加蓬女性对宫颈癌、巴氏涂片筛查和人乳头瘤病毒感染的认识与了解
Awareness and knowledge regarding of cervical cancer, Pap smear screening and human papillomavirus infection in Gabonese women.
作者信息
Assoumou Samira Zoa, Mabika Barthelemy Mabika, Mbiguino Angelique Ndjoyi, Mouallif Mustapha, Khattabi Abdelkim, Ennaji My Mustapha
机构信息
Laboratoire de Virologie, Microbiologie et Qualité/Eco toxicologie et Biodiversité, Faculté des Sciences et Techniques de Mohammedia, Université Hassan II- Casablanca, Casablanca, Maroc.
Laboratoire d'Agroalimentaire et Santé, Département de biologie, Faculté des Sciences et Techniques, Université Hassan I, Settat, Maroc.
出版信息
BMC Womens Health. 2015 Apr 19;15:37. doi: 10.1186/s12905-015-0193-2.
BACKGROUND
Cervical cancer is the commonest cancer and the leading cause of cancer mortality in women in Gabon. The age-standardized incidence of cervical cancer is 19.9 per 100 000 women and the mortality rate is 8.4 per 100 000. Various international studies have identified the lack of awareness and knowledge about cervical cancer as barriers to use preventive methods. This article assesses the awareness and knowledge about cervical cancer, Pap smear testing and its use and HPV among women living in Libreville, Gabon.
METHODS
This study was conducted in October 2014 in Libreville. A total of 452 women aged 16 years and above were recruited from different town locations. Logistic regression analysis was used to identify the effect of demographic characteristics on the level of knowledge about cervical cancer, Pap smear testing and HPV. Odds ratio and 95% confidence intervals were used to identify the strength of association. Associations were considered statistically significant at p < 0.05.
RESULTS
Of all the women interviewed, 91.6% (414/452) had heard about cervical cancer and only 27.9% (126/452) had heard of Pap smear test. Of these 126 women, only 65.1% (82/126) had done cervical cancer screening and 68.3% (56/82) on the suggestion of a doctor. The most common reason for not undergoing Pap smear testing was neglect (50%, 22/44) followed by lack of financial resources (13.6%, 6/44), fear of discovering a serious disease (13.6%, 6/44) and deeming it unimportant (13.6%, 6/44). Only 8% (40/452) of the participants had heard about HPV and their knowledge of HPV was fair. There is a very poor level of knowledge about cervical cancer among Gabonese women.
CONCLUSION
This study demonstrates a very low level of knowledge about cervical cancer, Pap smear testing and HPV in a sample of Gabonese women. There is a critical need for Gabonese women to be informed about cervical cancer and the Pap smear test to improve the use of this preventive method. The implication of health staff and Gabonese media should be included as a centerpiece in the effort to inform the population in order to reduce the burden of cervical cancer in Gabon and save women lives.
背景
宫颈癌是加蓬女性中最常见的癌症，也是癌症死亡的主要原因。宫颈癌的年龄标准化发病率为每10万名女性中有19.9例，死亡率为每10万名女性中有8.4例。多项国际研究已确定，对宫颈癌缺乏认识和了解是采用预防方法的障碍。本文评估了加蓬利伯维尔女性对宫颈癌、巴氏涂片检查及其应用以及人乳头瘤病毒（HPV）的认识和了解情况。
方法
本研究于2014年10月在利伯维尔进行。从不同城镇地区招募了452名16岁及以上的女性。采用逻辑回归分析来确定人口统计学特征对宫颈癌、巴氏涂片检查和HPV知识水平的影响。比值比和95%置信区间用于确定关联强度。当p < 0.05时，关联被认为具有统计学意义。
结果
在所有接受采访的女性中，91.6%（414/452）听说过宫颈癌，只有27.9%（126/452）听说过巴氏涂片检查。在这126名女性中，只有65.1%（82/126）进行过宫颈癌筛查，其中68.3%（56/82）是在医生建议下进行的。未进行巴氏涂片检查的最常见原因是疏忽（50%，22/44），其次是缺乏资金（13.6%，6/44）、害怕发现严重疾病（13.6%，6/44）以及认为其不重要（13.6%，6/44）。只有8%（40/452）的参与者听说过人乳头瘤病毒，她们对HPV的了解程度一般。加蓬女性对宫颈癌的了解水平非常低。
结论
本研究表明，在加蓬女性样本中，对宫颈癌、巴氏涂片检查和人乳头瘤病毒的了解水平非常低。迫切需要让加蓬女性了解宫颈癌和巴氏涂片检查，以提高这种预防方法的使用率。卫生工作人员和加蓬媒体的作用应作为向民众宣传努力的核心内容，以减轻加蓬宫颈癌负担并拯救女性生命。
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