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宫颈癌:尼日利亚拉各斯一个城市社区的公众认知与预防措施

Cervical cancer: community perception and preventive practices in an urban neighborhood of lagos (Nigeria).

作者信息

Wright K O, Aiyedehin O, Akinyinka M R, Ilozumba O

机构信息

Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.

出版信息

ISRN Prev Med. 2014 Feb 4;2014:950534. doi: 10.1155/2014/950534. eCollection 2014.

Abstract

Background. Cervical cancer prevention in developing countries is suboptimal compared with the developed world where there are fewer deaths and improved survival rates. This study describes the perception and preventive practices on cervical cancer by residents of an urban neighborhood of Lagos, Nigeria. Methods. A descriptive cross-sectional study was conducted on 317 consecutively recruited consenting participants at a medical outreach using a pretested, interviewer-administered, semistructured questionnaire. Data analysis was done using statistical package for social sciences version 19. Tests of significance were performed using 95% confidence interval with level of significance set at P < 0.05. Results. The majority of respondents were within 30-49 years of age (46.7%) and female (62.1%) and 70.3% had secondary level education and above. About 37.2% of respondents had heard about cervical cancer with 84.5% of the participants willing to attend a cervical cancer health education program. Among the female respondents, 4.1% had received the HPV vaccine, while 5.1% had undergone a Pap test. Awareness about cervical cancer was significantly higher with increasing age in the total population (P < 0.05). Conclusion. There is a need to improve awareness of at-risk groups and the menfolk about cervical cancer based on the immense benefit of male involvement in reproductive health matters.

摘要

背景。与发达国家相比,发展中国家的宫颈癌预防工作并不理想,在发达国家,宫颈癌死亡人数较少,生存率有所提高。本研究描述了尼日利亚拉各斯一个城市社区居民对宫颈癌的认知和预防措施。方法。在一次医疗外展活动中,对317名连续招募的同意参与的参与者进行了一项描述性横断面研究,使用的是预先测试过的、由访谈员管理的半结构化问卷。使用社会科学统计软件包第19版进行数据分析。显著性检验采用95%置信区间,显著性水平设定为P < 0.05。结果。大多数受访者年龄在30至49岁之间(46.7%),为女性(62.1%),70.3%拥有中学及以上学历。约37.2%的受访者听说过宫颈癌,84.5%的参与者愿意参加宫颈癌健康教育项目。在女性受访者中,4.1%接种了人乳头瘤病毒(HPV)疫苗,而5.1%接受过巴氏试验。在总人口中,随着年龄的增长,对宫颈癌的认知显著提高(P < 0.05)。结论。鉴于男性参与生殖健康事务有诸多益处,有必要提高高危人群和男性对宫颈癌的认识。

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