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埃塞俄比亚东北部德西镇15至49岁女性宫颈癌筛查的接受情况及相关因素

Uptake of Cervical Cancer Screening and Associated Factors Among 15-49-Year-Old Women in Dessie Town, Northeast Ethiopia.

作者信息

Tefera Fasika, Mitiku Israel

机构信息

Family Guidance Association Ethiopia, Addis Ababa, Ethiopia.

Department of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

J Cancer Educ. 2017 Dec;32(4):901-907. doi: 10.1007/s13187-016-1021-6.

Abstract

Cervical cancer screening is acknowledged as the most effective approach to reduce incidence and mortality rates from the disease. Nevertheless, there are limited data on the rate of uptake of cervical cancer screening and factors that are related to uptake of screening services in Ethiopia. The purpose of this study was to determine the level of uptake of screening and determine associated factors among women of age 15-49 years in Northeast Ethiopia. A community-based cross-sectional survey was conducted among 620 women residing in Dessie town, Northeast Ethiopia. The respondents were selected using a multistage sampling technique. Data were collected using interviewer-administered questionnaires. Binary and multiple logistic regressions were employed to determine factors associated with the uptake of cervical cancer screening service. Overall, 57.7 % of the women had ever heard of cervical cancer, and 51.9 % had sufficient knowledge about the disease. However, only 11 % underwent at least one cervical screening in their lifetime. After adjusting for covariates, knowledge of cervical cancer (adjusted odds ratio (AOR) 11.1; 95 % CI 5.0-24.8) and age (being 25-34 years (AOR 5.0; 95 % CI 1.5-16.7) and being within the age group of 34-49 years (AOR 6.0; 95 % CI 1.74-20.8)) were significantly associated with screening service uptake. In this study, uptake of cervical cancer screening service was found to be low. Increasing women's knowledge about cervical cancer, particularly targeting the younger ones, is crucial to enhance uptake of screening.

摘要

宫颈癌筛查被认为是降低该疾病发病率和死亡率的最有效方法。然而,关于埃塞俄比亚宫颈癌筛查的接受率以及与筛查服务接受情况相关的因素的数据有限。本研究的目的是确定埃塞俄比亚东北部15至49岁女性的筛查接受水平,并确定相关因素。在埃塞俄比亚东北部德西镇居住的620名女性中进行了一项基于社区的横断面调查。采用多阶段抽样技术选取受访者。通过访谈员管理的问卷收集数据。采用二元和多元逻辑回归来确定与宫颈癌筛查服务接受情况相关的因素。总体而言,57.7%的女性听说过宫颈癌,51.9%的女性对该疾病有足够的了解。然而,只有11%的女性一生中至少接受过一次宫颈筛查。在对协变量进行调整后,对宫颈癌的了解(调整后的优势比(AOR)为11.1;95%置信区间为5.0 - 24.8)以及年龄(25 - 34岁(AOR为5.0;95%置信区间为1.5 - 16.7)和34 - 49岁年龄组(AOR为6.0;95%置信区间为1.74 - 20.8))与筛查服务接受情况显著相关。在本研究中,发现宫颈癌筛查服务的接受率较低。提高女性对宫颈癌的认识,特别是针对年轻女性,对于提高筛查接受率至关重要。

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