Ibekwe C M, Hoque M E, Ntuli-Ngcobo B
Mahalapye Distric Hospital, Central District, Botswana.
Asian Pac J Cancer Prev. 2010;11(4):1021-7.
The objectives of the study were to describe women's perceived benefits regarding cervical cancer and their association with socio-demographic characteristics.
A cross-sectional hospital-based study was conducted by questionnaire survey. A total of 300 participants were selected by convenience sampling techniques.
Participants' mean age was 37 years (SD=11) and their cervical cancer screening rate was 39%. The majority (87%) either agreed or strongly agreed that screening is important to be done, while 75% believed screening could find changes in the cervix before full cancer arises and 84% that when found early cervical cancer can be easily cured. Comparing between ever screened and never screened, both groups agreed or strongly agreed that screening is important (88.8% versus 87.3%), and can find changes before they become cancer (83% versus 69.8%) and that cervical cancer is easily curable when detected early (92.4% versus 79.5%). Some 42.4% ever screened and 36.1% never screened responded not sure to whether cervical cancer decreases chances of an abortion. We did not find any socio-demographic variables which were significantly associated with perceived benefits of cervical cancer screening. Perceived benefits was not a significant predictor for cervical cancer screening (OR=1.291, p=0.33).
The screening rate is still far too low compared to the National target of greater than 75%. Therefore, despite awareness of the perceived benefits of cervical cancer, the reasons why at risk women fail to participate in cervical cancer screening needs to be adequately explored.
本研究的目的是描述女性对宫颈癌的感知益处及其与社会人口学特征的关联。
采用问卷调查法进行一项基于医院的横断面研究。通过便利抽样技术共选取了300名参与者。
参与者的平均年龄为37岁(标准差=11),宫颈癌筛查率为39%。大多数人(87%)同意或强烈同意进行筛查很重要,而75%的人认为筛查可以在癌症完全形成之前发现宫颈的变化,84%的人认为早期发现宫颈癌很容易治愈。比较曾经接受过筛查和从未接受过筛查的两组,两组都同意或强烈同意筛查很重要(88.8%对87.3%),并且可以在癌症形成之前发现变化(83%对69.8%),以及早期发现宫颈癌很容易治愈(92.4%对79.5%)。约42.4%曾经接受过筛查和36.1%从未接受过筛查的人对宫颈癌是否会降低流产几率表示不确定。我们没有发现任何社会人口学变量与宫颈癌筛查的感知益处显著相关。感知益处不是宫颈癌筛查的显著预测因素(比值比=1.291,p=0.33)。
与国家设定的高于75%的目标相比,筛查率仍然过低。因此,尽管女性意识到宫颈癌的感知益处,但仍需充分探究高危女性未参与宫颈癌筛查的原因。