Were E, Nyaberi Z, Buziba N
Department of Reproductive Health, Moi University, Eldoret, Kenya.
Afr Health Sci. 2011 Mar;11(1):58-64.
Affordable screening cervical cancer methods using visual inspection with acetic acid (VIA) and with Lugol's iodine (VILI) are being developed. Scaling up of screening services requires an understanding of the user perceptions about screening.
Determine the perceptions of risk and barriers to previous cervical cancer screening by women attending MCH-FP clinic of MTRH, Eldoret, Kenya.
Cross-sectional questionnaire survey involving a consecutive sample of 219 consenting non-pregnant women about perceptions on cervical cancer risk, barriers to screening and previous screening.
Of 219 women interviewed, 12.3% of participants had screened before. Women of over 30 years were more likely to have screened before (p=0.012). While 22.8% felt that they were at risk of the cervical cancer, 65% of all participants, nevertheless, wished to be screened. Perception of being at risk was significantly associated with a felt need for screening (p=0.002), an association that persisted only for women reporting multiple lifetime sex partners (p=0.005). Fear of abnormal results and lack of finances were the commonest barriers to screening reported by 22.4% and 11.4% of respondents, respectively.
Previous screening was uncommon. Cheaper screening methods are needed. Messages about screening should clarify the meaning and consequences of possible results.
正在研发使用醋酸目视检查（VIA）和卢戈氏碘液目视检查（VILI）等经济实惠的宫颈癌筛查方法。扩大筛查服务需要了解用户对筛查的看法。
确定肯尼亚埃尔多雷特市莫伊教学与转诊医院妇幼保健与计划生育诊所的女性对既往宫颈癌筛查的风险认知和障碍。
采用横断面问卷调查，对连续抽取的219名同意参与的非孕妇女进行关于宫颈癌风险认知、筛查障碍及既往筛查情况的调查。
在接受访谈的219名女性中，12.3%的参与者曾接受过筛查。30岁以上的女性更有可能既往接受过筛查（p = 0.012）。虽然22.8%的人认为自己有患宫颈癌的风险，但所有参与者中有65%希望接受筛查。风险认知与筛查需求感显著相关（p = 0.002），这种关联仅在报告有多个终身性伴侣的女性中持续存在（p = 0.005）。担心结果异常和资金不足是最常见的筛查障碍，分别有22.4%和11.4%的受访者报告了这两个障碍。
既往筛查并不常见。需要更便宜的筛查方法。关于筛查的信息应阐明可能结果的含义和后果。
