervical screening and risk factors associated with cervical cancer should be provided to the general public.
准确的宫颈癌和筛查相关信息及知识对女性参与宫颈癌筛查至关重要。性行为在 HPV 传播和宫颈癌的后续发展中起着关键作用。事实上，与其他人群相比，中国女性的宫颈癌筛查参与率相对较低。
了解中国大陆地区女性宫颈癌筛查参与情况、对宫颈癌和筛查的认知，以及影响其宫颈癌筛查利用的因素。
采用横断面调查方法收集女性宫颈癌筛查参与模式、宫颈癌和筛查相关知识、社会人口学信息和性行为史以及参与宫颈癌筛查的障碍。
已婚和初次性行为年龄大于 21 岁的女性更有可能参与筛查。与未筛查女性相比，接受筛查的女性对宫颈癌筛查程序的了解程度更高（P=0.002）。此外，两组之间在女性对宫颈癌筛查和危险因素的了解等各个项目的得分也存在显著差异。
中国大陆地区的女性免费体检制度是促使女性利用宫颈癌筛查服务的主要动力。中国女性的婚姻状况和性行为史影响其筛查行为。
应鼓励有过性行为的未婚女性进行宫颈癌筛查，并向公众提供有关宫颈癌筛查预防性质和宫颈癌相关风险因素的一致且适当的信息。
