Ferris Daron, Lambert Rebecca, Waller Jennifer, Dickens Porscha, Kabaria Reena, Han Chi-Son, Steelman Charlotte, Fawole Fiyinfoluwa
1Gynecologic Cancer Prevention Center, Department of Obstetrics and Gynecology, and 2Department of Biostatistics, 3Georgia Health Sciences University, Augusta, Georgia.
J Low Genit Tract Dis. 2013 Oct;17(4):463-8. doi: 10.1097/LGT.0b013e3182760ad5.
The objectives of this study were to determine women's knowledge of human papillomavirus (HPV) and anal cancer and knowledge and attitudes toward the anal Pap test.
A convenience sample of 370 women from the general population 21 years or older completed a 48-question preintervention survey; read an informational pamphlet about anal cancer, HPV, and anal Pap tests; and then completed a 21-question postintervention survey in Augusta, Atlanta, and Savannah, GA. The survey assessed their knowledge about anal cancer, HPV, and the anal Pap test and determined their attitudes toward the anal Pap test. Only preintervention results were considered in this article. Descriptive statistics were determined for all variables.
Only 17.6% of women had previously heard of anal Pap tests, and the majority knew nothing (48.9%) or only a little (38.5%) about anal cancer. Yet, most women (78.6%) knew that anal Pap tests help to prevent anal cancer, and 86.2% knew that anal Pap tests are not only for people who have anal sex. Only a minority of women recognized known risk factors for anal cancer. Lack of knowledge about anal Pap tests (43.8%), pain or discomfort (41.3%), cost (24.0%), and embarrassment (21.2%) were the main reasons cited for not wanting an anal Pap test.
Although most women had limited knowledge about anal cancer and anal Pap tests and few recognized known risk factors for anal cancer, women were receptive to screening. Further implementation of anal Pap testing for women may be improved by understanding women's limited knowledge and concerns.
本研究的目的是确定女性对人乳头瘤病毒（HPV）和肛门癌的了解，以及对肛门巴氏试验的了解和态度。
从21岁及以上的普通人群中抽取370名女性作为便利样本，她们完成了一份包含48个问题的干预前调查问卷；阅读了一份关于肛门癌、HPV和肛门巴氏试验的信息手册；然后在佐治亚州的奥古斯塔、亚特兰大和萨凡纳完成了一份包含21个问题的干预后调查问卷。该调查评估了她们对肛门癌、HPV和肛门巴氏试验的了解，并确定了她们对肛门巴氏试验的态度。本文仅考虑干预前的结果。对所有变量进行了描述性统计。
只有17.6%的女性之前听说过肛门巴氏试验，大多数人对肛门癌一无所知（48.9%）或仅了解一点（38.5%）。然而，大多数女性（78.6%）知道肛门巴氏试验有助于预防肛门癌，86.2%的女性知道肛门巴氏试验不仅适用于有肛交行为的人。只有少数女性认识到已知的肛门癌风险因素。对肛门巴氏试验缺乏了解（43.8%）、疼痛或不适（41.3%）、费用（24.0%）和尴尬（21.2%）是被提及的不进行肛门巴氏试验的主要原因。
尽管大多数女性对肛门癌和肛门巴氏试验的了解有限，很少有人认识到已知的肛门癌风险因素，但女性对筛查持接受态度。通过了解女性有限的知识和担忧，可能会改善对女性进一步实施肛门巴氏试验的情况。
