Howard David L, Hostetter Sarah Smith, Hunter Jennifer, Johnson Nicole, Cooper Saladin, Malnar Gerard
Department of Obstetrics and Gynecology, University of Missouri-Kansas City, 2301 Holmes Street, Kansas City, MO, 64108, USA,
Matern Child Health J. 2015 Jul;19(7):1455-63. doi: 10.1007/s10995-015-1679-0.
To assess the understanding of the term 'Pap smear' among women across the entire adult lifespan after recent changes to the guidelines on cervical cancer screening. Women attending the Obstetrics and Gynecology clinic at a large safety net teaching hospital in a Midwestern city were provided one of two versions of a confidential and anonymous survey to complete. The difference between the two versions was the way the primary research question was worded. There were 174 participants ranging in age from 15 to 69 (mean = 33.9) years. Of the 73 women who completed version A of the survey, 74 % were able to identify at least one correct descriptor for the term 'Pap smear.' Women who could identify at least one correct descriptor for the term 'Pap smear' were on average older than those who could not (mean = 36.9 vs. 28.7 years; p = 0.012). Of the 94 patients completing survey version B, 67 % could not differentiate a pelvic exam from a Pap smear. There was no association between age and ability to differentiate a pelvic exam from a Pap smear. The majority of women cannot distinguish a Pap smear from a pelvic exam. The unexpected finding of less understanding among younger women prompts a need for further research and invites discussion of whether more cervical cancer prevention education, with more emphasis on HPV vaccines in recent years, has neglected the importance of Pap smears-which is beginning to show up in knowledge of younger women. Both these findings suggest a need for increased patient education during female preventive health clinic visits.
在宫颈癌筛查指南最近更新后，评估成年女性对“巴氏涂片检查”一词的理解。在中西部城市一家大型安全网教学医院的妇产科诊所就诊的女性，被提供了两个版本的保密且匿名的调查问卷之一来填写。两个版本的区别在于主要研究问题的措辞方式。共有174名参与者，年龄在15至69岁之间（平均年龄 = 33.9岁）。在完成调查问卷A版的73名女性中，74%的人能够为“巴氏涂片检查”一词至少识别出一个正确的描述。能够为“巴氏涂片检查”一词识别出至少一个正确描述的女性平均年龄比不能识别的女性大（平均年龄 = 36.9岁对28.7岁；p = 0.012）。在完成调查问卷B版的94名患者中，67%的人无法区分盆腔检查和巴氏涂片检查。年龄与区分盆腔检查和巴氏涂片检查的能力之间没有关联。大多数女性无法区分巴氏涂片检查和盆腔检查。年轻女性理解程度较低这一意外发现促使需要进一步研究，并引发了关于近年来更多强调人乳头瘤病毒（HPV）疫苗的宫颈癌预防教育是否忽视了巴氏涂片检查重要性的讨论——这一点已开始在年轻女性的知识水平中显现出来。这两个发现都表明在女性预防性健康门诊就诊期间需要加强患者教育。
