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埃塞俄比亚南部哈迪亚地区霍萨纳镇育龄妇女的宫颈癌求医行为及其决定因素:基于社区的横断面研究。

Health seeking behavior and its determinants for cervical cancer among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: community based cross sectional study.

机构信息

Department of health information technology, Hossana College of health science, Po. Box 159, Hossana, Ethiopia.

Department of midwifery, Hossana College of health sciences, Hossana, Ethiopia.

出版信息

BMC Cancer. 2018 Mar 16;18(1):298. doi: 10.1186/s12885-018-4203-2.

DOI:10.1186/s12885-018-4203-2
PMID:29548313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5857120/
Abstract

BACKGROUND

Cervical cancer is one of the most easily preventable forms of female cancers if early screening and diagnosis is made. Low awareness level about the disease and risk factors, beliefs about the disease, poor access to preventive services, affordability of the service and current health service system can influence decision to seek health care services for cervical cancer. The objective of this study was to determine health seeking behaviour and determinant factors for cervical cancer in Hossana town.

METHODS

Our study was carried out in Hossana town using community based cross-sectional study design. The study population was women of childbearing age (15-49 years) who had the chance of being randomly selected from the source population. Five hundred ninety five women of childbearing age were included in the study. Systematic random sampling technique was employed to select the study units. Structured and pretested questionnaire was used to collect the data. The collected data were cleaned and entered by EPI info version 3.5.4 and analysed by SPSS version 16. We considered P-value < 0.05 to decide statistically significant association between the independent and dependent variables.

RESULTS

The prevalence of health seeking behaviour for cervical cancer among the study participants was only 14.2%. Respondents' poor knowledge [AOR: 7.25, 95% CI: (1.87, 28.08)], not ever received information [AOR: 52.03, 95% CI: (13.77, 196.52)] and not actively searching information about cervical cancer [AOR: 14.23, (95%CI: (3.49, 57.95)] were significantly associated factors with not seeking health for prevention and control of cervical cancer.

CONCLUSION

The prevalence of health seeking behaviour for cervical cancer is low. Respondent' poor knowledge, not ever received information, and not actively searching information about cervical cancer are significantly associated with not seeking health for cervical cancer prevention and control. This study stressed the importance of increasing knowledge, promoting active search of health information and experiences of receiving information from different sources regarding health seeking behaviour.

摘要

背景

如果能及早进行筛查和诊断,宫颈癌是最容易预防的女性癌症之一。对该疾病及其风险因素的认识水平低、对疾病的信念、获取预防服务的机会有限、服务的可负担性以及当前的卫生服务系统都可能影响人们对宫颈癌寻求医疗保健服务的决策。本研究的目的是确定霍萨纳镇的宫颈癌求医行为和决定因素。

方法

本研究采用基于社区的横断面研究设计在霍萨纳镇进行。研究人群为有机会从目标人群中随机抽取的育龄妇女(15-49 岁)。共纳入 595 名育龄妇女。采用系统随机抽样技术选择研究单位。使用结构化和预测试问卷收集数据。收集的数据由 EPI info 版本 3.5.4 进行清理和输入,并由 SPSS 版本 16 进行分析。我们认为 P 值<0.05 表示独立和依赖变量之间存在统计学显著关联。

结果

研究参与者中宫颈癌求医行为的患病率仅为 14.2%。受访者知识水平差[比值比(AOR):7.25,95%置信区间(CI):(1.87,28.08)]、从未获得过相关信息[AOR:52.03,95%CI:(13.77,196.52)]和未积极搜索有关宫颈癌的信息[AOR:14.23,95%CI:(3.49,57.95)]与不寻求宫颈癌的卫生保健预防和控制显著相关。

结论

宫颈癌求医行为的患病率较低。受访者知识水平差、从未获得过相关信息和未积极搜索有关宫颈癌的信息与不寻求宫颈癌的卫生保健预防和控制显著相关。本研究强调了提高知识水平、促进积极搜索健康信息以及从不同来源获取健康信息经验对求医行为的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a0/5857120/35c8aebcd881/12885_2018_4203_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a0/5857120/35c8aebcd881/12885_2018_4203_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a0/5857120/35c8aebcd881/12885_2018_4203_Fig1_HTML.jpg

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