Francis Shelley A, Leser Kendall A, Esmont Emma E, Griffith Fareeda M
Division of Health Behavior and Health Promotion, College of Public Health, Ohio State University, USA.
Afr J Reprod Health. 2013 Mar;17(1):158-68.
Cervical cancer is the leading cause of cancer related deaths among women. Each year there are approximately 250,000 deaths; most of which occurred in Sub-Saharan Africa, South Asia, and Latin America. The purpose of this report is to examine key stakeholders experience and knowledge of HPV and cervical cancer, examine their experiences with the current cervical cancer screening and treatment policy, and identify barriers and facilitating factors to vaccine implementation and uptake. Fifteen indepth interviews were conducted with key stakeholders in Cape Town and Johannesburg, South Africa. The interviews revealed several key findings including: 1) knowledge about HPV and cervical cancer varied across participants, 2) knowledge about cervical cancer was also mixed while knowledge about the relationship between HPV and cervical cancer was low among participants. Our findings indicate that key stakeholders are concerned about women's health and wellbeing. In addition, they believe that the government, families, and the media need to play a prominent role in prevention efforts.
宫颈癌是女性癌症相关死亡的主要原因。每年约有25万人死亡；其中大部分发生在撒哈拉以南非洲、南亚和拉丁美洲。本报告的目的是考察关键利益相关者对人乳头瘤病毒（HPV）和宫颈癌的经验与知识，审视他们在当前宫颈癌筛查和治疗政策方面的经历，并确定疫苗实施和推广的障碍及促进因素。在南非开普敦和约翰内斯堡对关键利益相关者进行了15次深度访谈。访谈揭示了几个关键发现，包括：1）参与者对HPV和宫颈癌的了解各不相同；2）参与者对宫颈癌的了解也参差不齐，而他们对HPV与宫颈癌之间关系的了解程度较低。我们的研究结果表明，关键利益相关者关注女性的健康和福祉。此外，他们认为政府、家庭和媒体需要在预防工作中发挥重要作用。
