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育龄期女性的宫颈癌知识水平及其相关因素

Cervical Cancer Literacy in Women of Reproductive Age and Its Related Factors.

作者信息

Bazaz Maryam, Shahry Parvin, Latifi Sayed Mahmood, Araban Marzieh

机构信息

Department of Health Education and Promotion, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Cancer Educ. 2019 Feb;34(1):82-89. doi: 10.1007/s13187-017-1270-z.

Abstract

Cancer health literacy, which is the ability to search, understand, and use health information to make appropriate health decisions, plays an important role in the use of preventative and screening information. The present study aims to evaluate cervical cancer health literacy in women of reproductive age and its related factors. In this cross-sectional study, 231 women of reproductive age who referred to health centers of Khuzestan Province, Iran, were selected via convenience sampling. A valid and reliable measure was employed to collect information about various dimensions of cervical cancer health literacy, including having access to, reading, understanding, appraising, using, and communicating it. The data collected were analyzed using SPSS 16. Data analysis was conducted by independent sample t test, one-way ANOVA, Spearman's correlation, chi-square, and linear regression. The participants' average health literacy score was 97.88 ± 12.7 (from 135 points), and 47.2% of the participants had limited health literacy. Health literacy was associated with education, employment, income, searching, mothers' and young friends' counseling, and duration of the study time (p < 0.05). In linear regression model, there was a significant association between income (p = 0.011), searching (p = 0.01), study time (p = 0.009), and young friends' counseling (p = 0.002) and cervical cancer literacy scores. In this study, no significant association was observed between age and health literacy. This study indicated that the cervical cancer literacy in women of reproductive age was not at good levels. Health workers should pay more attention to groups who are at greater risk of having low health literacy. Moreover, targeting and tailoring educational interventions with respect to different levels of cervical cancer literacy might increase cervical cancer screening.

摘要

癌症健康素养是指搜索、理解和使用健康信息以做出适当健康决策的能力,在预防和筛查信息的使用中起着重要作用。本研究旨在评估育龄妇女的宫颈癌健康素养及其相关因素。在这项横断面研究中,通过便利抽样选取了231名前往伊朗胡齐斯坦省健康中心的育龄妇女。采用一种有效且可靠的测量方法来收集有关宫颈癌健康素养各个维度的信息,包括获取、阅读、理解、评估、使用和交流该信息。收集到的数据使用SPSS 16进行分析。数据分析通过独立样本t检验、单因素方差分析、Spearman相关性分析、卡方检验和线性回归进行。参与者的平均健康素养得分为97.88 ± 12.7(满分135分),47.2%的参与者健康素养有限。健康素养与教育、就业、收入、搜索、母亲和年轻朋友的咨询以及研究时间长短相关(p < 0.05)。在线性回归模型中,收入(p = 0.011)、搜索(p = 0.01)、研究时间(p = 0.009)和年轻朋友的咨询(p = 0.002)与宫颈癌素养得分之间存在显著关联。在本研究中,未观察到年龄与健康素养之间存在显著关联。该研究表明,育龄妇女的宫颈癌素养水平不佳。卫生工作者应更加关注健康素养较低风险较高的群体。此外,针对不同水平的宫颈癌素养制定和调整教育干预措施可能会增加宫颈癌筛查。

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