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在妇产科就诊的女性对宫颈癌的知识、态度和行为:印度南部一项基于医院的横断面调查。

Knowledge, attitude, and practice toward cervical cancer among women attending Obstetrics and Gynecology Department: A cross-sectional, hospital-based survey in South India.

作者信息

Narayana G, Suchitra M Jyothi, Sunanda G, Ramaiah J Dasaratha, Kumar B Pradeep, Veerabhadrappa K V

机构信息

Department of Pharmacy Practice, Raghavendra Institute of Pharmaceutical Education and Research, Anantapur, Andhra Pradesh, India.

Department of Obstetrics and Gynaecology, RDT Hospital, Anantapur, Andhra Pradesh, India.

出版信息

Indian J Cancer. 2017 Apr-Jun;54(2):481-487. doi: 10.4103/ijc.IJC_251_17.

Abstract

INTRODUCTION

Cervical cancer-related deaths among women in India are often due to late diagnosis of disease. Knowledge about disease and early screening is the most effective measure for cervical cancer prevention. Lack of awareness, negative attitude, and poor practice about cervical cancer and screening are the major causes to increase the incidence of disease.

AIM

The study is designed to assess knowledge, attitude, and practice (KAP) toward cervical cancer, screening, and prevention.

SETTINGS AND DESIGN

A cross-sectional, hospital-based survey was conducted in women attending Obstetrics and Gynecology Department of a secondary care referral hospital.

MATERIALS AND METHODS

A total of 403 subjects were enrolled and subjected for interview using prevalidated KAP questionnaire on cervical cancer.

STATISTICAL ANALYSIS

Descriptive statistics were used to represent the sociodemographic characteristics and KAP levels. Association of sociodemographic variables with KAP levels is determined using Chi-square test.

RESULTS AND DISCUSSION

Most of (301; 74.6%) the respondents had heard about cervical cancer and majority of them are heard from media (168; 41.6%) and friends (83; 20.5%). Most women knew symptoms (259; 64.2%), risk factors (253; 62.7%), screening methods (310; 76.9%), and preventive measures (249; 61.7%) for cervical cancer. More than half of the women (252; 62.5%) having positive attitude toward screening. More than three-fourth of women (349; 86.6%) are not having practice toward cervical cancer screening. Sociodemographic characteristics are strongly associated with KAP levels.

CONCLUSION

Although women are having good knowledge, positive attitude toward cervical cancer screening and prevention still there is a gap to transform it into practice. There is a need for more educational programs to connect identified knowledge slits and uplift of regular practice of cervical cancer screening.

摘要

引言

印度女性宫颈癌相关死亡通常归因于疾病的晚期诊断。了解疾病及早期筛查是预防宫颈癌最有效的措施。对宫颈癌及筛查缺乏认知、态度消极和做法不当是疾病发病率上升的主要原因。

目的

本研究旨在评估对宫颈癌、筛查及预防的知识、态度和做法(KAP)。

设置与设计

在一家二级护理转诊医院的妇产科就诊的女性中进行了一项基于医院的横断面调查。

材料与方法

共纳入403名受试者,并使用预先验证的关于宫颈癌的KAP问卷进行访谈。

统计分析

描述性统计用于呈现社会人口统计学特征和KAP水平。使用卡方检验确定社会人口统计学变量与KAP水平之间的关联。

结果与讨论

大多数(301名;74.6%)受访者听说过宫颈癌,其中大多数是从媒体(168名;41.6%)和朋友(83名;20.5%)那里听说的。大多数女性了解宫颈癌的症状(259名;64.2%)、危险因素(253名;62.7%)、筛查方法(310名;76.9%)和预防措施(249名;61.7%)。超过一半的女性(252名;62.5%)对筛查持积极态度。超过四分之三的女性(349名;86.6%)没有进行宫颈癌筛查。社会人口统计学特征与KAP水平密切相关。

结论

尽管女性对宫颈癌筛查和预防有良好的知识和积极的态度,但将其转化为实际行动仍存在差距。需要开展更多教育项目来填补已发现的知识空白,并提高宫颈癌筛查的常规实践水平。

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