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美国土耳其移民女性对宫颈癌风险因素的认知及巴氏试验检查情况

Knowledge About Cervical Cancer Risk Factors and Practices of Pap Testing Among Turkish Immigrant Women in the United States.

作者信息

Uysal Toraman Aynur, Yildirim Nilufer

机构信息

Department of Public Health Nursing, Faculty of Nursing, Ege University, 35100, Bornova, Izmir, Turkey.

出版信息

J Immigr Minor Health. 2018 Oct;20(5):1222-1229. doi: 10.1007/s10903-017-0653-x.

Abstract

The objective of this study was to examine knowledge about cervical cancer risk factors and practices of Pap testing among female Turkish immigrants in the state of Florida in the United States of America (USA). This descriptive study was conducted between April and September 2012. The study sampling was consist of 156 Turkish women living in the state of Florida. A questionnaire-based survey was conducted among the population of Turkish immigrant women. On the survey form comprised of a total of 37 questions and three sections there are questions pertaining to the socio-demographic characteristics of the individuals, their knowledge on the cervical cancer risk factors and their approach to getting Pap smear tests. Statistical Package for Social Sciences (version 16.0) was used to compute frequency and descriptive statistics related to demographic data. The average age of the women is 35.67 ± 10.0. More than half of women (66%) women reported cervical cancer screening at least one. Over two-thirds knew that having abnormal vaginal bleeding (85.8%) and vaginal infections (78.2%), having sexual activity with a man who has had multiple sexual partners (61.5%), and having multiple sexual partners (61.5%) increase the risk of cervical cancer. The result of the multivariate regression analysis have determined that the age of immigrant women (OR 11.3, 95 % CI 5.1-25.2, p:0.000) and the number of children ( OR 3.4, 95 % CI 1.7-6.9, p:0.000) are factors that impact pap smear testing behavior. Our study findings confirm low levels of Pap testing and show important knowledge deficits about cervical cancer risk factors and the importance of Pap testing among Turkish immigrant women. It is recommended that the immigrant women be educated about cervical cancer by means of organizing conferences in their own language and preparing informative materials.

摘要

本研究的目的是调查美国佛罗里达州的土耳其女性移民对宫颈癌风险因素的了解以及巴氏试验的开展情况。这项描述性研究于2012年4月至9月进行。研究样本包括156名居住在佛罗里达州的土耳其女性。对土耳其移民女性群体进行了问卷调查。在这份共由37个问题和三个部分组成的调查问卷中,有关于个人社会人口学特征、她们对宫颈癌风险因素的了解以及她们进行巴氏涂片检查的方式的问题。使用社会科学统计软件包(版本16.0)来计算与人口数据相关的频率和描述性统计量。这些女性的平均年龄为35.67±10.0岁。超过一半(66%)的女性报告至少进行过一次宫颈癌筛查。超过三分之二的女性知道阴道异常出血(85.8%)、阴道感染(78.2%)、与有多个性伴侣的男性发生性行为(61.5%)以及有多个性伴侣(61.5%)会增加患宫颈癌的风险。多变量回归分析的结果确定,移民女性的年龄(比值比11.3,95%置信区间5.1 - 25.2,p:0.000)和子女数量(比值比3.4,95%置信区间1.7 - 6.9,p:0.000)是影响巴氏涂片检查行为的因素。我们的研究结果证实了土耳其移民女性巴氏试验水平较低,并显示出她们在宫颈癌风险因素以及巴氏试验重要性方面存在重大知识缺陷。建议通过用她们自己的语言组织会议和编写信息材料的方式,对移民女性进行宫颈癌知识教育。

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