尼日利亚东北部门诊患者巴氏涂片检查利用情况的决定因素。

Determinants of utilization of papanicolaou smear among outpatient clinic attendees in north-eastern Nigeria.

作者信息

Bukar M, Takai I U, Audu B M

机构信息

Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.

出版信息

Afr J Med Med Sci. 2012 Jun;41(2):183-9.

PMID:23185917

Abstract

BACKGROUND

The utilization of cervical cancer screening services is very poor in developing countries.

OBJECTIVE

The study was aimed at establishing the determinants of the awareness of cervical cancer, Papanicolaou smear and its utilization among outpatient clinic attendees in north-eastern Nigeria.

METHODOLOGY

Cross sectional study among outpatient clinic attendees in two tertiary institutions in north-eastern Nigeria.

RESULTS

A total of 235 women of reproductive age were interviewed during the study period. Sixty two (62%) were aware of cervical cancer, while 44.3% were aware of screening with Pap smear. However, overall, only 11.5% had ever been screened for cervical cancer before our study. More than half (54%) of the respondents did not state any reason for not doing the test. Compared with women who were not screened, screened women were aged 30 years and above with a mean age of 29.7 +/- 7.6 years (p = 0.021), better educated (p = 0.046), multiparous and employed outside home (p = 0.000). Determinants of awareness of cervical cancer and Pap smear were higher level of education (O.R. 7.80, 95% CI: 7.2-9.4; O.R. 5.12, 95%; CI: 5.0-6.4) and being civil servants (O.R. 2.01, 95% CI: 2.5-3.0; O.R. 3.23, 95%; CI: 2.9-4.7) respectively, while utilization of Pap smear depended on the age (O.R. 3.25, 95%; CI: 2.7-4.0) and higher educational status (O.R. 2.87, 95%; CI: 2.9-3.2).

CONCLUSION

The utilization of Pap smear among women studied is very low. But the reasons advanced for poor utilization are modifiable. Efforts at addressing these reasons might improve the take up rate of cervical cancer screening in North-eastern Nigeria.

摘要

背景

在发展中国家，宫颈癌筛查服务的利用率非常低。

目的

本研究旨在确定尼日利亚东北部门诊就诊者对宫颈癌、巴氏涂片检查的知晓情况及其利用率的决定因素。

方法

对尼日利亚东北部两家三级医疗机构的门诊就诊者进行横断面研究。

结果

在研究期间，共采访了235名育龄妇女。62人（62%）知晓宫颈癌，而44.3%的人知晓巴氏涂片检查。然而，总体而言，在我们的研究之前，只有11.5%的人曾接受过宫颈癌筛查。超过一半（54%）的受访者未说明不进行该项检查的任何原因。与未接受筛查的女性相比，接受筛查的女性年龄在30岁及以上，平均年龄为29.7±7.6岁（p = 0.021），受教育程度更高（p = 0.046），多产且在外工作（p = 0.000）。宫颈癌和巴氏涂片检查知晓情况的决定因素分别是较高的教育水平（比值比7.80，95%置信区间：7.2 - 9.4；比值比5.12，95%；置信区间：5.0 - 6.4）和公务员身份（比值比2.01，95%置信区间：2.5 - 3.0；比值比3.23，95%；置信区间：2.9 - 4.7），而巴氏涂片检查的利用率取决于年龄（比值比3.25，95%；置信区间：2.7 - 4.0）和较高的教育地位（比值比2.87，95%；置信区间：2.9 - 3.2）。