Templepatrick Surgery, Templepatrick, UK.
Eur J Cancer Care (Engl). 2011 Nov;20(6):720-7. doi: 10.1111/j.1365-2354.2011.01254.x. Epub 2011 Apr 27.
Despite the strong evidence that cervical screening does save lives, evidence suggests that the uptake for cervical screening for women from socially deprived areas still remains low. A qualitative approach using four focus groups was undertaken with 48 women living in socially deprived areas who had accessed a mobile screening unit to receive cervical screening. Analysis of the data was undertaken using thematic content analysis. The women's knowledge of cervical cancer including associated risks, and preventative factors were extremely limited. The women expressed a negative attitude towards their experiences of cervical screening, describing negative feelings of 'fear', 'embarrassment' and feeling 'stigmatised'. Practical issues such as the timing of the appointments, issues of time and having to find child care were identified as the main barriers to screening for this group. This study highlights that practices and beliefs about screening are variable and access to health care is poorly tailored to meet the needs of the socially deprived. There is a need for accessible targeted information and strategies in order to enhance knowledge and awareness of cervical cancer and screening for women living in socially deprived areas.
尽管有强有力的证据表明宫颈筛查确实可以挽救生命，但有证据表明，来自社会贫困地区的女性接受宫颈筛查的比例仍然很低。本研究采用定性方法，使用四个焦点小组，对 48 名居住在社会贫困地区、曾使用流动筛查单位接受宫颈筛查的女性进行了研究。使用主题内容分析法对数据进行了分析。这些女性对宫颈癌的相关风险和预防因素的认识极其有限。女性对宫颈筛查的体验持消极态度，描述了负面的感受，如“恐惧”、“尴尬”和“被污名化”。研究还发现，预约时间、时间安排和寻找儿童保育等实际问题是该人群筛查的主要障碍。本研究强调，关于筛查的实践和信念是多种多样的，而且医疗保健的提供也不能很好地满足社会贫困人群的需求。为了提高社会贫困地区女性对宫颈癌和筛查的认识和意识，需要提供易于获取的针对性信息和策略。
