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牙买加农村地区女性对癌症筛查和性行为的认知:是否存在公共卫生问题?

Perception of women on cancer screening and sexual behavior in a rural area, Jamaica: Is there a public health problem?

作者信息

Bourne Paul A, Kerr-Campbell Maureen D, McGrowder Donovan A, Beckford Orville W

机构信息

Department of Community Health and Psychiatry, The University of the West Indies, Mona, Kingston, Jamaica.

出版信息

N Am J Med Sci. 2010 Apr;2(4):174-81. doi: 10.4297/najms.2010.2174.

DOI:10.4297/najms.2010.2174
PMID:22624136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3354406/
Abstract

BACKGROUND

The Ministry of Health in Jamaica recommends that cervical cancer screening be undergo by women 25-54 years old. The age range is based on international standards, but this is in need for revision based on the parish of St. Thomas.

AIMS

The study aimed to evaluate the perception and practice of Pap smear and the sexual practices of women in St. Thomas in order to aid policy.

PATIENTS AND METHODS

This is a cross-sectional descriptive study of 210 women (15-54 years) from St. Thomas, Jamaica.

RESULTS

Eighty eight percent of the sample had done a Pap smear and 24% indicated that they did this at least once every 12 months. The Pap smear results revealed that 83.2% of the sample was normal and 11.5% of the participants knew that their Pap smear was abnormal. Eighty percent of those with abnormal Pap smear were aged between 20-35 years. Sixty percent indicated that they did not believe they were infected with any STDs, but the Pap smear results showed that 76.4% of them had STDs. Eighty-three percent of the sample indicated having one sexual partner; 22.1% indicated that they began having sex before 15 years; 71% began having sex at 15-20 years; 76% of the sample used a condom and 12% reported that they had never practiced safe sex.

CONCLUSION

This study finds that the age interval for conducting Pap smear screening should be lowered to 20 years for women in the parish of St. Thomas, Jamaica.

摘要

背景

牙买加卫生部建议25至54岁的女性进行宫颈癌筛查。该年龄范围是基于国际标准,但根据圣托马斯教区的情况,这需要修订。

目的

该研究旨在评估牙买加圣托马斯教区女性对巴氏涂片检查的认知和实践以及她们的性行为,以辅助制定政策。

患者与方法

这是一项对来自牙买加圣托马斯教区的210名女性(15至54岁)进行的横断面描述性研究。

结果

88%的样本进行过巴氏涂片检查,24%表示她们至少每12个月做一次。巴氏涂片检查结果显示,83.2%的样本正常,11.5%的参与者知道自己的巴氏涂片检查结果异常。巴氏涂片检查结果异常的人中,80%年龄在20至35岁之间。60%的人表示不认为自己感染了任何性传播疾病,但巴氏涂片检查结果显示,其中76.4%的人患有性传播疾病。83%的样本表示只有一个性伴侣;22.1%表示她们在15岁之前开始有性行为;71%在15至20岁开始有性行为;76%的样本使用避孕套,12%报告称她们从未采取过安全性行为。

结论

本研究发现,对于牙买加圣托马斯教区的女性,进行巴氏涂片筛查的年龄区间应降至20岁。

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