Joy Teresa, Sathian Brijesh, Bhattarai Chacchu, Chacko Jenny
Anatomy Department, Manipal College of Medical Sciences, Pokhara, Nepal.
Asian Pac J Cancer Prev. 2011;12(7):1707-12.
The main aim of this study was to evaluate the awareness of cervix cancer risk factors among Educated Youth with respect to socio demographic factors.
A cross-sectional questionnaire survey was carried out among 1268 female undergraduate students in Delhi, Mangalore (India), Pokhara (Nepal) and Kandy (Srilanka) between 25 April 2010 and 20 August 2010 using structured questionnaire containing details of awareness of cervix cancer risk factors and socio demographic details. Descriptive statistics and testing of hypothesis were used for the analysis. Data analyzed using EPI INFO and SPSS 16 software.
In the 1,268 subjects, the mean age of Indian (528, 41.6%), Nepalese (480, 37.9%) and Srilankan (260, 20.5%) were 18.3 ± SD 0.7, 18.6 ± SD 0.8 and 18.0 ± SD 1.5 years, respectively. Distribution of students according to religion varied across the countries. Majority of the students were Hindus in India (61.4%) and Nepal (89.6%) while in Srilanka the majority (53.8%) were Buddhist. Relationships could be established between nationality and risk factors viz. awareness regarding cervix cancer (p= 0.024), sexual activity at an early age (before 16) can cause cervix cancer (p=0.0001), multiple sex partners can cause cervix cancer (p=0.001), condom/other birth control measures cant prevent HPV infection (p=0.0001), smoking as a risk factor(p=0.0001), hereditary risk factor (p=0.015), and first degree relative (p=0.0001).
These results indicate that there is an urgent need for a reinvigorated and tailored approach to cervix cancer prevention among the educated youth in India, Nepal and Srilanka. Prevention efforts should be focused on improving social awareness, enforcing education strategies to reduce risk factors and improving the strength and quality of counselling.
本研究的主要目的是评估受过教育的青年群体对宫颈癌风险因素的认知情况，并分析其与社会人口学因素的关系。
于2010年4月25日至2010年8月20日期间，在印度德里、芒格洛尔，尼泊尔博卡拉以及斯里兰卡康提的1268名本科女学生中开展了一项横断面问卷调查。采用包含宫颈癌风险因素认知细节及社会人口学细节的结构化问卷进行调查。分析时使用描述性统计和假设检验。数据采用EPI INFO和SPSS 16软件进行分析。
在这1268名受试者中，印度学生（528名，占41.6%）、尼泊尔学生（480名，占37.9%）和斯里兰卡学生（260名，占20.5%）的平均年龄分别为18.3±标准差0.7岁、18.6±标准差0.8岁和18.0±标准差1.5岁。各国学生按宗教的分布情况有所不同。印度（61.4%）和尼泊尔（89.6%）的大多数学生是印度教徒，而在斯里兰卡，大多数学生（53.8%）是佛教徒。国籍与风险因素之间存在关联，即对宫颈癌的认知（p = 0.024）、早年（16岁之前）性行为会导致宫颈癌（p = 0.0001）、多个性伴侣会导致宫颈癌（p = 0.001）、避孕套/其他避孕措施不能预防人乳头瘤病毒感染（p = 0.0001）、吸烟作为风险因素（p = 0.0001）、遗传风险因素（p = 0.015）以及一级亲属（p = 0.0001）。
这些结果表明，印度、尼泊尔和斯里兰卡的受过教育的青年群体迫切需要一种重新振兴且量身定制的宫颈癌预防方法。预防工作应侧重于提高社会认知度、实施教育策略以降低风险因素，并提高咨询的力度和质量。
