Baskaran Pryma, Subramanian Pathmawathi, Rahman Rasnah Abdul, Ping Wong Li, Mohd Taib Nur Aishah, Rosli Roshaslina
Department of Nursing Sience, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia E-mail :
Asian Pac J Cancer Prev. 2013;14(12):7693-9. doi: 10.7314/apjcp.2013.14.12.7693.
A main reason for increasing incidence of cervical cancer worldwide is the lack of regular cervical cancer screening. Coverage and uptake remain major challenges and it is crucial to determine the perceived susceptibility to cervical cancer, as well as the benefits of, and barriers to, cervical cancer screening among women.
A cross-sectional survey was conducted among 369 women attending an outpatient centre in Malaysia and data were collected by administering a self-report questionnaire.
The majority of the participants (265, 71.8%) showed good level of perception of their susceptibility to cervical cancer. Almost all responded positively to four statements about the perceived benefits of cervical cancer screening (agree, 23.1% or strongly agree, 52.5%), whereas negative responses were received from most of the participants (agree, 29.9%or strongly agree, 14.6 %) about the eleven statements on perceived barriers. Significant associations were observed between age and perceived susceptibility(x2=9.030, p=0.029); between employment status (p<0.001) as well as ethnicity and perceived benefits (p<0.05 [P=0.003]); and between education and perceived barriers to cervical cancer screening (p<0.001).
Perceived susceptibility, including knowledge levels and personal risk assessment, should be emphasized through education and awareness campaigns to improve uptake of cervical cancer screening in Malaysia.
全球宫颈癌发病率上升的一个主要原因是缺乏定期的宫颈癌筛查。筛查覆盖率和接受率仍然是主要挑战，确定女性对宫颈癌的感知易感性以及宫颈癌筛查的益处和障碍至关重要。
对马来西亚一家门诊中心的369名女性进行了横断面调查，并通过发放自填式问卷收集数据。
大多数参与者（265名，71.8%）对自身患宫颈癌的易感性有良好的认知水平。几乎所有参与者对关于宫颈癌筛查感知益处的四项陈述都给出了肯定回答（同意，23.1%；或强烈同意，52.5%），而对于关于感知障碍的十一项陈述，大多数参与者给出了否定回答（同意，29.9%；或强烈同意，14.6%）。年龄与感知易感性之间存在显著关联（χ²=9.030，p=0.029）；就业状况（p<0.001）以及种族与感知益处之间存在显著关联（p<0.05[P=0.003]）；教育程度与宫颈癌筛查感知障碍之间存在显著关联（p<0.001）。
应通过教育和宣传活动强调包括知识水平和个人风险评估在内的感知易感性，以提高马来西亚宫颈癌筛查的接受率。
