Agbo S, Bemanana H S, Aziagbenyo K M, Lahaye F M
Sociologue, Université de Senghor, Égypte.
Médecin, Université de Senghor, Égypte.
Med Sante Trop. 2018 Feb 1;28(1):82-85. doi: 10.1684/mst.2018.0766.
To identify the determinants of the knowledge and practice of Togolese women concerning cervical cancer.
This cross-sectional study with a descriptive and analytical focus took place in Togo during the four-month period from May to August 2016 and surveyed women aged 18 to 60 living in the Lomé municipal area for at least 12 months. Sampling of the intervention zones was based on reasoned choice depending on the availability of health structures in the area. Once in the field, the health centers were taken as landmarks, and the individual living closest to the center was the first to be surveyed. The snowball technique was adopted. All data were entered and analyzed by Epi Info version 7.2 and Excel 2016. Bivariate (chi-2) and multivariate (logistic regression) analyses were performed to study potential associations between different variables.
We interviewed 207 women, whose mean age was 31.7 years (±10.7). Of the 65.5 % (95 % CI = 58.6-72.0) of respondents who had heard of cervical cancer, 2.9 % (95 % CI = 0.6-5.2) knew HPV infection is a risk factor. Of the 70 women seeing a gynecologist-obstetrician, only 23.2 % (95 % CI = 13.0-34.9) had been screened for cervical cancer. More than half of our respondents had a history (96.1 %) of voluntary interruption of pregnancy, or miscarriage, infection and gynecological and obstetric surgery. The proportion of women with both an obstetric history and screening was 9.7 % (95 % CI = 6.0-14.5). The leading reason for not being screened among our respondents was a fear of pelvic examination (frequency: 11.9%, 95% CI = 7.2-16.5).
Women seeing a gynecologist and/or with a high educational level are more likely to be informed about cervical cancer and have a greater likelihood of screening.
确定多哥女性宫颈癌知识与实践的决定因素。
这项具有描述性和分析性重点的横断面研究于2016年5月至8月的四个月期间在多哥进行，调查对象为居住在洛美市辖区至少12个月的18至60岁女性。干预区域的抽样基于合理选择，取决于该地区卫生机构的可及性。到达实地后，以健康中心为地标，居住在离中心最近的个人首先接受调查。采用了滚雪球技术。所有数据均输入Epi Info 7.2版和Excel 2016进行分析。进行了双变量（卡方检验）和多变量（逻辑回归）分析，以研究不同变量之间的潜在关联。
我们采访了207名女性，她们的平均年龄为31.7岁（±10.7）。在听说过宫颈癌的65.5%（95%置信区间=58.6 - 72.0）的受访者中，2.9%（95%置信区间=0.6 - 5.2）知道人乳头瘤病毒（HPV）感染是一个风险因素。在70名看妇产科医生的女性中，只有23.2%（95%置信区间=13.0 - 34.9）接受过宫颈癌筛查。超过一半的受访者有过自愿终止妊娠、流产、感染以及妇产科手术史（96.1%）。有产科病史且接受过筛查的女性比例为9.7%（95%置信区间=6.0 - 14.5）。受访者中未进行筛查的主要原因是害怕盆腔检查（频率：11.9%，95%置信区间=7.2 - 16.5）。
看妇产科医生和/或教育水平高的女性更有可能了解宫颈癌且进行筛查的可能性更大。
