Laboratory of Anatomopathology, General Reference Hospital of Kinshasa, Kinshasa, Democratic Republic of Congo.
BMC Womens Health. 2014 Feb 18;14(1):30. doi: 10.1186/1472-6874-14-30.
Cervical cancer is the most frequent cancer of women in the Democratic Republic of Congo (DRC). Nevertheless, the level of women's awareness about cervical cancer is unknown. Knowledge, attitude and practice (KAP) are important elements for designing and monitoring screening programs. The study purpose was to estimate KAP on cervical cancer and to identify associated factors.
A cross-sectional study was conducted in Kinshasa, DRC, including 524 women aged 16-78 years (median age 28; interquartile range 22-35). The women were interviewed at home by trained field workers using a standardized questionnaire. The women's score on knowledge, attitude and practice were dichotomized as sufficient or insufficient. We used binary and multiple logistic regression to assess associations between obtaining sufficient scores and a series of socio-demographic factors: age, residence, marital status, education, occupation, religion, and parity.
The women's score on knowledge was not significantly correlated with their score on practice (Spearman's rho = 0.08; P > 0.05). Obtaining a sufficient score on knowledge was positively associated with higher education (adjusted odds ratio (OR) 7.65; 95% confidence interval (95% CI) 3.31-17.66) and formal employment (adjusted OR 3.35; 95% CI 1.85-6.09); it was negatively associated with being single (adjusted OR 0.44; 95% CI 0.24-0.81) and living in the eastern, western and northern zone of Kinshasa compared to the city centre. The attitude score was associated with place of residence (adjusted OR for east Kinshasa: 0.49; 95% CI 0.27-0.86 and for south Kinshasa: 0.48; 95% CI 0.27-0.85) and with religion (adjusted OR 0.55; 95% CI 0.35-0.86 for women with a religion other than Catholicism or Protestantism compared to Catholics). Regarding practice, there were negative associations between a sufficient score on practice and being single (adjusted OR 0.24; 95% CI 0.13-0.41) and living in the eastern zone of the city (adjusted OR 0.39; 95% CI 0.22-0.70). Although 84% of women had heard about cervical cancer, only 9% had ever had a Papanicolaou (Pap) smear test.
This study shows a low level of knowledge, attitude and practice on cervical cancer among women in Kinshasa. Increasing women's awareness would be a first step in the long chain of conditions to attain a lower incidence and mortality.
宫颈癌是刚果民主共和国（DRC）女性中最常见的癌症。然而，女性对宫颈癌的认识程度尚不清楚。知识、态度和实践（KAP）是设计和监测筛查计划的重要因素。本研究旨在评估对宫颈癌的 KAP，并确定相关因素。
在金沙萨进行了一项横断面研究，共纳入了 524 名年龄在 16-78 岁之间的女性（中位年龄 28 岁；四分位间距 22-35 岁）。通过经过培训的现场工作人员在家庭中对女性进行访谈，使用标准化问卷。将知识、态度和实践得分分为充足或不足。我们使用二项和多项逻辑回归来评估获得充足得分与一系列社会人口因素之间的关联：年龄、居住地、婚姻状况、教育程度、职业、宗教和生育次数。
女性的知识得分与实践得分之间没有显著相关性（Spearman's rho = 0.08；P > 0.05）。获得足够的知识得分与较高的教育程度（调整后的优势比（OR）7.65；95%置信区间（95%CI）3.31-17.66）和正规就业（调整后的 OR 3.35；95%CI 1.85-6.09）呈正相关；与单身（调整后的 OR 0.44；95%CI 0.24-0.81）和居住在金沙萨东部、西部和北部地区（与市中心相比）呈负相关。态度得分与居住地（金沙萨东部的调整后 OR：0.49；95%CI 0.27-0.86和金沙萨南部的调整后 OR：0.48；95%CI 0.27-0.85）和宗教（与天主教或新教以外的宗教相比，调整后的 OR 0.55；95%CI 0.35-0.86）有关。关于实践，在实践方面，得分充足与单身（调整后的 OR 0.24；95%CI 0.13-0.41）和居住在城市东部地区（调整后的 OR 0.39；95%CI 0.22-0.70）之间呈负相关。尽管 84%的女性听说过宫颈癌，但只有 9%的女性曾进行过巴氏涂片检查。
本研究表明，金沙萨的女性对宫颈癌的知识、态度和实践水平较低。提高女性的认识将是降低发病率和死亡率的必要条件之一。
