尼日利亚农村社区成年女性的宫颈癌知识和认知及宫颈癌筛查参与度的健康教育干预效果。
Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria.
机构信息
Department of Community Medicine, Benjamin Carson (Snr) College of Medicine, Babcock University, Ilishan, Nigeria.
出版信息
BMC Public Health. 2014 Aug 7;14:814. doi: 10.1186/1471-2458-14-814.
BACKGROUND
Cervical cancer is a disease of public health importance affecting many women and contributing to avoidably high levels of cancer deaths in Nigeria. In spite of the relative ease of prevention, the incidence is on the increase. This study aimed to determine the effect of health education on the awareness, knowledge and perception of cervical cancer and screening among women in rural Nigerian communities.
METHODS
The study design was quasi-experimental. The study was carried out among adult women in Odogbolu (intervention) and Ikenne (control) local government areas (LGA) of Ogun state. Three hundred and fifty (350) women were selected per group by multistage random sampling technique. Data was collected by semi structured interviews with the aid of questionnaire. The intervention consisted of structured health education based on a movie.
RESULT
The intervention raised the level of awareness of cervical cancer and screening to 100% (p < 0.0001). The proportion of women with very good knowledge of cervical cancer and screening rose from 2% to 70.5% (χ(2) = 503.7, p < 0.0001) while the proportion of those with good perception rose from 5.1% to 95.1% (p < 0.0001). The mean knowledge and mean perception scores were also increased (p < 0.0001). There was increase in the proportion of women who had undertaken cervical screening from 4.3% to 8.3% (p = 0.038). The major reason stated by the women for not having had cervical screening done was lack of awareness about cervical cancer and screening. There was statistically significant difference between the intervention and control groups concerning their knowledge attitude and practice towards cervical and screening (p < 0.05) after the intervention.
CONCLUSION
Multiple media health education based on a movie is effective in creating awareness for and improving the knowledge and perception of adult women about cervical cancer and screening. It also improves the uptake of cervical cancer screening. The creation of awareness is very crucial to the success of a cervical cancer prevention programme.
背景
宫颈癌是一种公共卫生重要性疾病，影响着许多女性，并导致尼日利亚癌症死亡人数的上升。尽管预防相对容易，但发病率仍在上升。本研究旨在确定健康教育对农村尼日利亚社区妇女对宫颈癌和筛查的认识、知识和看法的影响。
方法
本研究设计为准实验。该研究在奥贡州奥多格鲁（干预组）和伊肯内（对照组）地方政府区域的成年妇女中进行。采用多阶段随机抽样技术，每组选择 350 名妇女。数据通过半结构化访谈和问卷收集。干预措施包括基于电影的结构化健康教育。
结果
干预措施将宫颈癌和筛查的知晓率提高到 100%（p < 0.0001）。对宫颈癌和筛查有很好了解的妇女比例从 2%上升到 70.5%（χ² = 503.7，p < 0.0001），而对宫颈癌和筛查有良好看法的妇女比例从 5.1%上升到 95.1%（p < 0.0001）。知识和看法的平均得分也有所提高（p < 0.0001）。接受宫颈癌筛查的妇女比例从 4.3%上升到 8.3%（p = 0.038）。妇女未进行宫颈癌筛查的主要原因是缺乏对宫颈癌和筛查的认识。干预后，干预组和对照组在对宫颈癌和筛查的知识、态度和实践方面存在统计学显著差异（p < 0.05）。
结论
基于电影的多种媒体健康教育有效地提高了成年妇女对宫颈癌和筛查的认识，并提高了她们的知识和看法。它还提高了宫颈癌筛查的接受率。意识的提高对宫颈癌预防计划的成功至关重要。
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