Oba Shino, Toyoshima Masato, Ogata Hiromitsu
Graduate School of Health Sciences, Gunma University, 3-39-22 Showa-machi, Maebashi, Gunma, Japan. Email:
Asian Pac J Cancer Prev. 2017 Aug 27;18(8):2115-2121. doi: 10.22034/APJCP.2017.18.8.2115.
Objective: The aim of this study was to evaluate the past attendance for cervical cancer screening with knowledge of risk factors, access to health-related information, health profiles and health competence beliefs among Japanese women. Methods: Women ages 25, 30, 35, 40, 45, 50, 55, and 60 were contacted cross-sectionally as part of a project for the Japanese Ministry of Health, Labour and Welfare in Nikaho, Akita prefecture Japan between June 2010 and March 2011, and 249 women were analyzed for the current study. The questionnaire asked about past cervical cancer screening. Knowledge of each cervical cancer risk factor was determined on a four-point scale. A barriers to information access scale was utilized to assess the degree of difficulty in accessing health-related information. Health profiles were measured using the EuroQOL EQ-5D. Perceived health competence was measured using a scale (PHCS). The association was evaluated with odds ratios with 95% confidence interval were calculated from a logistic regression analysis after adjustment for age and potential confounders. The trend across the level was also assessed. Results: Women who knew that sexual intercourse at young age was a risk factor were significantly more likely to have participated in cervical cancer screening sometime in their lives (p for trend =0.02). Women who had pain/discomfort and those who had anxiety/depression were significantly more likely to have participated in cervical screening within the past two years (odds ratio [OR]: 2.02, 95% confidence interval [CI]: 1.04–3.94; OR: 2.32, 95% CI: 1.05–5.16, respectively). Women with higher PHCS were significantly more likely to have attended for cervical screened at some point in their lives (p=0.04). Conclusion: This study observed that specific knowledge of cervical cancer risk factors, health profiles and PHCS were associated with the past attendance for cervical cancer screening among women in a community. Further researches are warranted.
本研究旨在评估日本女性过去宫颈癌筛查的参与情况，以及她们对风险因素的了解、获取健康相关信息的途径、健康状况和健康能力信念。方法：作为日本厚生劳动省在日本秋田县二户市开展的一个项目的一部分，在2010年6月至2011年3月期间，对年龄分别为25、30、35、40、45、50、55和60岁的女性进行了横断面调查，本研究分析了其中249名女性的数据。问卷询问了过去的宫颈癌筛查情况。每种宫颈癌风险因素的知晓情况采用四分制进行评估。使用信息获取障碍量表来评估获取健康相关信息的困难程度。使用欧洲五维度健康量表（EuroQOL EQ-5D）测量健康状况。使用一个量表（PHCS）测量感知健康能力。通过逻辑回归分析计算调整年龄和潜在混杂因素后的比值比及95%置信区间来评估关联。还评估了各水平之间的趋势。结果：知道年轻时性交是风险因素的女性一生中在某个时候参与宫颈癌筛查的可能性显著更高（趋势p值=0.02）。有疼痛/不适以及有焦虑/抑郁的女性在过去两年内参与宫颈筛查的可能性显著更高（比值比[OR]分别为：2.02，95%置信区间[CI]：1.04–3.94；OR：2.32，95%CI：1.05–5.16）。PHCS得分较高的女性一生中在某个时候进行宫颈筛查的可能性显著更高（p=0.04）。结论：本研究观察到，对宫颈癌风险因素、健康状况和PHCS的特定了解与社区女性过去的宫颈癌筛查参与情况相关。有必要进行进一步研究。
