Ndejjo Rawlance, Mukama Trasias, Kiguli Juliet, Musoke David
Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Department of Community Health and Behavioural Sciences, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
BMJ Open. 2017 Jun 11;7(6):e016282. doi: 10.1136/bmjopen-2017-016282.
To explore community knowledge, facilitators and barriers to cervical cancer screening among women in rural Uganda so as to generate data to inform interventions.
A qualitative study using focus group discussions and key informant interviews.
Discussions and interviews carried out in the community within two districts in Eastern Uganda.
Ten 10) focus group discussions with 119 screening-eligible women aged between 25 and 49 years and 11 key informant interviews with healthcare providers and administrators.
Study participants' knowledge about cervical cancer causes, signs and symptoms, testing methods and prevention was poor. Many participants attributed the cause of cervical cancer to use of contraception while key informants said that some believed it was due to witchcraft. Perceptions towards cervical cancer and screening were majorly positive with many participants stating that they were at risk of getting cervical cancer. The facilitators to accessing cervical cancer screening were: experiencing signs and symptoms of cervical cancer, family history of the disease and awareness of the disease/screening service. Lack of knowledge about cervical cancer and screening, health system challenges, fear of test outcome and consequences and financial constraints were barriers to cervical cancer screening.
Whereas perceptions towards cervical cancer and screening were positive, knowledge of study participants on cervical cancer was poor. To improve cervical cancer screening, effort should be focused on reducing identified barriers and enhancing facilitators.
探索乌干达农村女性对宫颈癌筛查的认知、促进因素和障碍，以便生成数据为干预措施提供依据。
采用焦点小组讨论和关键知情人访谈的定性研究。
在乌干达东部两个地区的社区内进行讨论和访谈。
与119名年龄在25至49岁之间符合筛查条件的女性进行了10次焦点小组讨论，并与医疗保健提供者和管理人员进行了11次关键知情人访谈。
研究参与者对宫颈癌的病因、体征和症状、检测方法及预防的了解较差。许多参与者将宫颈癌的病因归咎于使用避孕措施，而关键知情人表示，有些人认为这是巫术所致。对宫颈癌和筛查的看法大多是积极的，许多参与者表示他们有患宫颈癌的风险。获得宫颈癌筛查的促进因素包括：出现宫颈癌的体征和症状、家族病史以及对该疾病/筛查服务的认识。对宫颈癌和筛查缺乏了解、卫生系统面临的挑战、对检测结果及后果的恐惧以及经济限制是宫颈癌筛查的障碍。
尽管对宫颈癌和筛查的看法是积极的，但研究参与者对宫颈癌的了解较差。为了改善宫颈癌筛查，应致力于减少已确定的障碍并增强促进因素。
