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尼日利亚女性对预防非传染性疾病积极吗?一项定量调查。

Are Nigerian Women Pro-Active about Noncommunicable Disease Prevention? A Quantitative Survey.

机构信息

College of Medicine, University of Lagos.

出版信息

Ann Glob Health. 2019 Mar 15;85(1):38. doi: 10.5334/aogh.2355.

Abstract

BACKGROUND

Noncommunicable diseases (NCDs) continue to cause significant morbidity and mortality worldwide with incidence increasing rapidly in developing countries. Poor utilization of preventive healthcare services contributes to this high burden.

OBJECTIVE

To assess the knowledge and utilization of preventive healthcare services among women in Lagos, Nigeria.

METHODS

This was a cross-sectional descriptive study carried out at Mainland Local Government Area (LGA) between May and July 2014. Respondents were selected using the multistage sampling method. A pretested, interviewer-administered questionnaire was used to obtain information. Data were analyzed using Epi info software version 7. Summary and inferential statistics were done and the level of significance was set at <5% (p < 0.05).

FINDINGS

Awareness of specified NCDs among the 322 respondents was 82.61% and of preventive healthcare services for the NCDs was 65.22%. Virtually all (99.05%) of the respondents had poor knowledge of these preventive services. Utilization rates were equally poor. Most common screening/tests done were Blood Pressure measurement (78.18%), Self breast examination (69.96%) and blood sugar test (58.33%). Much lower utilization rates were recorded for lipid profile (37.57%), Pap smear (26.11%), Visual Inspection with Acetic Acid (VIA) (19.72%), Human Papilloma Virus (HPV) immunization (16.55%) and mammography (14.72%).

CONCLUSIONS

Respondents were aware of specified NCDs and preventive healthcare services. They considered routine medical check-up important, however they had poor knowledge of the preventive health services for NCDs and hardly utilized them. Women should be given detailed information on the preventive healthcare services to improve their knowledge and utilization so as to reduce the NCD burden.

摘要

背景

非传染性疾病(NCDs)在全球范围内继续导致大量发病和死亡,发展中国家的发病率迅速上升。预防性医疗保健服务的利用不足是造成这种高负担的原因之一。

目的

评估尼日利亚拉各斯女性对预防性医疗保健服务的知识和利用情况。

方法

这是一项横断面描述性研究,于 2014 年 5 月至 7 月在大陆地方政府区(LGA)进行。采用多阶段抽样法选择受访者。使用经过预测试的访谈式问卷获取信息。使用 Epi info 软件版本 7 进行数据分析。进行摘要和推论统计,显著性水平设置为 <5%(p < 0.05)。

结果

在 322 名受访者中,对特定 NCD 的知晓率为 82.61%,对 NCD 预防性医疗保健服务的知晓率为 65.22%。实际上,所有(99.05%)受访者对这些预防性服务的了解都很差。利用率同样很低。最常见的筛查/测试是血压测量(78.18%)、自我乳房检查(69.96%)和血糖测试(58.33%)。记录的血脂谱(37.57%)、巴氏涂片(26.11%)、醋酸视觉检查(VIA)(19.72%)、人乳头瘤病毒(HPV)免疫(16.55%)和乳房 X 光检查(14.72%)的利用率要低得多。

结论

受访者了解特定的 NCD 和预防性医疗保健服务。他们认为常规医疗检查很重要,但对 NCD 的预防性医疗保健服务知之甚少,几乎没有利用这些服务。应向妇女提供有关预防性医疗保健服务的详细信息,以提高他们的知识和利用率,从而降低 NCD 负担。

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