Institute of Psychological Research, Universidad Veracruzana , Xalapa , México.
J Psychosom Obstet Gynaecol. 2013 Dec;34(4):163-9. doi: 10.3109/0167482X.2013.846904. Epub 2013 Oct 24.
The objectives of this study were to evaluate: Mexican women's knowledge about cervical cancer prevention; psychosocial barriers to screening; and the relation of both to cervical cancer screening behavior. Three hundred and eighty-four rural and urban women who had achieved a basic or higher educational level were surveyed. Almost 80% of the women had a Pap test but rural women were less likely to have done so. Although most women had received their most recent Pap within the last three years, only 29% had had their first Pap in accordance with the official Mexican norm. Participants showed inadequate knowledge about the risk factors for cervical cancer, especially women with only a basic educational level, irrespective of residence in an urban or rural area. Factors associated with non-screening were poor knowledge about Pap testing and about the risk factors for cervical cancer, as well as the following barriers: believing that Pap testing is too embarrassing; believing that men do not want them to have a Pap test; and believing that the test is painful. In light of these socio-cultural influences, our findings could be helpful in designing effective programs to increase Pap screening.
墨西哥女性对宫颈癌预防的知识；筛查的心理社会障碍；以及两者与宫颈癌筛查行为的关系。对 384 名农村和城市的达到基本或更高教育水平的女性进行了调查。将近 80%的女性接受过巴氏涂片检查，但农村女性的接受率较低。尽管大多数女性在过去三年内接受了最近一次巴氏涂片检查，但仅有 29%的女性按照墨西哥官方规范进行了首次巴氏涂片检查。参与者对宫颈癌的风险因素了解不足，尤其是仅接受过基本教育水平的女性，无论其居住在城市还是农村地区。与未接受筛查相关的因素是对巴氏涂片检查和宫颈癌风险因素的了解不足，以及以下障碍：认为巴氏涂片检查令人尴尬；认为男性不希望她们进行巴氏涂片检查；以及认为检查会疼痛。鉴于这些社会文化影响，我们的研究结果可能有助于设计有效的方案，以增加巴氏涂片检查。
