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在坦桑尼亚,接纳同伴导航员以减少感染艾滋病毒妇女进行宫颈癌筛查和治疗的障碍。

Acceptance of peer navigators to reduce barriers to cervical cancer screening and treatment among women with HIV infection in Tanzania.

作者信息

Koneru Alaya, Jolly Pauline E, Blakemore Shaundra, McCree Renicha, Lisovicz Nedra F, Aris Eric A, Mtesigwa Thereza, Yuma Safina, Mwaiselage Julius D

机构信息

School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Division of Preventive Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.

出版信息

Int J Gynaecol Obstet. 2017 Jul;138(1):53-61. doi: 10.1002/ijgo.12174. Epub 2017 May 2.

Abstract

OBJECTIVE

To identify barriers to cervical cancer screening and treatment, and determine acceptance toward peer navigators (PNs) to reduce barriers.

METHODS

A cross-sectional study was conducted among women with HIV infection aged 19 years or older attending HIV clinics in Dar es Salaam, Tanzania, between May and August 2012. Data for sociodemographic characteristics, barriers, knowledge and attitude toward cervical cancer screening and treatment, and PNs were collected by questionnaire.

RESULTS

Among 399 participants, only 36 (9.0%) reported previous cervical cancer screening. A higher percentage of screened than unscreened women reported being told about screening by someone at the clinic (25/36 [69.4%] vs 132/363 [36.4%]; P=0.002), knew that screening was free (30/36 [83.3%] vs 161/363 [44.4%]; P<0.001), and obtained "good" cervical screening attitude scores (17/36 [47.2%] vs 66/363 [18.2%]; P=0.001). Most women (382/399 [95.7%]) did not know about PNs. When told about PNs, 388 (97.5%) of 398 women said they would like assistance with explanation of medical terms, and 352 (88.2%) of 399 said they would like PNs to accompany them for cervical evaluation and/or treatment.

CONCLUSION

Use of PNs was highly acceptable and represents a novel approach to addressing barriers to cervical cancer screening and treatment.

摘要

目的

确定宫颈癌筛查和治疗的障碍,并确定对同伴导航员(PNs)的接受程度以减少障碍。

方法

2012年5月至8月间,在坦桑尼亚达累斯萨拉姆的艾滋病毒诊所对19岁及以上的艾滋病毒感染女性进行了一项横断面研究。通过问卷调查收集社会人口学特征、障碍、对宫颈癌筛查和治疗的知识及态度以及同伴导航员方面的数据。

结果

在399名参与者中,只有36人(9.0%)报告曾进行过宫颈癌筛查。与未筛查的女性相比,筛查过的女性中更高比例的人报告是在诊所被某人告知进行筛查的(25/36 [69.4%] 对132/363 [36.4%];P = 0.002),知道筛查是免费的(30/36 [83.3%] 对161/363 [44.4%];P < 0.001),并且获得了“良好”的宫颈癌筛查态度得分(17/36 [47.2%] 对66/363 [18.2%];P = 0.001)。大多数女性(382/399 [95.7%])不了解同伴导航员。当被告知同伴导航员的情况时,398名女性中的388人(97.5%)表示她们希望在医学术语解释方面得到帮助,399名女性中的352人(88.2%)表示她们希望同伴导航员陪同她们进行宫颈评估和/或治疗。

结论

同伴导航员的使用是高度可接受的,并且是解决宫颈癌筛查和治疗障碍的一种新方法。

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