采用混合方法评估加纳库马西女性宫颈癌筛查的心理障碍。
Assessment of psychological barriers to cervical cancer screening among women in Kumasi, Ghana using a mixed methods approach.
作者信息
Williams M, Kuffour G, Ekuadzi E, Yeboah M, ElDuah M, Tuffour P
机构信息
Department of Health Behavior, University of Alabama at Birmingham, USA.
Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences Kwame Nkrumah University of Science and Technology, Ghana.
出版信息
Afr Health Sci. 2013 Dec;13(4):1054-61. doi: 10.4314/ahs.v13i4.28.
BACKGROUND
Cervical cancer is the leading cause of cancer death among women in Ghana, West Africa. The cervical cancer mortality rate in Ghana is more than three times the global cervical cancer mortality rate. Pap tests and visual inspection with acetic acid wash are widely available throughout Ghana, yet less that 3% of Ghanaian women get a cervical cancer screening at regular intervals.
OBJECTIVE
This exploratory study was to identify psychological barriers to cervical cancer screening among Ghanaian women with and without cancer using a mixed methods approach.
METHODS
Semi-structured interviews were conducted with 49 Ghanaian women with cancer and 171 Ghanaian women who did not have cancer.
RESULTS
The results of the quantitative analysis indicated that cancer patients where not more likely to have greater knowledge of cancer signs and symptoms than women without cancer. Analysis of the qualitative data revealed several psychological barriers to cervical cancer screening including, common myths about cervical cancer, misconceptions about cervical cancer screening, the lack of spousal support for screening, cultural taboos regarding the gender of healthcare providers, and the stigmatization of women with cervical cancer.
CONCLUSION
The results of this study can be used to inform the development of culturally relevant cervical cancer education interventions aimed at addressing the psychological barriers to cervical cancer screening perceived by Ghanaian women.
背景
宫颈癌是西非加纳女性癌症死亡的主要原因。加纳的宫颈癌死亡率超过全球宫颈癌死亡率的三倍。巴氏试验和醋酸冲洗目视检查在加纳各地广泛可用，但只有不到3%的加纳女性定期进行宫颈癌筛查。
目的
本探索性研究旨在采用混合方法确定患有和未患癌症的加纳女性在宫颈癌筛查方面的心理障碍。
方法
对49名患有癌症的加纳女性和171名未患癌症的加纳女性进行了半结构化访谈。
结果
定量分析结果表明，癌症患者对癌症体征和症状的了解并不比未患癌症的女性更多。定性数据分析揭示了宫颈癌筛查的几个心理障碍，包括对宫颈癌的常见误解、对宫颈癌筛查的错误观念、配偶对筛查缺乏支持、关于医疗服务提供者性别的文化禁忌以及宫颈癌女性的污名化。
结论
本研究结果可用于为制定与文化相关的宫颈癌教育干预措施提供信息，旨在解决加纳女性所感知的宫颈癌筛查心理障碍。
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