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为什么要进行巴氏涂片检查?美国女性对巴氏涂片检查的认知和使用情况。

Why the Pap test? Awareness and use of the Pap test among women in the United States.

机构信息

Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.

出版信息

J Womens Health (Larchmt). 2011 Apr;20(4):511-5. doi: 10.1089/jwh.2011.2730. Epub 2011 Mar 28.

DOI:10.1089/jwh.2011.2730
PMID:21443450
Abstract

OBJECTIVE

To inform campaign development by assessing awareness, previous receipt, and knowledge of the purpose of Papanicolaou (Pap) testing among women aged ≥ 18 years and to identify differences in awareness, receipt, and knowledge by demographic characteristics.

METHODS

Data were analyzed from the 2008 HealthStyles survey, an annual mail survey conducted in the United States covering trends in health-related behavior. Women were asked questions on awareness, past use, and knowledge of the purpose of the Pap test and other gynecologic tests and procedures; 2991 women participated.

RESULTS

Although 96.7% of the women had heard of and 93.0% reported having received a Pap test, these proportions were lower among those who were 18-34 years old and among those who had lower levels of education and income. Over 80% knew the Pap test was used to screen for cervical cancer, but 63.3% believed it also was used to screen for vaginal cancer (44.9%), sexually transmitted diseases (STDs) other than human papillomavirus (HPV) (41.7%), ovarian cancer (40.6%), and other cancers and infections.

CONCLUSIONS

General familiarity and past receipt of the Pap test were high, but misconceptions about its purpose were prevalent. It is important that women understand what a routine Pap test is and is not capable of detecting so that signs and symptoms of gynecologic conditions other than cervical cancer may be recognized and addressed appropriately.

摘要

目的

通过评估 18 岁及以上女性对巴氏涂片(Pap)检测的知晓率、既往接受情况和对其目的的了解程度,为相关宣传活动提供信息,并分析不同人口统计学特征对知晓率、接受情况和知识了解程度的影响。

方法

对 2008 年健康生活方式调查的数据进行了分析,该调查是一项在美国进行的年度邮件调查,涵盖了与健康相关行为的趋势。该调查询问了女性对 Pap 检测和其他妇科检测和程序的知晓率、既往使用情况和对其目的的了解程度;共有 2991 名女性参与了调查。

结果

尽管 96.7%的女性听说过巴氏涂片检测,93.0%的女性报告曾接受过巴氏涂片检测,但 18-34 岁的女性以及受教育程度和收入较低的女性的比例较低。超过 80%的女性知道巴氏涂片检测是用于筛查宫颈癌的,但 63.3%的女性认为它也用于筛查阴道癌(44.9%)、人乳头瘤病毒(HPV)以外的其他性传播疾病(41.7%)、卵巢癌(40.6%)以及其他癌症和感染。

结论

虽然女性对巴氏涂片检测的普遍了解和既往接受情况较高,但对其目的的误解仍很普遍。重要的是,女性应该了解常规巴氏涂片检测的作用和局限性,以便能够识别出除宫颈癌以外的妇科疾病的迹象和症状,并进行适当的处理。

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